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Bevacizumab biosimilar LY01008 compared with bevacizumab (Avastin) as first-line treatment for Chinese patients with unresectable, metastatic, or recurrent non-squamous non–small-cell lung cancer: A multicenter, randomized, double-blinded, phase III trial

  • Yuankai Shi
  • , Kaijian Lei
  • , Yuming Jia
  • , Bingqiang Ni
  • , Zhiyong He
  • , Minghong Bi
  • , Xicheng Wang
  • , Jianhua Shi
  • , Ming Zhou
  • , Qian Sun
  • , Guolei Wang
  • , Dongji Chen
  • , Yongqian Shu
  • , Lianke Liu
  • , Zhongliang Guo
  • , Yong Liu
  • , Junquan Yang
  • , Ke Wang
  • , Ke Xiao
  • , Lin Wu
  • Tienan Yi, Debin Sun, Mafei Kang, Tianjiang Ma, Yimin Mao, Jinsheng Shi, Tiegang Tang, Yan Wang, Puyuan Xing, Dongqing Lv, Wangjun Liao, Zhiguo Luo, Bin Wang, Xiaohong Wu, Xiaoli Zhu, Shuhua Han, Qisen Guo, Rongyu Liu, Zhiwei Lu, Jianyong Zhang, Jian Fang, Changlu Hu, Yinghua Ji, Guolong Liu, Hong Lu, Dedong Wu, Junhong Zhang, Shuyang Zhu, Zheng Liu, Wensheng Qiu, Feng Ye, Yan Yu, Yanqiu Zhao, Qinhong Zheng, Jun Chen, Zhanyu Pan, Yiping Zhang, Wenjuan Lian, Bo Jiang, Bo Qiu, Guojun Zhang, Hua Zhang, Yanju Chen, Yuan Chen, Hongbing Duan, Manxiang Li, Shengming Liu, Lijun Ma, Hongming Pan, Xia Yuan, Xueli Yuan, Yulong Zheng, Emei Gao, Li Zhao, Shumin Wang, Can Wu
  • Chinese Academy of Medical Sciences
  • The Second People's Hospital of Yibin
  • Luzhou People’s Hospital
  • Fujian Provincial Cancer Hospital
  • Bengbu Medical College
  • Guangdong Pharmaceutical University
  • Linyi Cancer Hospital
  • Guangzhou Medical College
  • Henan Chest Hospital
  • Wuwei Cancer Hospital of Gansu Province
  • The First Affiliated Hospital with Nanjing Medical University
  • Shanghai East Hospital of Tongji University
  • Xuzhou Central Hospital
  • Tangshan People's Hospital
  • Sichuan University
  • The Second Affiliated Hospital of Shantou University Medical College
  • Central South University
  • Xiangyang Central Hospital
  • Lishui Central Hospital
  • Guilin Medical College
  • Luohe Central Hospital
  • Henan University of Science and Technology
  • Cangzhou People's Hospital
  • Xiangtan Central Hospital
  • Taizhou Hospital
  • Nanfang Hospital
  • Taihe Hospital of Shiyan City
  • Huzhou Central Hospital
  • the Fourth People's Hospital of Wuxi City
  • Zhongda Hospital Southeast University
  • Shandong Cancer Hospital
  • Anhui Medical University
  • Wannan Medical College
  • Zunyi Medical University
  • Peking University
  • Anhui Cancer Hospital
  • Xinxiang Medical College
  • Guangzhou First People's Hospital
  • Henan University
  • Henan Provincial People's Hospital
  • Zhongnan Hospital of Wuhan University
  • Xuzhou Medical University
  • Handan Central Hospital
  • Qingdao University
  • The First Affiliated Hospital of Xiamen University
  • Harbin Medical University
  • Henan Cancer Hospital
  • Quzhou People's Hospital
  • Tianjin Medical University
  • Zhejiang Cancer Hospital
  • Xi'an Chest Hospital
  • Yunnan Cancer Hospital
  • Zhuzhou Central Hospital
  • First Affiliated Hospital of Zhengzhou University
  • Xinjiang Medical University
  • People's Hospital of Hainan Province
  • Huazhong University of Science and Technology
  • Zhongshan Hospital Affiliated to Xiamen University
  • The First Affiliated Hospital of Xi’an Jiaotong University
  • The First Affiliated Hospital of Jinan University
  • Shanghai Jiao Tong University
  • Zhejiang University
  • HuiZhou Municipal Central Hospital
  • Huai'an Second People's Hospital
  • Clinical Research Center of Luye Pharma Group Ltd

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Background: Previous studies have demonstrated the preclinical pharmacological and toxicological consistency, and clinical pharmacokinetic equivalence of bevacizumab biosimilar LY01008 with reference bevacizumab (Avastin). This randomized controlled trial aimed to compare the efficacy and safety of LY01008 with Avastin in first-line treatment of Chinese patients with advanced or recurrent non-squamous non-small cell lung cancer (NSCLC). Methods: Stage IIIB-IV NSCLC patients with evaluable lesions, good physical status, and adequate organ functions from 67 centers across China were randomized in a ratio of 1:1 to receive LY01008 or Avastin 15 mg/kg intravenously in combination with paclitaxel/carboplatin (combined treatment) for 4-6 cycles, followed by maintenance monotherapy with LY01008 until disease progression, intolerable toxicity, or death. The primary endpoint was objective response rate (ORR) in accordance with Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 confirmed by independent radiological review committees (IRRC). Secondary endpoints included disease control rate (DCR), duration of response (DoR), progression-free survival (PFS), overall survival (OS), and safety. This study was registered in ClinicalTrials.gov (NCT03533127). Results: Between December 15th, 2017, and May 15th, 2019, a total of 649 patients were randomized to the LY01008 (n = 324) or Avastin (n = 325) group. As of September 25th, 2019 for primary endpoint analysis, 589 patients received ORR evaluation, with a median number of combined treatment cycles of 5 (range 1-6) and median duration of treatment of 3.0 (range 0.0-5.1) months. ORR of response-evaluable patients in the LY01008 and Avastin groups were 48.5% and 53.0%, respectively. The stratified ORR ratio was 0.91 (90% CI 0.80-1.04, within the prespecified equivalence margin of 0.75-1.33). Up to May 15th, 2020, with a median follow-up of 13.6 (range 0.8-28.4) months, no notable differences in DCR, median DoR, median PFS, median OS, and 1-year OS rate were observed between the LY01008 and Avastin groups. There were no clinically meaningful differences in safety and immunogenicity across treatment groups. Conclusions: LY01008 demonstrated similarity to Avastin in terms of efficacy and safety in Chinese patients with advanced or recurrent non-squamous NSCLC. LY01008 combined with paclitaxel/carboplatin is expected to become a new treatment option for unresectable, metastatic, or recurrent non-squamous NSCLC patients in the first-line setting.

Original languageEnglish
Pages (from-to)889-903
Number of pages15
JournalCancer Communications
Volume41
Issue number9
DOIs
StatePublished - Sep 2021
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • LY01008
  • anti-VEGF monoclonal antibody
  • anti-angiogenesis
  • avastin
  • bevacizumab
  • biosimilar
  • non-small cell lung cancer
  • vascular endothelial growth factor

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