Evidence map›Paper›PMID 27130908›Full record

Trial reportAnnals of the rheumatic diseases2017

Efficacy and safety of CT-P13 (biosimilar infliximab) in patients with rheumatoid arthritis: comparison between switching from reference infliximab to CT-P13 and continuing CT-P13 in the PLANETRA extension study.

Dae Hyun Yoo, Nenad Prodanovic, Janusz Jaworski, Pedro Miranda, Edgar Ramiterre, Allan Lanzon, Asta Baranauskaite, Piotr Wiland, Carlos Abud-Mendoza, Boycho Oparanov and 5 more

2 registry-linked trialsAbstract readComparative StudyMulticenter 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 2 registered trials, which are not on this map. Cited by 108 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 12 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.

NCT01217086 phase3completednot on this map

Randomized, Double-blind, Parallel-group, Phase 3 Study

TypeinterventionalSponsorCelltrionRan2010 to 2012Enrolled617ConditionsRheumatoid ArthritisArmsInfliximab
NCT01571219 phase3completednot on this map

An Open-Label, Single-Arm, Extension Study to Demonstrate Long-Term Efficacy and Safety of CT-P13 When Co-Administered With Methotrexate in Patient With Rheumatoid Arthritis Who Were Treated With Infliximab(Remicade or CP-P13) in Study CT-P13 3.1

TypeinterventionalSponsorCelltrionRan2012 to 2013Enrolled302ConditionsRheumatoid ArthritisArmsInfliximab
3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 12 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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  12. Immunogenicity of Biologics in Chronic Inflammatory Diseases: A Systematic Review.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2017
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48 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

15 authors.

Dae Hyun YooHanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea.
Nenad ProdanovicClinical Center Banja Luka, Banja Luka, Bosnia.
Janusz JaworskiReumatika Centrum Reumatologi, Warszawa, Poland.
Pedro MirandaUniversidad de Chile and Centro de Estudios Reumatologicos, Santiago de Chile, Chile.
Edgar RamiterreBrokenshire Memorial Hospital, Davao City, Philippines.
Allan LanzonMary Mediatrix Medical Center, Batangas, Philippines.
Asta BaranauskaiteLithuanian University of Health Sciences, Kaunas, Lithuania.
Piotr WilandMedical University of Wroclaw, Wroclaw, Poland.
Carlos Abud-MendozaHospital Central and Faculty of Medicine, Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico.
Boycho OparanovMilitary Medical Academy, Sofia, Bulgaria.
Svitlana SmiyanI.Ya. Horbachevsky Ternopil State Medical University, Municipal Institution of Ternopil Regional Council "Ternopil University Hospital", Ternopil, Ukraine.
HoUng KimCELLTRION, Incheon, Republic of Korea.
Sang Joon LeeCELLTRION, Incheon, Republic of Korea.
SuYeon KimCELLTRION, Incheon, Republic of Korea.
Won ParkIN-HA University, School of Medicine, Medicine/Rheumatology, Incheon, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the efficacy and safety of switching from the infliximab reference product (RP; Remicade) to its biosimilar CT-P13 (Remsima, Inflectra) or continuing CT-P13 in patients with rheumatoid arthritis (RA) for an additional six infusions.

methodsThis open-label extension study recruited patients with RA who had completed the 54-week, randomised, parallel-group study comparing CT-P13 with RP (PLANETRA; NCT01217086). CT-P13 (3 mg/kg) was administered intravenously every 8 weeks from weeks 62 to 102. All patients received concomitant methotrexate. Endpoints included American College of Rheumatology 20% (ACR20) response, ACR50, ACR70, immunogenicity and safety. Data were analysed for patients who received CT-P13 for 102 weeks (maintenance group) and for those who received RP for 54 weeks and then switched to CT-P13 (switch group).

resultsOverall, 302 of 455 patients who completed the PLANETRA study enrolled into the extension. Of these, 158 had received CT-P13 (maintenance group) and 144 RP (switch group). Response rates at week 102 for maintenance versus switch groups, respectively, were 71.7% vs 71.8% for ACR20, 48.0% vs 51.4% for ACR50 and 24.3% vs 26.1% for ACR70. The proportion of patients with antidrug antibodies was comparable between groups (week 102: 40.3% vs 44.8%, respectively). Treatment-emergent adverse events occurred in similar proportions of patients in the two groups during the extension study (53.5% and 53.8%, respectively).

conclusionsComparable efficacy and tolerability were observed in patients who switched from RP to its biosimilar CT-P13 for an additional year and in those who had long-term CT-P13 treatment for 2 years. TRIAL REGISTRATION NUMBER: NCT01571219; Results.

Indexed as

Drug SubstitutionAdolescentAdultAgedAntibodiesAntibodies, MonoclonalAntirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsDrug Therapy, CombinationFemaleHumansInfliximabMaleMethotrexateMiddle AgedAntibodiesAntibodies, MonoclonalAntirheumatic AgentsBiosimilar PharmaceuticalsCT-P13InfliximabMethotrexateAnti-TNFDMARDs (biologic)Rheumatoid ArthritisTreatment

Identifiers

PMID27130908
PMCPMC5284338

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.