Evidence map›Paper›PMID 28600696›Full record

Trial reportBioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy2017

Efficacy and Safety of Switching from Innovator Rituximab to Biosimilar CT-P10 Compared with Continued Treatment with CT-P10: Results of a 56-Week Open-Label Study in Patients with Rheumatoid Arthritis.

Won Park, Chang-Hee Suh, Seung Cheol Shim, Francisco Fidencio Cons Molina, Slawomir Jeka, Francisco G Medina-Rodriguez, Pawel Hrycaj, Piotr Wiland, Eun Young Lee, Pavel Shesternya and 10 more

3 registry-linked trialsAbstract readClinical Trial, Phase IMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report 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. It is linked to 3 registered trials, which are not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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.

NCT01534884 phase1completednot on this map

Phase 1, Randomized, Controlled, Multicenter, 2-Arm, Parallel-Group, Double-Blind Study to Demonstrate the Equivalence of CT-P10 to MabThera With Respect to the Pharmacokinetic Profile in Patients With Rheumatoid Arthritis

TypeinterventionalSponsorCelltrionRan2012 to 2014Enrolled154ConditionsRheumatoid ArthritisArmsrituximab
NCT01873443 phase1completednot on this map

An Open-Label, Single-Arm, Maintenance Study to Demonstrate Long-Term Efficacy and Safety of CT-P10 in Patients With Rheumatoid Arthritis Who Were Treated With Rituximab (MabThera or CT-P10) in Study CT-P10 1.1

TypeinterventionalSponsorCelltrionRan2013 to 2014Enrolled87ConditionsRheumatoid ArthritisArmsRituximab, MTX, folic acid
NCT05716334 completednot on this mapstarted 2021, after this paper: background citation

Biosimilars of Rituximab in ANCA-associated Vasculitis Compared to the Originator (BRAVO): a CanVasc Multicentre Study

TypeobservationalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2021 to 2025Enrolled201ConditionsANCA-associated Vasculitis, Granulomatosis With Polyangiitis, Microscopic Polyangiitis
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Biosimilarity and Interchangeability: Principles and Evidence: A Systematic Review.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2018
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Review
  11. Article
  12. Switching from Biologic to Biosimilar Products: Insight from an Integrated Health Care System.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022
    Article
  13. Clinical and Regulatory Concerns of Biosimilars: A Review of Literature.International journal of environmental research and public health · 2020
    Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. 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
  19. Article
  20. 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

20 authors.

Won ParkSchool of Medicine, IN-HA University, Incheon, Republic of Korea.
Chang-Hee SuhAjou University School of Medicine, Suwon, Republic of Korea.
Seung Cheol ShimChungnam National University Hospital, Daejeon, Republic of Korea.
Francisco Fidencio Cons MolinaCentro de Investigación en Artritis y Osteoporosis, Mexicali, Mexico.
Slawomir JekaUniversity Hospital No. 2, Collegium Medicum UMK, Bydgoszcz, Poland.
Francisco G Medina-RodriguezLa Salle University, Mexico City, Mexico.
Pawel HrycajPoznań University of Medical Sciences, Poznań, Poland.
Piotr WilandMedical University of Wrocław, Wrocław, Poland.
Eun Young LeeSeoul National University College of Medicine, Seoul, Republic of Korea.
Pavel ShesternyaKrasnoyarsk State Medical University, Krasnoyarsk, Russia.
Volodymyr KovalenkoNational Scientific Center, Kiev, Ukraine.
Leysan MyasoutovaResearch Medical Complex Vashe Zdorovie, Kazan, Russia.
Marina StanislavResearch Rheumatology Institute n. a. V.A. Nassonova, Moscow, Russia.
Sebastiao RadominskiUniversidade Federal do Paraná, Curitiba, Brazil.
Mie Jin LimSchool of Medicine, IN-HA University, Incheon, Republic of Korea.
Jung-Yoon ChoeSchool of Medicine, Catholic University of Daegu, Daegu, Republic of Korea.
Sang Joon LeeCELLTRION, Inc., Incheon, Republic of Korea.
Sung Young LeeCELLTRION, Inc., Incheon, Republic of Korea.
Sung Hwan KimCELLTRION, Inc., 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.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCT-P10 is a biosimilar candidate of innovator rituximab (RTX) that demonstrated a comparable clinical profile to RTX in a phase I randomized controlled trial (RCT) in rheumatoid arthritis (RA) (ClinicalTrials.gov identifier: NCT01534884).

objectiveThis open-label extension (OLE) study (NCT01873443) compared the efficacy and safety of CT-P10 in patients with RA who received CT-P10 from the outset (i.e., from the start of the RCT and also in the OLE; 'maintenance group') with those who received RTX during the RCT and switched to CT-P10 during the OLE ('switch group').

methodsPatients who completed the RCT were recruited. Based on the Disease Activity Score using 28 joints (DAS28) and predefined safety criteria, patients could receive up to two courses of CT-P10 during the OLE. Efficacy [DAS28 and European League Against Rheumatism (EULAR) response], safety and immunogenicity were assessed.

resultsEighty-seven patients were enrolled; 58 and 29 had previously received CT-P10 or RTX, respectively, in the RCT. Of these, 38 (65.5%) and 20 (69.0%) were treated with CT-P10 in the OLE and therefore comprised the maintenance and switch groups, respectively. The mean change in DAS28-erythrocyte sedimentation rate (ESR) from baseline (week 0 of RCT) at week 24 of the first OLE treatment course in the maintenance and switch groups was -2.7 and -2.4, respectively. The proportion of patients with good/moderate EULAR responses was also comparable between groups. Antidrug antibodies were detected in 13.2 and 15.0% of patients in the maintenance and switch groups, respectively, at week 24 of the first OLE course. CT-P10 treatment was well-tolerated when administered for up to 2 years or after switching from RTX.

conclusionIn this study population, comparable efficacy and safety profiles were observed in patients who switched from RTX to CT-P10 and those maintained on CT-P10 throughout treatment.

Indexed as

AdultAntibodies, Monoclonal, Murine-DerivedAntirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsFemaleHumansMaleMiddle AgedRituximabTreatment OutcomeAntibodies, Monoclonal, Murine-DerivedAntirheumatic AgentsBiosimilar PharmaceuticalsCT-P10Rituximab

Identifiers

PMID28600696
PMCPMC5548826

What OpenQuestion holds

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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.