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Last Updated: April 27, 2025

CLINICAL TRIALS PROFILE FOR ENBREL


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Biosimilar Clinical Trials for ENBREL

This table shows clinical trials for biosimilars. See the next table for all clinical trials
Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT03273088 ↗ Pharmacokinetic, Safety and Tolerability Study of Altebrel in Healthy Male Subjects Completed AryoGen Pharmed Co. Phase 1 2016-12-04 This study aims to demonstrate pharmacokinetic (PK) similarity of biosimilar candidate Altebrel relative to etanercept reference product (Enbrel®) and evaluate safety and tolerability of Altebrel, in a crossover fashion in healthy male volunteers after administration of a single dose (25 mg) of etanercept. The primary objective of this study is to demonstrate that the PK of Altebrel is similar to its originator, Enbrel®, as assessed by the area under the serum concentration time curve (AUC) from time 0 extrapolated to infinity (AUCinf) and the Cmax. The secondary objectives of the study are: To further compare the PK of Altebrel and Enbrel®. To assess the safety of Altebrel.
NCT01891864 ↗ Study to Demonstrate Equivalent Efficacy and to Compare Safety of Biosimilar Etanercept (GP2015) and Enbrel Completed Hexal AG Phase 3 2013-06-01 The purpose of this study is to demonstrate equivalent efficacy of GP2015 and Enbrel® in patients with moderate to severe chronic plaque-type psoriasis with respect to PASI 75 response rate at Week 12.
NCT01891864 ↗ Study to Demonstrate Equivalent Efficacy and to Compare Safety of Biosimilar Etanercept (GP2015) and Enbrel Completed Sandoz Phase 3 2013-06-01 The purpose of this study is to demonstrate equivalent efficacy of GP2015 and Enbrel® in patients with moderate to severe chronic plaque-type psoriasis with respect to PASI 75 response rate at Week 12.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 3 of 3 entries

