Evidence map›Paper›PMID 30719632›Full record

Trial reportBioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy2019

Long-Term Efficacy and Safety of Biosimilar CT-P10 Versus Innovator Rituximab in Rheumatoid Arthritis: 48-Week Results from a Randomized Phase III Trial.

Chang-Hee Suh, Dae Hyun Yoo, Alfredo Berrocal Kasay, Elia Chalouhi El-Khouri, Francisco Fidenci Cons Molina, Pavel Shesternya, Pedro Miranda, Francisco G Medina-Rodriguez, Piotr Wiland, Slawomir Jeka and 16 more

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

Trial report in BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02149121 (A Randomized, Controlled, Double-Blind, Parallel-Group, Phase 3 Study to Compare the Pharmacokinetics, Efficacy and Safety Between CT-P10, Rituxan and MabThera in Patients With Rheumatoid Arthritis), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 14% 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.

NCT02149121 phase3completednot on this map

A Randomized, Controlled, Double-Blind, Parallel-Group, Phase 3 Study to Compare the Pharmacokinetics, Efficacy and Safety Between CT-P10, Rituxan and MabThera in Patients With Rheumatoid Arthritis

TypeinterventionalSponsorCelltrionRan2014 to 2017Enrolled384ConditionsRheumatoid ArthritisArmsCT-P10, Rituxan, MabThera
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
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  8. Review
  9. Regulatory Evaluation of Biosimilars: Refinement of Principles Based on the Scientific Evidence and Clinical Experience.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022
    Review
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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

26 authors at 19 institutions in 9 countries.

Chang-Hee SuhDepartment of Rheumatology, Ajou University School of Medicine, Suwon, 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.
Alfredo Berrocal KasayABK Reuma SRL-Medicentro Biociencias, Lima, Peru.
Elia Chalouhi El-KhouriClinica Internacional, Lima, Peru.
Francisco Fidenci Cons MolinaCentro de Investigación en Artritis y Osteoporosis, Mexicali, Mexico.
Pavel ShesternyaKrasnoyarsk State Medical University, Krasnoyarsk, Russia.
Pedro MirandaCentro de Estudios Reumatológicos, Santiago, Chile.
Francisco G Medina-RodriguezLa Salle University, Mexico City, Mexico.
Piotr WilandMedical University of Wroclaw, Wrocław, Poland.
Slawomir JekaDepartment of Rheumatology and Connective Tissue Diseases, University Hospital No. 2, Collegium Medicum UMK, Bydgoszcz, Poland.
Jose Chavez-CorralesClinica San Borja, Lima, Peru.
Thomas LindeMVZ für Rheumatologie und Autoimmundiagnostik, Halle (Salle), Germany.
Pawel HrycajDepartment of Rheumatology, Koscian Municipal Hospital, Koscian, Poland.
Mauricio Abello-BanfiCentro Integral de Reumatologia del Caribe, Barranquilla, Colombia.
Ihor HospodarskyyTernopil State Medical University, Ternopil, Ukraine.
Janusz JaworskiReumatika-Centrum Reumatologii, Warsaw, Poland.
Mariusz PiotrowskiDepartment of Rheumatology, Medical University of Lublin, Lublin, Poland.
Marek BrzoskoDepartment of Rheumatology, Internal Diseases and Geriatrics, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Marek KrogulecRheumatology Clinic MAK-MED, Nadarzyn, Poland.
Sergii ShevchukNational Pirogov Memorial Medical University, Vinnytsya, Ukraine.
Armando CalvoCentro de Investigación Clínica Inunoreumatología, Clínica San Felipe, Universidad Peruana Cayetano Heredia, Lima, Peru.
Daina AndersoneUniversity of Latvia, Riga, Latvia.
Won ParkSchool of Medicine, Medicine/Rheumatology, IN-HA University, Incheon, Republic of Korea.
Seung Cheol ShimDepartment of Internal Medicine, Chungnam National University Hospital, Daejeon, Republic of Korea.
Sang Joon LeeCELLTRION, Inc., Incheon, Republic of Korea.
Sung Young LeeCELLTRION, Inc., Incheon, Republic of Korea.
Celltrion (South Korea) · KRAjou University · KRAnyang University · KRCentro de Estudios Científicos · CLChungnam National University Hospital · KRCollegium Medicum in Bydgoszcz · PLI.Horbachevsky Ternopil National Medical University · UAInha University · KRInternational Potato Center · PEKrasnoyarsk State Medical University · RUMedical University of Lublin · PLNational Pirogov Memorial Medical University, Vinnytsya · UAPomeranian Medical University · PLUnidad de Artritis y Reumatismo · MXUniversidad Autónoma del Caribe · COUniversidad La Salle · MXUniversidad Peruana Cayetano Heredia · PEUniversity of Latvia · LVUniversity of Wrocław · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate long-term clinical outcomes of extended treatment with CT-P10, a rituximab biosimilar, compared with rituximab reference products sourced from the USA and the EU (US-RTX and EU-RTX) in rheumatoid arthritis (RA) for up to 48 weeks.

methodsIn this multinational, randomized, double-blind trial, adults with active RA received up to two courses of CT-P10, US-RTX, or EU-RTX alongside methotrexate. Efficacy endpoints included Disease Activity Score 28-joint count (DAS28) and American College of Rheumatology (ACR) response rates. Pharmacokinetics, pharmacodynamics, immunogenicity, and safety were also assessed.

resultsOf 372 patients randomized to the study drug, 330 (88.7%) completed the second treatment course. Mean change from baseline to week 48 in DAS28-C-reactive protein was comparable in the CT-P10 and combined rituximab (US-RTX and EU-RTX) groups (- 2.7 and - 2.6, respectively). ACR20, ACR50, and ACR70 response rates at week 48 indicated no differences between groups (80.6%, 55.4%, and 31.7% vs. 79.8%, 53.9%, and 33.7% in the CT-P10 and combined rituximab groups, respectively). Similar improvements in the Health Assessment Questionnaire Disability Index and all medical outcomes in the Short Form 36-Item Health Survey, including physical and mental health, were seen in all groups. At week 48, antidrug antibodies were detected in 4.9%, 9.4%, and 8.6% of patients in the CT-P10, US-RTX, and EU-RTX groups, respectively. CT-P10 and rituximab displayed similar pharmacokinetic, pharmacodynamic, and safety profiles.

conclusionCT-P10 was similar to EU-RTX and US-RTX in terms of efficacy, pharmacokinetics, pharmacodynamics, immunogenicity, and safety up to week 48. CLINICALTRIALS. GOV IDENTIFIER: NCT02149121.

Indexed as

AdolescentAdultAgedAntibodies, Monoclonal, Murine-DerivedAntirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsBlood SedimentationDouble-Blind MethodDrug Administration ScheduleFemaleHumansMaleMethotrexateMiddle AgedPatient Reported Outcome MeasuresAntibodies, Monoclonal, Murine-DerivedAntirheumatic AgentsBiosimilar PharmaceuticalsCT-P10MethotrexateRituximab

Identifiers

PMID30719632
PMCPMC6373391
OpenAlexW2913809318

What OpenQuestion holds

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LicenceCC BY-NC
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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.