Evidence map›Paper›PMID 28497221›Full record

ArticleBioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy2017

Evaluation of the Cross-reactivity of Antidrug Antibodies to CT-P13 and Infliximab Reference Product (Remicade): An Analysis Using Immunoassays Tagged with Both Agents.

Walter Reinisch, Jørgen Jahnsen, Stefan Schreiber, Silvio Danese, Julián Panés, Alejandro Balsa, Won Park, JiSoo Kim, Jee Un Lee, Dae Hyun Yoo

Open access · hybridAbstract read
In one paragraph

Article in BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Biosimilar and interchangeable: Inseparable scientific concepts?British journal of clinical pharmacology · 2019
    Article
  10. Maneuvering Clinical Pathways for Crohn's Disease.Current gastroenterology reports · 2019
    Review
  11. 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

10 authors at 9 institutions in 7 countries.

Walter ReinischDivision of Gastroenterology, Department of Medicine, McMaster University, Hamilton, ON, Canada.
Jørgen JahnsenDepartment of Gastroenterology, Akershus University Hospital, Lørenskog, Norway.
Stefan SchreiberKlinik für Innere Medizin I, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Silvio DaneseDepartment of Gastroenterology, IBD Center, Humanitas Research Hospital, Milan, Italy.
Julián PanésHospital Clínic de Barcelona, IDIBAPS, CIBERehd, Barcelona, Spain.
Alejandro BalsaDepartment of Rheumatology, Hospital La Paz Institute for Health Research IdiPAZ, Hospital Universitario La Paz, Madrid, Spain.
Won ParkDivision of Rheumatology, Department of Internal Medicine, Inha University Hospital, School of Medicine, Incheon, Republic of Korea.
JiSoo KimCELLTRION Inc., Incheon, Republic of Korea.
Jee Un LeeCELLTRION Healthcare Co., Ltd, Incheon, Republic of Korea.
Dae Hyun YooDivision of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, 222-1 Wangsimni-Ro, Seongdong-Gu, Seoul, 04763, Republic of Korea. dhyoo@hanyang.ac.kr.
Celltrion (South Korea) · KRAnyang University · KRCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESHospital La Paz Institute for Health Research · ESInha University Hospital · KRIRCCS Humanitas Research Hospital · ITMedical University of Vienna · ATUniversity of Lübeck · DEUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring two pivotal clinical trials of the infliximab biosimilar CT-P13 (PLANETAS and PLANETRA), antidrug antibodies (ADAs) and neutralising antibodies (NAbs) were detected in the sera of patients treated with CT-P13 and the reference product (RP; Remicade).

objectiveThe aim was to assess the comparability of Remicade- and CT-P13-tagged immunoassays for the detection of ADAs and NAbs using data from these trials, in order to determine the cross-reactivity of CT-P13 and RP ADAs.

methodsSera from patients with rheumatoid arthritis and ankylosing spondylitis were analysed using an electrochemiluminescence (ECL) bridging assay or Gyros immunoassay, tagged with Remicade or CT-P13 at screening, weeks 14, 30 and 54, and the end of study visit. NAb titre was compared at screening and weeks 14 and 30. The proportion of cross-reactive samples was determined and an inter-rater agreement analysis performed to assess the concordance of results between assays.

resultsIn PLANETAS, 93.1% (94/101) of RP ADA-positive samples and 93.0% (93/100) of RP NAb-positive samples cross-reacted with CT-P13; 99.0% (103/104) of CT-P13 ADA-positive and 98.0% (98/100) of CT-P13 NAb-positive samples cross-reacted with the RP. In PLANETRA, 94.7% (426/450) of RP ADA-positive samples and 94.3% (415/440) of RP NAb-positive samples cross-reacted with CT-P13, and 96.6% (458/474) of CT-P13 ADA-positive and 96.4% (452/469) of CT-P13 NAb-positive samples cross-reacted with the RP. In both studies, there was strong agreement in outcome between assays at all post-screening time points (PLANETAS: Cohen's κ 0.89-0.98 for ADA, 0.86-0.98 for NAb; PLANETRA: 0.92-0.94 for both ADA and NAb, all p < 0.001). Significant concordance between assays was observed for NAb titre at weeks 14 and 30 (PLANETAS: Spearman's ρ 0.73 and 0.74, respectively; PLANETRA: 0.61 and 0.72, respectively; all p < 0.001).

conclusionsThis study has demonstrated that ADAs and NAbs against CT-P13 and RP are cross-reactive, indicating that CT-P13 and RP share immunodominant epitopes.

Indexed as

AdolescentAdultAgedAntibodiesAntibodies, MonoclonalAntirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsCross ReactionsHumansImmunoassayInfliximabMiddle AgedSpondylitis, AnkylosingTreatment OutcomeYoung AdultAntibodiesAntibodies, MonoclonalAntirheumatic AgentsBiosimilar PharmaceuticalsCT-P13Infliximab

Identifiers

PMID28497221
PMCPMC5443869
OpenAlexW2613074462

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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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.