Evidence map›Paper›PMID 27580073›Full record

SynthesisBritish journal of clinical pharmacology2016

Clinical trials for authorized biosimilars in the European Union: a systematic review.

Johanna Mielke, Bernd Jilma, Franz Koenig, Byron Jones

Abstract readSystematic Review
In one paragraph

Synthesis in British journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Biosimilars in dermatology: The wind of change.Experimental and therapeutic medicine · 2019
    Review
  6. 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
  7. Review
  8. Article
  9. Article
  10. Article
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

4 authors.

Johanna MielkeStatistical Methodology, Novartis Pharma AG, 4056, Basel, Switzerland.
Bernd JilmaDepartment of Clinical Pharmacology, Medical University of Vienna, 1090, Vienna, Austria.
Franz KoenigCenter for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, 1090, Vienna, Austria.
Byron JonesStatistical Methodology, Novartis Pharma AG, 4056, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimIn 2006, Omnitrope (by Sandoz) was the first approved biosimilar in Europe. To date, 21 biosimilars for seven different biologics are on the market. The present study compared the clinical trials undertaken to obtain market authorization.

methodsWe summarized the findings of a comprehensive review of all clinical trials up to market authorization of approved biosimilars, using the European public assessment reports (EPARs) published by the European Medicines Agency (EMA). The features compared were, among others, the number of patients enrolled, the number of trials, the types of trial design, choice of endpoints and equivalence margins for pharmacokinetic (PK)/pharmacodynamic (PD) and phase III trials.

resultsThe variability between the clinical development strategies is high. Some differences are explainable by the characteristics of the product; if, for example, the PD marker can be assumed to predict the clinical outcome, no efficacy trials might be necessary. However, even for products with the same reference product, the sample size, endpoints and statistical models are not always the same.

conclusionsThere seems to be flexibility for sponsors regarding the decision as to how best to prove biosimilarity.

Indexed as

Clinical Trials as TopicBiosimilar PharmaceuticalsDrug ApprovalEndpoint DeterminationEuropean UnionHumansResearch DesignSample SizeTreatment OutcomeBiosimilar Pharmaceuticalsbiosimilar drug development programmesbiosimilaritybiosimilarsEMAEPARtrial design

Identifiers

PMID27580073
PMCPMC5099555

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.