Alvotech announces positive results from the pharmacokinetic study of AVT03, a proposed biosimilar for Prolia® and Xgeva®

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The study, which evaluated the pharmacokinetics, safety, and tolerability of AVT03 compared to Prolia® in healthy adult subjects, met its number one endpoint.

Prolia® and Xgeva® (denosumab) are indicated for the remedy of bone diseases

Alvotech (NASDAQ: ALVO), a global biotechnology company focused on the development and production of biosimilars for patients around the world, announced positive first-line effects from a pharmacokinetic (PK) study of AVT03, a biosimilar candidate from Prolia® and Xgeva®. any of which involve denosumab.

The pharmacokinetic study (AVT03-GL-P01), which evaluated the pharmacokinetics, protection, and tolerability of AVT03 compared to Prolia® in healthy adult subjects, met its primary endpoints. A study is currently underway to verify the efficacy of AVT03 in patients, as well as a pharmacokinetic study comparing AVT03 with Xgeva® in healthy adult subjects.

“We are very pleased with the progress of our AVT03 program. This milestone and the recent positive effects of other clinical studies clearly demonstrate our functions and the excellence of Alvotech’s biosimilar progression platform,” said Joseph McClellan, Chief Scientific Officer.

Prolia (denosumab) is indicated for the treatment of osteoporosis in postmenopausal women and for bone loss in adult men and women at increased risk of fracture. Xgeva, which is also denosumab but in a different form, is indicated for the prevention of skeletal-related diseases. Occasions as pathological fractures in adults with complex malignancies affecting the bones. It is also indicated for the treatment of giant mobile bone tumors. In the twelve months to September 30, 2023, combined international net income was reported from the sales of Prolia and Xgeva. It amounted to more than $6 billion, based on quarterly sales reported through the manufacturer.

About AVT03 (denosumab) AVT03 is a human monoclonal antibody and a biosimilar candidate for Prolia® and Xgeva® (denosumab). Denosumab targets and binds with maximum affinity and specificity to the membrane protein of the RANK ligand, avoiding the RANK/RANK ligand interaction. resulting in relief in the number and function of osteoclasts, reducing bone resorption and cancer-induced bone destruction [1]. AVT03 is an investigational product and has not obtained regulatory approval in any country. Biosimilarity has not been demonstrated through regulatory governance and is not claimed.

[1] https://www.pi.amgen.com/-/media/Project/Amgen/Repository/pi-amgen-com/Prolia/prolia_pi.pdf

Prolia and Xgeva are registered by Amgen Inc.

About AlvotechAlvotech is a biotechnology company founded by Robert Wessman and focused solely on the development and production of biosimilar medicines for patients around the world. Alvotech seeks to become a global leader in biosimilars by offering high-quality, cost-effective products and services, made possible through fully incorporated technology and extensive in-house capabilities. Alvotech’s existing portfolio includes eight disclosed biosimilar applicants intended for the treatment of autoimmune diseases, eye disorders, osteoporosis, respiratory diseases and cancer. Alvotech has formed a network of strategic business partnerships to deliver global success and leverage local expertise in markets such as the United States, Europe, Japan, China and other Asian countries and major parts of South America, Africa and the Middle East. Alvotech’s commercial components are Teva Pharmaceuticals, a US subsidiary of Teva Pharmaceutical Industries Ltd. (USA), STADA Arzneimittel AG (EU), Fuji Pharma Co. , Ltd (Japan), Advanz Pharma (EEA, UK, Switzerland, Canada, Australia). and New Zealand), Cipla/Cipla Gulf/Cipla Med Pro (Australia, New Zealand, South Africa/Africa), JAMP Pharma Corporation (Canada), Yangtze River Pharmaceutical (Group) Co. , Ltd. (China), DKSH (Taiwan, Hong Kong, Cambodia, Malaysia, Singapore, Indonesia, India, Bangladesh and Pakistan), YAS Holding LLC (Middle East and North Africa), Abdi Ibrahim (Turkey), Kamada Ltd. (Israel), Mega Labs, Stein, Libbs, Tuteur and Saval (Latin America) and Lotus Pharmaceuticals Co. , Ltd. (Thailand, Vietnam, Philippines and South Korea). Each business component covers a unique set of products and territories. Unless otherwise indicated, Alvotech disclaims all responsibility for the content of periodic documents, disclosures and other reports made through its components. For more information, visit www. alvotech. com. None of the data on Alvotech’s online page will be considered part of this press release.

Forward-Looking Statements Certain statements contained in this release may be considered “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements sometimes relate to long-term events or Alvotech’s long-term operational monetary functionality and could include, for example, Alvotech’s expectations related to competitive advantages, business customers and opportunities, including current product progression. 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II and Alvotech; (2) the ability to raise significant additional funds that may not be available under the right conditions or at all; (3) the ability to maintain stock exchange board standards; (4) adjustments in applicable legislation or regulations; (5) the possibility that Alvotech may have adverse effects through other economic, commercial and/or competitive aspects; (6) Alvotech’s earnings and expense estimates; (7) Alvotech’s ability to develop, manufacture and advertise the products and product applicants in its portfolio; (8) moves by regulatory authorities, which would likely have effects on the initiation, timing and progress of clinical studies or long-term regulatory approvals or market positioning authorizations; (9) the ability of Alvotech or its partners to respond to inspection findings and deficiencies to the satisfaction of regulators; (10) the ability of Alvotech or its partners to recruit and retain patients in clinical studies; (11) the ability of Alvotech or its partners to obtain regulatory approval for planned clinical studies, designs or examination sites; (12) the ability of Alvotech’s partners to conduct, supervise and monitor existing and future long-term clinical studies, which would potentially have an effect on timelines and progression plans; (13) Alvotech’s ability to discharge and maintain regulatory approval or clearances for its products, including the timing or likelihood of expansion into other market positions or geographies; (14) the good fortune of Alvotech’s existing and long-term collaborations, joint ventures, partnerships or licensing agreements; (15) the ability of Alvotech and its business partners to execute its market positioning strategy for approved products; (16) Alvotech’s ability to manufacture a sufficient advertising source for its approved products; (17) the final results of pending and long-standing litigation relating to Alvotech’s products and product applicants; (18) the potential impact of the ongoing COVID-19 pandemic on FDA review schedules, including its ability to conduct timely inspections of production sites; (19) the effect of deteriorating macroeconomic conditions, adding inflation and emerging interest rates and general market position conditions, the war in Ukraine and global geopolitical tensions, as well as the ongoing COVID -19 pandemic and evolving in the Company’s monetary operations. condition, strategy and planned milestones. ; and (20) other dangers and concerns set forth in the sections titled “Risk Factors” and “Cautionary Note Regarding Forward-Looking Statements” in documents that Alvotech may file with or provide from time to time to the SEC. There may be other dangers that Alvotech is not aware of or that Alvotech considers insignificant and that could also cause actual effects to differ from those contained in the forward-looking statements. Nothing in this communication should be construed as a representation by any user that the forward-looking statements set forth herein will be achieved or that any of the intended effects of such forward-looking statements will be achieved. You deserve not to place undue reliance on forward-looking statements, which speak only as of the date they are made. Alvotech assumes no legal responsibility to update such forward-looking statements or to inform the recipient of any matter of which any of them is aware that may also have an effect on any matter discussed in this communication. 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CONTACTS Investor Relations & Media Contact: Benedikt Stefansson, Director principalvotech. ir@alvotech. com

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