All Clinical Trials for ENBREL

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00000433 ↗ Blocking Tumor Necrosis Factor in Ankylosing Spondylitis Completed National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) Phase 2 1999-10-01 The Division of Rheumatology at University of California San Francisco is conducting a research study on the treatment of ankylosing spondylitis (AS) with a new therapy currently used for people with other forms of arthritis. The drug, called Enbrel (or etanercept), is a protein that is given twice weekly by injection underneath the skin. It blocks the action of tumor necrosis factor-alpha (TNF-alpha), a substance that may be involved in AS, rheumatoid arthritis, and other inflammatory conditions. We will randomly assign patients to receive either the drug or a placebo (inactive treatment) for 4 months. The results we will monitor include morning stiffness, spinal mobility, activities of daily life, and safety of the drug.
NCT00001893 ↗ Study of TNFR:Fc (Enbrel) in the Treatment of Asthma Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 2 1999-08-17 The proposed study is a phase II clinical trial of TNFR:Fc therapy in a segmental allergen bronchoprovocation model of atopic asthma. The goal of this study is to assess whether inhibition of tumor necrosis factor (TNF) bioactivity can attenuate airway inflammation in mild-to-moderate allergic asthmatics. This protocol will utilize a randomized, double-blind, placebo-controlled trial design. TNF bioactivity will be inhibited via systemic administration (e.g., subcutaneous injection) of a dimeric fusion protein consisting of the extracellular ligand binding domain of the 75-kilodalton TNF receptor linked to the Fc portion of human IgG1 (TNFR:Fc, Immunex). The data generated by this study will address the utility of anti-TNF therapy for patients with asthma.
NCT00001862 ↗ TNRF:Fc to Treat Eye Inflammation in Juvenile Rheumatoid Arthritis Completed National Eye Institute (NEI) Phase 2 1999-02-01 This study will investigate the safety and effectiveness of the drug TNFR:Fc to treat uveitis (eye inflammation) in patients with juvenile rheumatoid arthritis. In other studies, TNFR:Fc significantly reduced joint pain and swelling in adult patients with rheumatoid arthritis, and the Food and Drug Administration has approved the drug for that use. Because medicines for arthritis often help patients with eye inflammation, this study will examine whether TNFR:Fc can help patients with uveitis. Patients with uveitis who are not responding well to standard treatment, such as steroids, and patients who have side effects from other medicines used to treat their uveitis or have refused treatment because of possible side effects may be eligible for this study. Candidates will be screened with a medical history, physical examination, and eye examination. The eye exam includes a check of vision and eye pressure, examination of the back of the eye (retina), and front of the eye, including measurements of protein and inflammation. Candidates will also undergo fluorescein angiography-a procedure in which photographs are taken of the retina to see if there is any leakage in the eye's blood vessels. A blood test and joint evaluation will also be done. Study participants will be given a shot of TNFR:Fc twice a week for up to 12 months and may continue other medicines they may be taking, such as prednisone or methotrexate. They will have follow-up examinations at week two and months one, two, three and four. Those who wish to continue treatment after the fourth month can receive the drug for another eight months and will have follow-up exams at months six, nine and 12, and one month after treatment ends. Each follow-up visit will include a repeat of the screening exams and an evaluation of side effects or discomfort from the medicine.
NCT00001901 ↗ Etanercept to Treat Wegener's Granulomatosis Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 2 1999-02-01 This study will examine the use of etanercept (also called Enbrel or TNFR:Fc) in patients with Wegener's granulomatosis, a type of vasculitis (blood vessel inflammation). Wegener's granulomatosis may affect many parts of the body, including the brain, nerves, eyes, sinuses, lungs, kidneys, intestinal tract, skin, joints, heart, and other sites. Generally, the greater the disease involvement, the more life-threatening it is. Standard treatment is a combination of prednisone and a cytotoxic agent-usually cyclophosphamide or methotrexate. However, many patients treated with this regimen have a disease relapse, and others cannot take these drugs because of severe side effects. This study will evaluate etanercept's safety and effectiveness, and particularly its value in reducing the need for prednisone and preventing disease relapse. The Food and Drug Administration has approved etanercept for treating rheumatoid arthritis, another inflammatory disease. The drug works by blocking the activity of TNF-a protein made by white blood cells that is involved in the inflammatory process. Since prednisone also affects inflammatory proteins and lowers TNF production, the use of etanercept may reduce the need for prednisone in patients with Wegener's granulomatosis, and thus the risk of its side effects. Patients between 10 and 70 years of age with Wegener's granulomatosis who have never taken prednisone, methotrexate or cyclophosphamide, or have taken these drugs for less than 3 weeks may be eligible for this study. Participants will have a medical history review and physical examination, including laboratory studies. If medically indicated, X-rays, consultations and biopsies (surgical removal of a small tissue sample) of affected organs will also be done. All patients will begin treatment with prednisone, methotrexate and etanercept. Those who improve on this regimen will stop prednisone gradually over 3 months. Those who achieve disease remission at the end of another 3 months will be randomly assigned to either continue taking etanercept and methotrexate for another 12 months or to stop etanercept and continue only methotrexate for the next 12 months (after which methotrexate will gradually be stopped). Patients who are not in remission by the 6-month point will continue taking etanercept until they go into remission, when they will be assigned to stop or not stop etanercept, as described above. Patients who do not achieve remission within 12 months of beginning treatment will be taken off the study. Patients who have a disease relapse while on the study will likely be switched to treatment with prednisone and either methotrexate or cyclophosphamide. Patients randomized to stop etanercept and who have a relapse within a year of stopping the drug may be offered re-treatment on this protocol, but with continuing etanercept for a full year after remission. Patients will be evaluated in the outpatient clinic every 2 to 4 weeks for the first 4 months and every 1 to 3 months after that. Patients whose disease is in remission and who stop all medications will be followed every 3 to 6 months for 2 years. Follow-up evaluations include a physical examination, blood draws and, if medically indicated, X-rays. The total study duration is 60 to 70 months.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 4 of 4 entries

Clinical Trial Conditions for ENBREL

Condition Name

532712100-50510152025303540455055Rheumatoid ArthritisPsoriasisAnkylosing SpondylitisArthritis, Rheumatoid[disabled in preview]
Condition Name for ENBREL
Intervention Trials
Rheumatoid Arthritis 53
Psoriasis 27
Ankylosing Spondylitis 12
Arthritis, Rheumatoid 10
[disabled in preview] 0
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Condition MeSH

