Evidence map›Paper›PMID 28584187›Full record

Trial reportAnnals of the rheumatic diseases2017

Efficacy and safety of the biosimilar ABP 501 compared with adalimumab in patients with moderate to severe rheumatoid arthritis: a randomised, double-blind, phase III equivalence study.

Stanley Cohen, Mark C Genovese, Ernest Choy, Fernando Perez-Ruiz, Alan Matsumoto, Karel Pavelka, Jose L Pablos, Warren Rizzo, Pawel Hrycaj, Nan Zhang and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized 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 NCT01970475 (A Randomized, Double-blind, Phase 3 Study of ABP 501 Efficacy and Safety Compared to Adalimumab in Subjects With Moderate to Severe Rheumatoid Arthritis), which is not on this map. Cited by 88 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 9 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.

NCT01970475 phase3completednot on this map

A Randomized, Double-blind, Phase 3 Study of ABP 501 Efficacy and Safety Compared to Adalimumab in Subjects With Moderate to Severe Rheumatoid Arthritis

TypeinterventionalSponsorAmgenRan2013 to 2014Enrolled526ConditionsArthritis, RheumatoidArmsABP 501, Adalimumab
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  9. Immunogenicity of Biologics in Chronic Inflammatory Diseases: A Systematic Review.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2017
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  13. Assessing the Interchangeability of AVT02 and HumiraBioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
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28 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

12 authors.

Stanley CohenMetroplex Clinical Research Center, Dallas, Texas, USA.
Mark C GenoveseStanford University School of Medicine, Palo Alto, California, USA.
Ernest ChoyCREATE Centre, Section of Rheumatology, Institute of Infection and Immunity, Cardiff University, Cardiff, UK.
Fernando Perez-RuizRheumatology Division, Cruces University Hospital, OSI EE-Cruces and Biocruces Health Research Institute, Vizcaya, Spain.
Alan MatsumotoArthritis and Rheumatism Associates, Wheaton, Maryland, USA.
Karel PavelkaNa Slupi 4 Praha 2, Praha, Czech Republic.
Jose L PablosInstituto de Investigación Hospital 12 de Octubre, Universidad Complutense de Madrid, Madrid, Spain.
Warren RizzoAdvanced Arthritis Care & Research, Scottsdale, Arizona, USA.
Pawel HrycajDepartment of Rheumatology and Clinical Immunology, Poznań University of Medical Sciences, Poznań, Poland.
Nan ZhangAmgen Inc., Thousand Oaks, California, USA.
William ShergyRANA Clinical Research Center, Huntsville, Alabama, USA.
Primal KaurAmgen Inc., Thousand Oaks, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesABP 501 is a Food and Drug Administration-approved biosimilar to adalimumab; structural, functional and pharmacokinetic evaluations have shown that the two are highly similar. We report results from a phase III study comparing efficacy, safety and immunogenicity between ABP 501 and adalimumab.

methodsIn this randomised, double-blind, active comparator-controlled, 26-week equivalence study, patients with moderate to severe active rheumatoid arthritis (RA) despite methotrexate were randomised (1:1) to ABP 501 or adalimumab (40 mg) every 2 weeks. Primary endpoint was risk ratio (RR) of ACR20 between groups at week 24. Primary hypothesis that the treatments were equivalent would be confirmed if the 90% CI for RR of ACR20 at week 24 fell between 0.738 and 1.355, demonstrating that ABP 501 is similar to adalimumab. Secondary endpoints included Disease Activity Score 28-joint count-C reactive protein (DAS28-CRP). Safety was assessed via adverse events (AEs) and laboratory evaluations. Antidrug antibodies were assessed to determine immunogenicity.

resultsA total of 526 patients were randomised (n=264, ABP 501; n=262 adalimumab) and 494 completed the study. ACR20 response at week 24 was 74.6% (ABP 501) and 72.4% (adalimumab). At week 24, the RR of ACR20 (90% CI) between groups was 1.039 (0.954, 1.133), confirming the primary hypothesis. Changes from baseline in DAS28-CRP, ACR50 and ACR70 were similar. There were no clinically meaningful differences in AEs and laboratory abnormalities. A total of 38.3% (ABP 501) and 38.2% (adalimumab) of patients tested positive for binding antidrug antibodies.

conclusionsResults from this study demonstrate that ABP 501 is similar to adalimumab in clinical efficacy, safety and immunogenicity in patients with moderate to severe RA. TRIAL REGISTRATION NUMBER: NCT01970475; Results.

Indexed as

AdalimumabAdultAgedAged, 80 and overAntibodiesAntirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsC-Reactive ProteinDouble-Blind MethodFemaleHumansMaleMiddle AgedSeverity of Illness IndexTherapeutic EquivalencyAdalimumabAntibodiesAntirheumatic AgentsBiosimilar PharmaceuticalsC-Reactive Proteinanti-TNFDMARDs (biologic)inflammationrheumatoid arthritisTNF-alpha

Identifiers

PMID28584187
PMCPMC5629940

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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.