Evidence map›Paper›PMID 27184046›Full record

Trial reportClinical rheumatology2016

A randomized, controlled trial of efficacy and safety of Anbainuo, a bio-similar etanercept, for moderate to severe rheumatoid arthritis inadequately responding to methotrexate.

Xiao-Xiang Chen, Zhan-Guo Li, Hua-Xiang Wu, Dong-Bao Zhao, Xing-Fu Li, Jian-Hua Xu, Yi Tao, Nan-Ping Yang, Shao-Xian Hu, An-Bin Huang and 4 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical rheumatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. 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
  8. 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

14 authors at 13 institutions in 1 country.

Xiao-Xiang ChenDepartment of Rheumatology, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200001, China.
Zhan-Guo LiPeking University People's Hospital, Beijing, China.
Hua-Xiang WuThe Second Hospital, Affiliated to Zhejiang University, Hangzhou, China.
Dong-Bao ZhaoChanghai Hospital, Affiliated to the Second Military Medical University, Shanghai, China.
Xing-Fu LiQilu Hospital, Affiliated to Shandong University, Jinan, China.
Jian-Hua XuThe First Hospital, Affiliated to Anhui medical University, Hefei, China.
Yi TaoThe Second Hospital, Affiliated to Guangzhou Medical School, Guangzhou, China.
Nan-Ping YangWest China Hospital of Sichuan University, Chengdu, China.
Shao-Xian HuTongji Hospital, Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
An-Bin HuangThe Union Hospital, Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Lin-di JiangZhongshan Hospital, Affiliated to Fudan University, Shanghai, China.
Guo-Chun WangChina-Japan Friendship Hospital, Beijing, China.
Xiao ZhangPeople's Hospital of Guangdong Province, Guangzhou, China.
Chun-de BaoDepartment of Rheumatology, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200001, China. baochunde_1678@126.com.
Renji Hospital · CNChanghai Hospital · CNChina-Japan Friendship Hospital · CNFirst Affiliated Hospital of Anhui Medical University · CNFudan University · CNGuangdong Provincial People's Hospital · CNPeking University People's Hospital · CNQilu Hospital of Shandong University · CNSecond Affiliated Hospital of Guangzhou Medical University · CNSecond Affiliated Hospital of Zhejiang University · CNSichuan University · CNTongji Hospital · CNUnion Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of the study was to evaluate the efficacy and safety of etanercept (Anbainuo) treatment in Chinese moderate to severe rheumatoid arthritis (RA) with inadequate response to methotrexate (MTX-IR); 600 patients (360 in phase III-1 and 240 in phase III-2) poorly responding to MTX were enrolled in the study and randomized at a ratio of 2:1 into an Anbainuo treatment or control group. The study was designed as a 12-week double-blind, placebo-controlled period followed by a 12-week open-label study. The primary endpoint was the ACR20 response rate at week 12. Secondary endpoints included the ACR50, ACR70, ACR-N, and safety. At week 12, ACR20 response was observed in 60.9 % of the Anbainuo group-significantly higher than that of the control group (20.6 %). At week 24, the ACR20 response in the Anbainuo group increased to 70.2 %; there was no significant difference compared with that of the control group (61.8 %, P > 0.05). At week 12, the ACR50 and ACR70 responses of the Anbainuo group increased to 25.6 and 6.8 %, compared to 4 and 1 % in the control group (P < 0.001, P = 0.002). The ACR-N was 2.85 ± 6.73 vs. -3.24 ± 8.78 % in the control group (P < 0.001). During the first 12 weeks of treatment, 66 adverse events (AE) were reported in the Anbainuo group (15.6 %) and 21 AEs (10.5 %) occurred in the control group, whereby the rate of the Anbainuo group was slightly higher than the control group (P = 0.042). Severe adverse events (SAEs) occurred in the Anbainuo group (1.3 %) and one (SAE) occurred in the control group (0.5 %) (P = 0.19). Anbainuo displays a rapid onset of efficacy as well as good tolerance and safety in MTX-IR patients having moderate to severe RA.

Indexed as

AdultAntirheumatic AgentsArthritis, RheumatoidDouble-Blind MethodFemaleHumansImmunoglobulin Fc FragmentsMaleMethotrexateMiddle AgedReceptors, Tumor Necrosis Factor, Type IIRecombinant Fusion ProteinsRetreatmentSeverity of Illness IndexTreatment FailureTreatment OutcomeAnbainuo protein, humanAntirheumatic AgentsImmunoglobulin Fc FragmentsMethotrexateReceptors, Tumor Necrosis Factor, Type IIRecombinant Fusion ProteinsEtanerceptRheumatoid arthritisTumor necrosis factor

Identifiers

PMID27184046
OpenAlexW2397416720

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.