8571381700102030405060708090ArthritisArthritis, RheumatoidPsoriasisSpondylitis, Ankylosing[disabled in preview]
Condition MeSH for ENBREL
Intervention Trials
Arthritis 85
Arthritis, Rheumatoid 71
Psoriasis 38
Spondylitis, Ankylosing 17
[disabled in preview] 0
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Clinical Trial Locations for ENBREL

Trials by Country

+
Trials by Country for ENBREL
Location Trials
United States 521
Canada 77
United Kingdom 40
Spain 38
Germany 30
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Trials by US State

+
Trials by US State for ENBREL
Location Trials
California 35
New York 28
Texas 27
Maryland 26
Michigan 25
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Clinical Trial Progress for ENBREL

Clinical Trial Phase

39.1%27.3%29.7%05101520253035404550Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for ENBREL
Clinical Trial Phase Trials
Phase 4 50
Phase 3 35
Phase 2/Phase 3 5
[disabled in preview] 38
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Clinical Trial Status

72.4%11.6%10.5%5.5%0020406080100120140CompletedTerminatedUnknown status[disabled in preview]
Clinical Trial Status for ENBREL
Clinical Trial Phase Trials
Completed 131
Terminated 21
Unknown status 19
[disabled in preview] 10
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Clinical Trial Sponsors for ENBREL

Sponsor Name

trials05101520253035404550AmgenPfizerWyeth is now a wholly owned subsidiary of Pfizer[disabled in preview]
Sponsor Name for ENBREL
Sponsor Trials
Amgen 49
Pfizer 30
Wyeth is now a wholly owned subsidiary of Pfizer 15
[disabled in preview] 8
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Sponsor Type

47.3%43.6%6.6%0020406080100120140160180OtherIndustryNIH[disabled in preview]
Sponsor Type for ENBREL
Sponsor Trials
Other 165
Industry 152
NIH 23
[disabled in preview] 9
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ENBREL: Clinical Trials, Market Analysis, and Projections

Introduction to ENBREL

ENBREL (etanercept) is a fully human anti-tumor necrosis factor (TNF) receptor, approved for the treatment of various autoimmune diseases, including rheumatoid arthritis (RA), psoriatic arthritis (PsA), and juvenile idiopathic arthritis (JIA). Here, we delve into the recent clinical trials, market analysis, and future projections for ENBREL.

Clinical Trials Update

Psoriasis Trials

In a significant clinical development, a Phase 3 study on ENBREL for the treatment of moderate to severe plaque psoriasis showed positive results. The study demonstrated that nearly half of the patients achieved at least a 75% improvement in their Psoriasis Area and Severity Index (PASI) score after 12 weeks, with nearly 60% achieving this endpoint after 24 weeks. ENBREL was generally well tolerated, with adverse events similar to those in the placebo group[1].

Rheumatoid Arthritis Trials

The PRESERVE trial, one of the largest completed clinical trials of biologic therapy in adults with moderately active RA, highlighted the efficacy of ENBREL. The trial showed that patients treated with ENBREL plus methotrexate (MTX) had a significantly higher percentage of maintaining low disease activity (LDA) compared to those on MTX alone. Specifically, 82.6% of patients on ENBREL 50mg weekly plus MTX maintained LDA at week 88, compared to 42.6% on MTX alone[3].

Other Indications

ENBREL has also been studied in other chronic inflammatory conditions such as ankylosing spondylitis (AS) and psoriatic arthritis (PsA). Multiple studies presented at global medical congresses, including the European League Against Rheumatism (EULAR) and the World Congress of Dermatology (WCD), reinforced the efficacy and safety profile of ENBREL across these indications[5].

Market Analysis

Current Market Size and Growth

The global ENBREL market was valued at $15.5 billion in 2022 and is expected to grow to $23.2 billion by 2032, at a Compound Annual Growth Rate (CAGR) of 3.7% from 2023 to 2032. This growth is driven by several factors, including the escalating prevalence of autoimmune diseases, the increasing adoption of biologic therapies, and the expansion of ENBREL’s indications beyond its initial approvals[2][4].

