Evidence map›Paper›PMID 28957563›Full record

Trial reportRheumatology (Oxford, England)2017

Comparing biosimilar SB2 with reference infliximab after 54 weeks of a double-blind trial: clinical, structural and safety results.

Josef S Smolen, Jung-Yoon Choe, Nenad Prodanovic, Jaroslaw Niebrzydowski, Ivan Staykov, Eva Dokoupilova, Asta Baranauskaite, Roman Yatsyshyn, Mevludin Mekic, Wieskawa Porawska and 5 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Rheumatology (Oxford, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01936181 (A Randomised, Double-blind, Parallel Group, Multicentre Clinical Study to Evaluate the Efficacy, Safety, Pharmacokinetics and Immunogenicity of SB2 Compared to Remicade® in Subjects With Moderate to Severe Rheumatoid Arthritis Despite Methotrexate Therapy), which is not on this map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
3.4field-weighted citation impact, top 7% 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.

NCT01936181 phase3completednot on this map

A Randomised, Double-blind, Parallel Group, Multicentre Clinical Study to Evaluate the Efficacy, Safety, Pharmacokinetics and Immunogenicity of SB2 Compared to Remicade® in Subjects With Moderate to Severe Rheumatoid Arthritis Despite Methotrexate Therapy

TypeinterventionalSponsorSamsung Bioepis Co., Ltd.Ran2013 to 2015Enrolled584ConditionsRheumatoid ArthritisArmsRemicade (infliximab), SB2 (proposed biosimilar to infliximab)
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 54 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

15 authors at 10 institutions in 7 countries.

Josef S SmolenDivision of Rheumatology, Department of Medicine, Medical University of Vienna, Vienna, Austria.
Jung-Yoon ChoeDivision of Rheumatology, Daegu Catholic University Medical Center, Daegu, South Korea.
Nenad ProdanovicDepartment of Rheumatology and Clinical Immunology, Clinical Center Banja Luka, Banja Luka, Bosnia and Herzegovina.
Jaroslaw NiebrzydowskiDivison of Rheumatology, Medica Pro Familia, Gdynia, Poland.
Ivan StaykovDivison of Rheumatology, MHAT "Dr. Ivan Seliminski", Sliven, AD, Bulgaria.
Eva DokoupilovaDivison of Rheumatology, MEDICAL PLUS s.r.o, Uherske Hradiste, Czech Republic.
Asta BaranauskaiteDivision of Rheumatology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Roman YatsyshynDivision of Rheumatology, SHEI Ivano-Frankivsk NMU, Ivano-Frankivsk, Ukraine.
Mevludin MekicDepartment of Health, Diseases and Rheumatism, University Clinic Centre Sarajevo, Sarajevo, Bosnia and Herzegovina.
Wieskawa PorawskaDivision of Rheumatology, Poznanski Osrodek Medyczny NOVAMED, Poznan, Poland.
Hana CiferskaDivision of Rheumatology, Revmatologicky ustav, Praha, Czech Republic.
Krystyna Jedrychowicz-RosiakDivison of Rheumatology, MCBK S.C., Grodzisk Mazowiecki.
Agnieszka ZielinskaDivison of Rheumatology, Medica Pro Familia, Warszawa, Poland.
Jasmine ChoiSamsung Bioepis, Incheon, South Korea.
Young Hee RhoSamsung Bioepis, Incheon, South Korea.
Samsung (South Korea) · KRDaegu Catholic University Medical Center · KRInstitute of Rheumatology · CZIvano-Frankivsk National Medical University · UALithuanian University of Health Sciences · LTMedical Plus · CZMedical University of Vienna · ATUniversity Hospital St. Ivan Rilski · BGUniversity of Banja Luka · BAUniversity of Sarajevo · BA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: SB2 is a biosimilar to the reference infliximab (INF). Similar efficacy, safety and immunogenicity between SB2 and INF up to 30 weeks were previously reported. This report investigates such clinical similarity up to 54 weeks, including structural joint damage. Methods: In this phase III, double-blind, parallel-group, multicentre study, patients with moderate to severe RA despite MTX were randomized (1:1) to receive 3 mg/kg of either SB2 or INF at 0, 2, 6 and every 8 weeks thereafter. Dose escalation by 1.5 mg/kg up to a maximum dose of 7.5 mg/kg was allowed after week 30. Efficacy, safety and immunogenicity were measured at each visit up to week 54. Radiographic damage evaluated by modified total Sharp score was measured at baseline and week 54. Results: A total of 584 patients were randomized to receive SB2 (n = 291) or INF (n = 293). The rate of radiographic progression was comparable between SB2 and INF (mean modified total Sharp score difference: SB2, 0.38; INF, 0.37) at 1 year. ACR responses, 28-joint DAS, Clinical Disease Activity Index and Simplified Disease Activity Index were comparable between SB2 and INF up to week 54. The incidence of treatment-emergent adverse events and anti-drug antibodies were comparable between treatment groups. Such comparable trends of efficacy, safety and immunogenicity were consistent from baseline up to 54 weeks. The pattern of dose increment was also comparable between SB2 and INF. Conclusion: SB2 maintained similar efficacy, safety and immunogenicity with INF up to 54 weeks in patients with moderate to severe RA. Radiographic progression was comparable at 1 year. Trial registration: ClinicalTrials.gov (http://clinicaltrials.gov; NCT01936181) and EudraCT (https://www.clinicaltrialsregister.eu; 2012-005733-37).

Indexed as

AdultAgedAntirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsDisease ProgressionDouble-Blind MethodDrug Administration ScheduleDrug-Related Side Effects and Adverse ReactionsFemaleHumansInfliximabMaleMiddle AgedRadiographySeverity of Illness IndexAntirheumatic AgentsBiosimilar PharmaceuticalsInfliximabbiosimilarFlixabiinfliximabmonoclonal antibodyradiographic progressionRemicadeRenflexisrheumatoid arthritisSharp scoretumour necrosis factor blocker

Identifiers

PMID28957563
PMCPMC5850768
OpenAlexW2736727076

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.