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A phase 3, randomized, double-blind, active-controlled clinical study to compare BAT2206, a ustekinumab biosimilar, with ustekinumab reference product in patients with moderate-to-severe psoriasis: Treatment period 2 results (post Week 28 to Week 52) - 19/11/25

Doi : 10.1016/j.jaad.2025.08.005 
Xiaoyong Man, MD a, Katya Zaharieva, MD b, Grażyna Pulka, MD, PhD c, Agnieszka Żebrowska, MD, PhD d, Yunhua Deng, MD e, Lally Mekokishvili, MD, PhD f, Xiaolei Yang, MPhil g, Yunpeng Qi, PhD g, Cailing Gu, BSc g, Qingfeng Dong, MSc g, Min Zheng, MD a,
a Department of Dermatology, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China 
b Diagnostic-Consultative Center XXVIII-Sofia EOOD, Sofia, Bulgaria 
c Centrum Medyczne Allmed-Badania Kliniczne, Krakow, Poland 
d Department of Dermatology, NZOZ ALL-MED Centrum Medyczne Specjalistyczne Gabinety Lekarskie, Lodz, Poland 
e Department of Dermatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China 
f Petre Shotadze Tbilisi Medical Academy, Tbilisi, Georgia 
g Clinical Division, Bio-Thera Solutions, Ltd., Guangzhou, China 

Correspondence to: Min Zheng, MD, The Second Affiliated Hospital of Zhejiang University School of Medicine, 88 Jiefang Rd, Hangzhou, China. The Second Affiliated Hospital of Zhejiang University School of Medicine 88 Jiefang Rd Hangzhou China

Abstract

Background

BAT2206 is being developed as a ustekinumab (UST) biosimilar.

Objectives

Equivalent efficacy and comparable safety results of BAT2206 and UST in patients with moderate-to-severe psoriasis up to Week 28 (treatment period [TP] 1) have been reported previously. TP2 (post Week 28 to 52) results are presented here.

Methods

Patients achieving Psoriasis Area and Severity Index response (≥75) at Week 28 entered TP2. Qualified patients of the UST group in TP1 were re-randomized 1:1 into UST-BAT2206 or UST-UST groups, while qualified patients of the BAT2206 group continued with BAT2206 (BAT2206-BAT2206 group). In TP2, secondary efficacy endpoints, pharmacokinetics, safety, and immunogenicity were assessed at Week 32, 40, 44, and 52.

Results

A total of 528 patients entered TP2, of which 133, 131, and 264 were assigned to UST-UST, UST-BAT2206, and BAT2206-BAT2206 groups, respectively. The secondary efficacy endpoints and the adverse events showed no obvious differences across all 3 groups. There were no notable differences in the UST serum concentrations. Immunogenicity was comparable, and the switching from UST to BAT2206 did not lead to an increased immunogenicity.

Limitations

No data collected after Week 52.

Conclusion

Outcomes were comparable among the groups in TP2, with no impact from the UST-to-BAT2206 switch.

Il testo completo di questo articolo è disponibile in PDF.

Key words : biosimilar, psoriasis, randomized, treatment switching, ustekinumab

Abbreviations used : ADA, AE, BSA, CfB, DLQI, IL, NAb, PASI, PK, SAF2, sPGA, TEAE, TP, UST


Mappa


 Funding sources: None.
 Patient consent: All patients provided written informed consent before the study was initiated.
 IRB approval status: Ethics approval was received from each national central or local ethical committee or institutional review board.


© 2025  American Academy of Dermatology, Inc.. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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