Regional Market Dynamics

  • North America: This region is characterized by a high demand for ENBREL due to the prevalence of autoimmune diseases. The market here is also influenced by growing biosimilar competition and an emphasis on personalized medicine[4].
  • Europe: The European market is mature with significant biosimilar competition, which is driving affordability. There is an increasing focus on early-stage biologic treatments and regulatory changes affecting pricing and access[4].
  • Asia-Pacific: This region is experiencing rising demand for autoimmune disease treatments, driven by countries like Japan, China, and India. Biosimilar competition is emerging, and there is a focus on improving healthcare access and affordability[4].

Competitive Landscape

The ENBREL market is highly competitive, with key players including Amgen Inc., Pfizer Inc., Novartis AG, Samsung Bioepis Co. Ltd., and Merck & Co. Inc. The emergence of biosimilar versions of ENBREL has introduced competition, potentially lowering treatment costs and increasing accessibility for patients[4].

Market Projections

Growth Factors

  • Escalating Autoimmune Disease Prevalence: The increasing occurrence of autoimmune disorders such as RA and psoriasis is a significant driver for the ENBREL market[2][4].
  • Biologic Therapies: The growing preference for biologic treatments due to their targeted approach and effectiveness in managing autoimmune ailments is another key factor[2][4].
  • Expanding Indications: ENBREL’s effectiveness in treating various autoimmune diseases beyond its initial approval broadens its patient base and market potential[2][4].
  • Personalized Medicine: The trend towards personalized medicine allows for tailored treatment plans, optimizing patient outcomes and reducing adverse effects[4].

Challenges and Opportunities

  • Biosimilar Competition: While biosimilars introduce competition and potentially lower costs, they also drive innovation in the market[4].
  • Digital Health and Telemedicine: The integration of telemedicine and digital health tools expands patient access, providing opportunities for remote monitoring and improved patient engagement[4].
  • Global Expansion: Opportunities for market growth lie in expanding ENBREL’s availability in emerging markets with unmet medical needs and exploring new indications and potential combination therapies[4].

Key Takeaways

  • Clinical Efficacy: ENBREL has demonstrated significant clinical benefits in treating various autoimmune diseases, including RA, PsA, and psoriasis.
  • Market Growth: The global ENBREL market is expected to grow at a CAGR of 3.7% from 2023 to 2032, driven by increasing autoimmune disease prevalence and the adoption of biologic therapies.
  • Regional Dynamics: Different regions have unique market dynamics, with North America and Europe being mature markets and the Asia-Pacific region showing significant growth potential.
  • Competitive Landscape: The market is highly competitive with key players and the emergence of biosimilars.

FAQs

Q: What are the primary indications for ENBREL?

ENBREL is primarily indicated for the treatment of rheumatoid arthritis (RA), psoriatic arthritis (PsA), and juvenile idiopathic arthritis (JIA).

Q: What were the results of the Phase 3 psoriasis trial for ENBREL?

The Phase 3 trial showed that nearly half of the patients achieved at least a 75% improvement in their PASI score after 12 weeks, with nearly 60% achieving this endpoint after 24 weeks.

Q: How is the global ENBREL market expected to grow?

The global ENBREL market is expected to grow from $15.5 billion in 2022 to $23.2 billion by 2032, at a CAGR of 3.7%.

Q: What are the key drivers for the ENBREL market growth?

Key drivers include the escalating prevalence of autoimmune diseases, the increasing adoption of biologic therapies, and the expansion of ENBREL’s indications.

Q: How does biosimilar competition impact the ENBREL market?

Biosimilar competition introduces lower-cost alternatives, potentially increasing accessibility for patients, while also driving innovation in the market.

Sources

  1. Amgen Announces Positive Results of Phase 3 Enbrel Study in Psoriasis. Amgen Investors.
  2. Global Enbrel Market Size Reach $23.2 Billion 2032 - CMI. Custom Market Insights.
  3. Treatment with Enbrel® (etanercept) Shows Significant and Sustained Clinical Benefits in Rheumatoid Arthritis (RA) Patients with Moderately Active Disease. Pfizer.
  4. Global Enbrel Market Size, Trends, Share, Forecast 2032. Custom Market Insights.
  5. Data Presented at Two Global Medical Congresses Reinforce Benefit of Enbrel for Patients with Chronic Inflammatory Conditions. Pfizer.

More… ↓

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