Evidence map›Paper›PMID 26795209›Full record

Trial reportArthritis research & therapy2016

Comparable long-term efficacy, as assessed by patient-reported outcomes, safety and pharmacokinetics, of CT-P13 and reference infliximab in patients with ankylosing spondylitis: 54-week results from the randomized, parallel-group PLANETAS study.

Won Park, Dae Hyun Yoo, Janusz Jaworski, Jan Brzezicki, Andriy Gnylorybov, Vladimir Kadinov, Irmgadt Goecke Sariego, Carlos Abud-Mendoza, William Jose Otero Escalante, Seong Wook Kang and 5 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Arthritis research & therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01220518 (Randomized, Double-blind, Parallel-group, Phase 1 Study), which is not on this map. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 pooled it
28.4field-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.

NCT01220518 phase1completednot on this map

Randomized, Double-blind, Parallel-group, Phase 1 Study

TypeinterventionalSponsorCelltrionRan2010 to 2012Enrolled257ConditionsAnkylosing SpondylitisArmsInfliximab
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 137 citations in OpenAlex.

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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

15 authors at 2 institutions in 2 countries.

Won ParkInha University Hospital, Incheon, Republic of Korea. parkwon@inha.ac.kr.
Dae Hyun YooHanyang University Hospital, Seoul, Republic of Korea. dhyoo@hanyang.ac.kr.
Janusz JaworskiLinea Corporis, Warszawa, Poland. januszjaworski@ymail.com.
Jan BrzezickiWojewodzki Szpital Zespolony w Elblagu, Elblag, Poland. janisb@poczta.onet.pl.
Andriy GnylorybovInstitute of Urgent and Recovery Surgery, Donetsk, Ukraine. andrewgm@ya.ru.
Vladimir KadinovUniversity Hospital St. Marina, Varna, Bulgaria. vladimirkadinov@yahoo.com.
Irmgadt Goecke SariegoProsalud y Cia Ltda, Santiago, Chile. agoecke@med.uchile.cl.
Carlos Abud-MendozaHospital Central Dr. Ignacio Morones Prieto, San Luis Potosí, Mexico. c_abud@hotmail.com.
William Jose Otero EscalanteServimed Empresa Unipersonal, Bucaramanga, Colombia. wiotero@gmail.com.
Seong Wook KangChungnam National University Hospital, Daejeon, Republic of Korea. kangsw@cnuh.co.kr.
Daina AndersoneP. Stradina Clinical University Hospital, Riga, Latvia. daina.andersone@stradini.lv.
Francisco BlancoHospital Universitario a Coruña, A Coruña, Spain. francisco.blanco.garcia@sergas.es.
Seung Suh HongCELLTRION, Incheon, Republic of Korea. SeungSuh.Hong@celltrion.com.
Sun Hee LeeCELLTRION, Incheon, Republic of Korea. SunHee.Lee@celltrion.com.
Jürgen BraunRheumazentrum Ruhrgebiet, Herne, Germany. juergen.braun@elisabethgruppe.de.
Hanyang University Seoul Hospital · KRRheumazentrum Ruhrgebiet · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCT-P13 (Remsima®, Inflectra®) is a biosimilar of the infliximab reference product (RP; Remicade®) and is approved in Europe and elsewhere, mostly for the same indications as RP. The aim of this study was to compare the 54-week efficacy, immunogenicity, pharmacokinetics (PK) and safety of CT-P13 with RP in patients with ankylosing spondylitis (AS), with a focus on patient-reported outcomes (PROs).

methodsThis was a multinational, double-blind, parallel-group study in patients with active AS. Participants were randomized (1:1) to receive CT-P13 (5 mg/kg) or RP (5 mg/kg) at weeks 0, 2, 6 and then every 8 weeks up to week 54. To assess responses, standardized assessment tools were used with an intention-to-treat analysis of observed data. Anti-drug antibodies (ADAs), PK parameters, and safety outcomes were also assessed.

resultsOf 250 randomized patients (n = 125 per group), 210 (84.0 %) completed 54 weeks of treatment, with similar completion rates between groups. At week 54, Assessment of Spondylo Arthritis international Society (ASAS)20 response, ASAS40 response and ASAS partial remission were comparable between treatment groups. Changes from baseline in PROs such as mean Bath Ankylosing Spondylitis Disease Activity Index (BASDAI; CT-P13 -3.1 versus RP -2.8), Bath Ankylosing Spondylitis Functional Index (BASFI; -2.9 versus -2.7), and Short Form Health Survey (SF-36) scores (9.26 versus 10.13 for physical component summary; 7.30 versus 6.54 for mental component summary) were similar between treatment groups. At 54 weeks, 19.5 % and 23.0 % of patients receiving CT-P13 and RP, respectively, had ADAs. All observed PK parameters of CT-P13 and RP, including maximum and minimum serum concentrations, were similar through 54 weeks. The influence of ADAs on PK was similar in the two treatment groups. Most adverse events were mild or moderate in severity. There was no notable difference between treatment groups in the incidence of adverse events, serious adverse events, infections and infusion-related reactions.

conclusionsCT-P13 and RP have highly comparable efficacy (including PROs) and PK up to week 54. Over a 1-year period, CT-P13 was well tolerated and displayed a safety profile comparable to RP; no differences in immunogenicity were observed.

trial registrationClinicalTrials.gov identifier: NCT01220518 . Registered 4 October 2010.

Indexed as

InternationalitySelf ReportAdolescentAdultAgedAntibodies, MonoclonalAntirheumatic AgentsBiosimilar PharmaceuticalsChemical and Drug Induced Liver InjuryDouble-Blind MethodFemaleHumansInfliximabLongitudinal StudiesMaleMiddle AgedAntibodies, MonoclonalAntirheumatic AgentsBiosimilar PharmaceuticalsCT-P13Infliximab

Identifiers

PMID26795209
PMCPMC4721187
OpenAlexW2259088801

What OpenQuestion holds

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Registered trials

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.