Evidence map›Paper›PMID 28637670›Full record

Trial reportAnnals of the rheumatic diseases2017

A randomised, double-blind trial to demonstrate bioequivalence of GP2013 and reference rituximab combined with methotrexate in patients with active rheumatoid arthritis.

Josef S Smolen, Stanley B Cohen, Hans-Peter Tony, Morton Scheinberg, Alan Kivitz, Andra Balanescu, Juan Gomez-Reino, Liyi Cen, Peijuan Zhu, Tamas Shisha

2 registry-linked trialsOpen access · hybridAbstract readMulticenter StudyRandomized 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 2 registered trials, which are not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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.

NCT01274182 phase1 / phase2completednot on this map

A Randomized, Double-blind, Controlled Study to Evaluate PK, PD, Safety and Efficacy of GP2013 and Rituximab in Patients With Rheumatoid Arthritis Refractory or Intolerant to Standard DMARDs and up to Three Anti-TNF Therapies.

TypeinterventionalSponsorSandozRan2011 to 2016Enrolled312ConditionsRheumatoid ArthritisArmsGP2013, MabThera, Rituxan
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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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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 10 institutions in 7 countries.

Josef S SmolenDepartment of Rheumatology, Medical University of Vienna, Vienna, Austria.
Stanley B CohenMetroplex Clinical Research, Dallas, Texas, USA.
Hans-Peter TonyDepartment of Internal Medicine, Rheumatology/Clinical Immunology, University of Wuerzburg, Wuerzburg, Germany.
Morton ScheinbergDepartment of Rheumatology, Hospital Israelite Albert Einstein, Sao Paulo, Brazil.
Alan KivitzAltoona Center for Clinical Research, Duncansville, Pennsylvania, USA.
Andra BalanescuResearch Center of Rheumatic Diseases, St Mary Hospital, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania.
Juan Gomez-ReinoUniversity Clinic of Santiago, Santiago, Spain.
Liyi CenDepartment of Statistics, Sandoz, a Novartis Division, Princeton, New Jersey, USA.
Peijuan ZhuSandoz, a Novartis Division, Clinical Pharmacology, Princeton, New Jersey, USA.
Tamas ShishaSandoz, a Novartis Division, Hexal AG, Clinical Development, Holzkirchen, Germany.
Altoona Center for Clinical Research · USCarol Davila University of Medicine and Pharmacy · ROCenter for Rheumatology · USClínica MEDS (Chile) · CLHospital Israelita Albert Einstein · BRMedical University of Vienna · ATMetroplex Clinical Research Center · USNovartis (Germany) · DENovartis (United States) · USSanden (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this report is to demonstrate pharmacokinetic (PK) and pharmacodynamic (PD) equivalence as well as similar efficacy, safety and immunogenicity between GP2013, a biosimilar rituximab, and innovator rituximab (RTX) in patients with rheumatoid arthritis (RA) with inadequate response or intolerance to tumour necrosis factor inhibitor (TNFi) treatment.

methodsIn this multinational, randomised, double-blind, parallel-group study, 312 patients with active disease despite prior TNFi therapy were randomised to receive GP2013 or either the EU (RTX-EU) or the US (RTX-US) reference product, along with methotrexate (MTX) and folic acid. The primary endpoint was the area under the serum concentration-time curve from study drug infusion to infinity (AUC

resultsThe 90% CI of the geometric mean ratio of the AUCs were within the bioequivalence limits of 80% to 125% for all three comparisons; GP2013 versus RTX-EU: 1.106 (90% CI 1.010 to 1.210); GP2013 versus RTX-US: 1.012 (90% CI 0.925 to 1.108); and RTX-EU versus RTX-US: 1.093 (90% CI 0.989 to 1.208). Three-way PD equivalence of B cell depletion was also demonstrated. Efficacy, safety and immunogenicity profiles were similar between GP2013 and RTX.

conclusionsThree-way PK/PD equivalence of GP2013, RTX-EU and RTX-US was demonstrated. Efficacy, safety and immunogenicity profiles were similar between GP2013 and RTX. TRIAL REGISTRATION NUMBER: NCT01274182; Results.

Indexed as

AdolescentAdultAgedAntirheumatic AgentsArea Under CurveArthritis, RheumatoidBiosimilar PharmaceuticalsDouble-Blind MethodDrug Therapy, CombinationFemaleFolic AcidHumansMaleMethotrexateMiddle AgedRituximabAntirheumatic AgentsBiosimilar PharmaceuticalsFolic AcidMethotrexateRituximabVitamin B ComplexB cellsDMARDs (biologic)Rheumatoid arthritis

Identifiers

PMID28637670
PMCPMC5561377
OpenAlexW2720123248

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.