Evidence map›Paper›PMID 23687259›Full record

Trial reportAnnals of the rheumatic diseases2013

A randomised, double-blind, multicentre, parallel-group, prospective study comparing the pharmacokinetics, safety, and efficacy of CT-P13 and innovator infliximab in patients with ankylosing spondylitis: the PLANETAS study.

Won Park, Pawel Hrycaj, Slawomir Jeka, Volodymyr Kovalenko, Grygorii Lysenko, Pedro Miranda, Helena Mikazane, Sergio Gutierrez-Ureña, MieJin Lim, Yeon-Ah Lee and 4 more

Open access · hybridAbstract readClinical Trial, Phase IMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of the rheumatic diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 213 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
213citing papers in PubMed, 13 pooled it
51.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

213 citing papers in PubMed, 13 syntheses or guidelines pooled it, 602 citations in OpenAlex.

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  8. Immunogenicity of Biologics in Chronic Inflammatory Diseases: A Systematic Review.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2017
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  9. Monoclonal Antibody and Fusion Protein Biosimilars Across Therapeutic Areas: A Systematic Review of Published Evidence.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2016
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  10. Biosimilars for the Treatment of Chronic Inflammatory Diseases: A Systematic Review of Published Evidence.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2016
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153 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 10 institutions in 7 countries.

Won ParkDivision of Rheumatology, Department of Internal Medicine, Inha University Hospital, Incheon, Republic of Korea. parkwon@inha.ac.kr
Pawel Hrycaj
Slawomir Jeka
Volodymyr Kovalenko
Grygorii Lysenko
Pedro Miranda
Helena Mikazane
Sergio Gutierrez-Ureña
MieJin Lim
Yeon-Ah Lee
Sang Joon Lee
HoUng Kim
Dae Hyun Yoo
Jürgen Braun
Inha University Hospital · KRKyiv City Clinical Oncology Center · UACelltrion (South Korea) · KRCentro de Estudios Científicos · CLHanyang University Seoul Hospital · KRHospital Civil de Guadalajara · MXKyung Hee University · KRPoznan University of Medical Sciences · PLRheumazentrum Ruhrgebiet · DEUniversity of New Mexico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the pharmacokinetics (PK), safety and efficacy of innovator infliximab (INX) and CT-P13, a biosimilar to INX, in patients with active ankylosing spondylitis (AS).

methodsPhase 1 randomised, double-blind, multicentre, multinational, parallel-group study. Patients were randomised to receive 5 mg/kg of CT-P13 (n=125) or INX (n=125). Primary endpoints were area under the concentration-time curve (AUC) at steady state and observed maximum steady state serum concentration (Cmax,ss) between weeks 22 and 30. Additional PK, efficacy endpoints, including 20% and 40% improvement response according to Assessment in Ankylosing Spondylitis International Working Group criteria (ASAS20 and ASAS40), and safety outcomes were also assessed.

resultsGeometric mean AUC was 32 765.8 μgh/ml for CT-P13 and 31 359.3 μgh/ml for INX. Geometric mean Cmax,ss was 147.0 μg/ml for CT-P13 and 144.8 μg/ml for INX. The ratio of geometric means was 104.5% (90% CI 94% to 116%) for AUC and 101.5% (90% CI 95% to 109%) for Cmax,ss. ASAS20 and ASAS40 responses at week 30 were 70.5% and 51.8% for CT-P13 and 72.4% and 47.4% for INX, respectively. In the CT-P13 and INX groups more than one adverse event occurred in 64.8% and 63.9% of patients, infusion reactions occurred in 3.9% and 4.9%, active tuberculosis occurred in 1.6% and 0.8%, and 27.4% and 22.5% of patients tested positive for anti-drug antibodies, respectively.

conclusionsThe PK profiles of CT-P13 and INX were equivalent in patients with active AS. CT-P13 was well tolerated, with an efficacy and safety profile comparable to that of INX up to week 30.

Indexed as

AdolescentAdultAgedAntibodies, MonoclonalAntibody FormationAntirheumatic AgentsDouble-Blind MethodFemaleHumansImmunoglobulin GInfliximabMaleMiddle AgedProspective StudiesSeverity of Illness IndexSpondylitis, AnkylosingAntibodies, MonoclonalAntirheumatic AgentsCT-P13Immunoglobulin GInfliximab

Identifiers

PMID23687259
PMCPMC3786643
OpenAlexW2162768160

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.