Evidence map›Paper›PMID 31115919›Full record

ArticleAlimentary pharmacology & therapeutics2019

The effectiveness and safety of infliximab compared with biosimilar CT-P13, in 3112 patients with ulcerative colitis.

Antoine Meyer, Jérémie Rudant, Jérôme Drouin, Joël Coste, Franck Carbonnel, Alain Weill

Abstract readComparative Study
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  12. Efficacy and safety of biosimilar versus originator infliximab in patients with inflammatory bowel disease: A real-world cohort analysis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2022
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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

6 authors.

Antoine MeyerCaisse Nationale de l'Assurance Maladie (CNAM), Paris, France.ORCID 0000-0003-1156-9289
Jérémie RudantCaisse Nationale de l'Assurance Maladie (CNAM), Paris, France.
Jérôme DrouinCaisse Nationale de l'Assurance Maladie (CNAM), Paris, France.
Joël CosteBiostatistique et Epidémiologie, Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France.
Franck CarbonnelService de gastroentérologie, Bicêtre, Assistance Publique-Hôpitaux de Paris, Le Kremlin Bicêtre, France.
Alain WeillCaisse Nationale de l'Assurance Maladie (CNAM), Paris, France.

Funding

French National Health Insurance (CNAM)
6 · The paper itself

Abstract

backgroundCT-P13, a biosimilar of the reference product infliximab, has been approved for the treatment of ulcerative colitis on the basis of the results of trials conducted in patients with spondyloarthritis and rheumatoid arthritis.

aimTo compare the effectiveness and safety of CT-P13 and the reference product in infliximab-naive patients with ulcerative colitis

methodsA comparative real-life equivalence cohort study was conducted using the French nationwide health administrative database. Infliximab-naive patients with ulcerative colitis over 15 years of age who started infliximab with no other indications for infliximab were included. The primary outcome was a composite endpoint (death, ulcerative colitis-related surgery, all-cause hospitalisation and reimbursement for other biologics). Equivalence was defined as a 95% CI of the hazard ratio (HR) of CT-P13 vs the reference product, in a multivariable marginal Cox model situated within prespecified margins of (0.80-1.25).

resultsA total of 3112 patients were included between 1 January 2015 and 30 June 2017: 1434 received the reference product, 1678 received CT-P13. Overall, 710 patients in the reference product group and 743 patients in the CT-P13 group met the composite endpoint. In multivariable analysis of the primary outcome, CT-P13 was equivalent to the reference product (HR 1.04; 95% CI: 0.94-1.15). The number of serious infections was lower in the CT-P13 group (HR 0.65; 95% CI: 0.48-0.88). There was no difference in the incidence of solid or haematologic malignancy (HR 0.81; 95% CI: 0.41-1.60).

conclusionsThe effectiveness of CT-P13 is equivalent and the risk of serious infections could be lower than that of the reference product for infliximab-naive patients with ulcerative colitis.

Indexed as

AdolescentAdultAgedAged, 80 and overAntibodies, MonoclonalBiosimilar PharmaceuticalsCohort StudiesColitis, UlcerativeFemaleHumansInfliximabMaleMiddle AgedTherapeutic EquivalencyTreatment OutcomeYoung AdultAntibodies, MonoclonalBiosimilar PharmaceuticalsCT-P13Infliximab

Identifiers

PMID31115919
PMCPMC6767082

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Registered trials

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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.