Abstract
PB006 (Tyruko®) is the first biosimilar of the reference monoclonal anti-α4-integrin antibody natalizumab. It is approved for use in the same indications for which reference natalizumab is approved, as a single disease-modifying therapy in adults with highly active relapsing-remitting multiple sclerosis (RRMS). PB006 has similar physicochemical and pharmacodynamic properties to those of reference natalizumab, and the pharmacokinetic similarity of the agents has been demonstrated in a study in healthy subjects. PB006 demonstrated clinical efficacy similar to that of reference natalizumab in patients with RRMS, and was generally well tolerated in this population. The tolerability, safety and immunogenicity profiles of PB006 were similar to those of reference natalizumab, and switching from reference natalizumab to PB006 appeared to have no impact on tolerability or immunogenicity. The role of reference natalizumab in the management of RRMS is well established and PB006 provides an effective biosimilar alternative for patients requiring natalizumab therapy.
Similar content being viewed by others
References
European Medicines Agency. Tyruko: EU summary of product characteristics. 2023. https://www.ema.europa.eu. Accessed 02 Apr 2024.
European Medicines Agency. Tyruko: European public assessment report. 2023. https://www.ema.europa.eu. Accessed 02 Apr 2024.
Wessels H, von Richter O, Velinova M, et al. Pharmacokinetic and pharmacodynamic similarity of biosimilar natalizumab (PB006) to its reference medicine: a randomized controlled trial. Expert Opin Biol Ther. 2023;23(12):1287–97.
Hemmer B, Wiendl H, Roth K, et al. Efficacy and safety of proposed biosimilar natalizumab (PB006) in patients with relapsing-remitting multiple sclerosis: the Antelope phase 3 randomized clinical trial. JAMA Neurol. 2023;80(3):298–307.
Plavina T, Subramanyam M, Bloomgren G, et al. Anti-JC virus antibody levels in serum or plasma further define risk of natalizumab-associated progressive multifocal leukoencephalopathy. Ann Neurol. 2014;76(6):802–12.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Funding
The preparation of this review was not supported by any external funding.
Authorship and Conflict of interest
During the peer review process, the manufacturer of PB006 was offered an opportunity to review this article. Changes resulting from comments received were made on the basis of scientific and editorial merit. Matt Shirley is a salaried employee of Adis International Ltd/Springer Nature, and declares no relevant conflicts of interest. All authors contributed to this article and are responsible for its content.
Ethics approval, Consent to participate, Consent to publish, Availability of data and material, Code availability
Not applicable.
Additional information
The manuscript was reviewed by: I.-A. Chirap-Mitulschi, Department of Medicine II, University of Medicine and Pharmacy "Grigore T. Popa", Iaşi, Romania; F. Ladeira, Department of Neurology, Centro Hospitalar Universitário Lisboa Central, Lisbon, Portugal; D. Papadopoulos, School of Medicine, European University Cyprus, Nicosia, Cyprus; T. G. Schreiner, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", Iaşi, Romania.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Shirley, M. PB006: A Natalizumab Biosimilar. Clin Drug Investig 44, 367–370 (2024). https://doi.org/10.1007/s40261-024-01360-4
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40261-024-01360-4