Evidence map›Paper›PMID 27117698›Full record

Trial reportAnnals of the rheumatic diseases2017

Efficacy and safety of switching from reference infliximab to CT-P13 compared with maintenance of CT-P13 in ankylosing spondylitis: 102-week data from the PLANETAS extension study.

Won Park, Dae Hyun Yoo, Pedro Miranda, Marek Brzosko, Piotr Wiland, Sergio Gutierrez-Ureña, Helena Mikazane, Yeon-Ah Lee, Svitlana Smiyan, Mie-Jin Lim and 7 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of the rheumatic diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01571206 (An Open-Label, Single-Arm, Extension Study to Demonstrate Long-Term Efficacy and Safety of CT-P13 in Patients With Ankylosing Spondylitis Who Were Treated With Infliximab), which is not on this map. Cited by 83 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 11 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.

NCT01571206 phase1completednot on this map

An Open-Label, Single-Arm, Extension Study to Demonstrate Long-Term Efficacy and Safety of CT-P13 in Patients With Ankylosing Spondylitis Who Were Treated With Infliximab (Remicade or CT-P13) in Study CT-P13 1.1

TypeinterventionalSponsorCelltrionRan2012 to 2013Enrolled174ConditionsAnkylosing SpondylitisArmsInfliximab
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  11. Biosimilarity and Interchangeability: Principles and Evidence: A Systematic Review.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2018
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23 more citing papers are in PubMed but not listed here.

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

17 authors.

Won ParkIN-HA University, School of Medicine, Medicine/Rheumatology, Incheon, Republic of Korea.
Dae Hyun YooHanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea.
Pedro MirandaUniversidad de Chile and Centro de Estudios Reumatologicos, Santiago de Chile, Chile.
Marek BrzoskoDepartment of Rheumatology and Internal Diseases, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Piotr WilandMedical University of Wroclaw, Wroclaw, Poland.
Sergio Gutierrez-UreñaDepartment of Rheumatology, Hospital Civil de Guadalajara "Fray Antonio Alcalde" CUCS, Universidad de Guadalajara, Guadalajara Jalisco, Mexico.
Helena MikazaneOutpatient Clinic 'ORTO', Riga, Latvia.
Yeon-Ah LeeDivision of Rheumatology, Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Svitlana SmiyanI.Ya. Horbachevsky Ternopil State Medical University, Municipal Institution of Ternopil Regional Council "Ternopil University Hospital", Ternopil, Ukraine.
Mie-Jin LimIN-HA University, School of Medicine, Medicine/Rheumatology, Incheon, Republic of Korea.
Vladimir KadinovMultiprofile Hospital for Active Treatment 'Sv. Marina', Varna, Bulgaria.
Carlos Abud-MendozaHospital Central and Faculty of Medicine, Universidad Autónoma de San Luis Potosi, San Luis Potosi, Mexico.
HoUng KimCELLTRION, Incheon, Republic of Korea.
Sang Joon LeeCELLTRION, Incheon, Republic of Korea.
YunJu BaeCELLTRION, Incheon, Republic of Korea.
SuYeon KimCELLTRION, Incheon, Republic of Korea.
Jürgen BraunRheumazentrum Ruhrgebiet, Herne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the efficacy and safety of switching from infliximab reference product (RP) to its biosimilar or maintaining biosimilar treatment in patients with ankylosing spondylitis (AS).

methodsThis open-label extension study recruited patients with AS who completed a 54-week, randomised controlled study comparing CT-P13 with RP (PLANETAS). CT-P13 (5 mg/kg) was administered intravenously every 8 weeks from week 62 to week 102. Efficacy end points included the proportion of patients achieving Assessment of SpondyloArthritis international Society (ASAS)20. Antidrug antibodies (ADAs) were measured using an electrochemiluminescent method. Data were analysed for patients treated with CT-P13 in the main PLANETAS study and the extension (maintenance group) and those who were switched to CT-P13 during the extension study (switch group).

resultsOverall, 174 (82.9%) of 210 patients who completed the first 54 weeks of PLANETAS and agreed to participate in the extension were enrolled. Among these, 88 were maintained on CT-P13 and 86 were switched to CT-P13 from RP. In these maintenance and switch groups, respectively, ASAS20 response rates at week 102 were 80.7% and 76.9%. ASAS40 and ASAS partial remission were also similar between groups. ADA positivity rates were comparable (week 102: 23.3% vs 27.4%). Adverse events led to treatment discontinuation during the extension study in 3 (3.3%) and 4 (4.8%) patients, respectively.

conclusionsThis is the first study to show that switching from RP to its biosimilar CT-P13 is possible without negative effects on safety or efficacy in patients with AS. In the maintenance group, CT-P13 was effective and well tolerated over 2 years of treatment. TRIAL REGISTRATION NUMBER: NCT01571206; Results.

Indexed as

Drug SubstitutionAdolescentAdultAgedAntibodiesAntibodies, MonoclonalAntirheumatic AgentsBiosimilar PharmaceuticalsDrug ResistanceFemaleHumansInfliximabMaleMiddle AgedSpondylitis, AnkylosingTreatment OutcomeAntibodiesAntibodies, MonoclonalAntirheumatic AgentsBiosimilar PharmaceuticalsCT-P13InfliximabAnkylosing SpondylitisAnti-TNFDMARDs (biologic)Treatment

Identifiers

PMID27117698
PMCPMC5284340

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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.