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INNOSC Theranostics

                                                 and Pharmacological Sciences





                                        ORIGINAL RESEARCH ARTICLE
                                        Preclinical evaluation reveals comparable

                                        toxicology and pharmacology of the
                                        erythropoietin biosimilar GBpoietin  and Eprex                    ®
                                                                                          ®


                                        Kakon Nag * , Mohammad Mohiuddin   1  , Md. Maksudur Rahman Khan 1  ,
                                                 1,2
                                        Samir Kumar 1  , Md. Enamul Haq Sarker 1  , Bipul Kumar Biswas 1  ,
                                        Sheikh Rejaul Haq 1  , Sitesh Chandra Bachar * , and Naznin Sultana *
                                                                                                     1,2
                                                                               3
                                        1 Globe Biotech Limited, Dhaka, Bangladesh
                                        2 R&D Management Solution Inc., Ontario, Canada

                                        3 Department of Pharmacy, Faculty of Pharmacy, University of Dhaka, Dhaka, Bangladesh


                                        Abstract

                                        Erythropoietin (EPO) is an essential growth factor for erythropoiesis. We report the
                                        results of the preclinical safety evaluation of GBpoietin , a recombinant human EPO
                                                                                     ®
            *Corresponding authors:     (rhEPO), through a comparative acute toxicity study with the reference product,
            Kakon Nag                   Eprex . The products were administered subcutaneously into Wistar rats for both
                                            ®
            (kakonpoly@yahoo.com)
            Sitesh Chandra Bachar       the single-dose and repeated-dose toxicity studies. Hematological and biochemical
            (bacharsc63@gmail.com)      parameters were measured for all test subjects before the first dose and the day
            Naznin Sultana              after the last dose in both studies. Necropsy and histopathology of representative
            (kakonpoly@gmail.com)
                                        subjects from each group were also performed to find any pathological changes,
            Citation: Nag K, Mohiuddin M,   such as degeneration or cellular necrosis in internal organs such as the kidney, liver,
            Khan MMR, et al. Preclinical                           ®        ®
            evaluation reveals comparable   lung, and spleen. Both GBpoietin  and Eprex  comparative toxicology studies, which
            toxicology and pharmacology of the   were not significantly different (P > 0.05), revealed similar pharmacologically driven
                                    ®
            erythropoietin biosimilar GBpoietin    mechanisms of toxicity. Although hematological parameters stayed within the
            and Eprex . INNOSC Theranostics
                   ®
            and Pharmacological Sciences.   normal range throughout the study, improved profiles of hemoglobin and hematocrit
            2025;8(2):55-67.            (P < 0.05) confirmed the therapeutic effect of rhEPO in both studies. Moreover, the
            doi: 10.36922/itps.5797     initial and final values of aspartate aminotransferase, alanine aminotransferase, and
            Received: November 6, 2024  blood urea nitrogen were comparable (P > 0.05) for both experimental products.
                                        The study established that the toxicological profiles of GBpoietin  and Eprex  were
                                                                                                        ®
                                                                                              ®
            Revised: January 9, 2025
                                        similar and aligned with the known pharmacology of EPO alfa, demonstrating proof
            Accepted: February 5, 2025  of “totality” and “no residual uncertainty.”
            Published online: February 26,
            2025
                                        Keywords: Erythropoietin; Preclinical study; Single-dose toxicity; Repeat-dose toxicity;
            Copyright: © 2025 Author(s).   GBpoietin ; Drug safety profile
                                               ®
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,   1. Introduction
            provided the original work is
            properly cited.             The hormone erythropoietin (EPO), a glycoprotein, is essential for the production of
            Publisher’s Note: AccScience   red blood cells (RBCs). In adults, EPO is mostly produced in the kidney’s peritubular
            Publishing remains neutral with   cells and released into the bloodstream.  The EPO receptor (EPOR) on bone marrow
                                                                        1
            regard to jurisdictional claims in
            published maps and institutional   erythroid  progenitors  is bound  to circulating  EPO, initiating a  number  of  signaling
                                                                                     2
            affiliations                pathways that promote the development of mature RBCs.  It was originally isolated from
             Volume 8 Issue 2 (2025)                        55                               doi: 10.36922/itps.5797
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