Evidence map›Paper›PMID 25736355›Full record

Trial reportModern rheumatology2015

Evaluation of the pharmacokinetic equivalence and 54-week efficacy and safety of CT-P13 and innovator infliximab in Japanese patients with rheumatoid arthritis.

Tsutomu Takeuchi, Hisashi Yamanaka, Yoshiya Tanaka, Takeo Sakurai, Kazuyoshi Saito, Hideo Ohtsubo, Sang Joon Lee, Yoshihiro Nambu

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Modern rheumatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Immunogenicity of Biologics in Chronic Inflammatory Diseases: A Systematic Review.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2017
    Pooled it
  4. Review
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Biosimilars versus biologics for inflammatory conditions.Canadian family physician Medecin de famille canadien · 2019
    Article
  20. Practical Guidance on Biosimilars, With a Focus on Latin America: What Do Rheumatologists Need to Know?Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tsutomu Takeuchia Division of Rheumatology, Department of Internal Medicine , School of Medicine, Keio University , Tokyo , Japan.
Hisashi Yamanakab Institute of Rheumatology, Tokyo Women's Medical University , Tokyo , Japan.
Yoshiya Tanakac First Department of Internal Medicine , University of Occupational and Environmental Health , Fukuoka , Japan.
Takeo Sakuraid Inoue Hospital , Gunma , Japan.
Kazuyoshi Saitoc First Department of Internal Medicine , University of Occupational and Environmental Health , Fukuoka , Japan.
Hideo Ohtsuboe Kagoshima Red Cross Hospital , Kagoshima , Japan.
Sang Joon Leef Data center, Product development, Celltrion, Inc. , Incheon , Republic of Korea.
Yoshihiro Nambug Pharmaceutical Development Division, Pharmaceuticals Group, Nippon Kayaku Co., Ltd. , Tokyo , Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo demonstrate the pharmacokinetic equivalence of CT-P13 and its innovator infliximab (IFX) in Japanese patients with rheumatoid arthritis (RA), and to compare the efficacy and safety of these drugs, administered for 54 weeks.

methodsIn a randomized, double-blind, parallel-group, multicenter study, 3 mg/kg of CT-P13 or IFX, in combination with methotrexate (MTX) (6-16 mg/week), was administered for 54 weeks to Japanese active RA patients with an inadequate response to MTX, to demonstrate the pharmacokinetic equivalence, based on the area under the curve (AUC(τ)) (weeks 6-14) and C(max) (week 6) of these drugs, and to compare their efficacy and safety.

resultsThe CT-P13-to-IFX ratios (90% confidence intervals) of the geometric mean AUC(τ) and C(max) values in patients negative for antibodies to infliximab at week 14 were 111.62% (100.24-124.29%) and 104.09% (92.12-117.61%), respectively, demonstrating the pharmacokinetic equivalence of these drugs. In the full analysis set, CT-P13 and IFX showed comparable therapeutic effectiveness, as measured by the American College of Rheumatology, Disease Activity Score in 28 joints, the European League Against Rheumatism, and other efficacy criteria, at weeks 14 and 30. The incidence of adverse events was similar for these drugs.

conclusionCT-P13 and IFX, administered at a dose of 3 mg/kg in combination with MTX to active RA patients, were pharmacokinetically equivalent and comparable in efficacy and safety.

Indexed as

AdultAgedAntibodies, MonoclonalAntirheumatic AgentsArthritis, RheumatoidDouble-Blind MethodDrug Therapy, CombinationFemaleHumansInfliximabJapanMaleMethotrexateMiddle AgedTreatment OutcomeAntibodies, MonoclonalAntirheumatic AgentsCT-P13InfliximabMethotrexateBiosimilarCT-P13InfliximabPK equivalenceRheumatoid arthritis

Identifiers

PMID25736355
PMCPMC4732515

What OpenQuestion holds

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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.