Evidence map›Paper›PMID 31184752›Full record

Trial reportRheumatology (Oxford, England)2019

Efficacy and safety of switching from rituximab to biosimilar CT-P10 in rheumatoid arthritis: 72-week data from a randomized Phase 3 trial.

Seung Cheol Shim, Ljubinka Božić-Majstorović, Alfredo Berrocal Kasay, Elias Chalouhi El-Khouri, Fedra Irazoque-Palazuelos, Francisco Fidencio Cons Molina, Francisco G Medina-Rodriguez, Pedro Miranda, Pavel Shesternya, Jose Chavez-Corrales and 11 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Rheumatology (Oxford, England), 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 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 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.

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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  4. Trial
  5. Review
  6. Article
  7. Observational
  8. Biosimilars in Adult and Pediatric Noninfectious Uveitis.Clinical ophthalmology (Auckland, N.Z.) · 2026
    Review
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Regulatory Evaluation of Biosimilars: Refinement of Principles Based on the Scientific Evidence and Clinical Experience.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022
    Review
  15. Review
  16. Review
  17. Review
  18. Article
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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

21 authors.

Seung Cheol ShimDepartment of Internal Medicine, Chungnam National University Hospital, Daejeon, Republic of Korea.
Ljubinka Božić-MajstorovićDepartment of Rheumatology and Clinical Immunology, University Clinical Centre of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina.
Alfredo Berrocal KasayABK Reuma SRL - Medicentro Biociencias, Lima, Peru.
Elias Chalouhi El-KhouriClinica Internacional, Lima, Peru.
Fedra Irazoque-PalazuelosDepartment of Rheumatology, Centro de Investigación y Tratamiento Reumatológico S.C., Mexico City, Mexico.
Francisco Fidencio Cons MolinaRheumatology Department, Centro de Investigación en Artritis y Osteoporosis, Mexicali, Mexico.
Francisco G Medina-RodriguezDepartment of Rheumatology, LaSalle University, Mexico City, Mexico.
Pedro MirandaCentro de Estudios Reumatológicos, Santiago, Chile.
Pavel ShesternyaDepartment of Internal Disease, Krasnoyarsk State Medical University, Krasnoyarsk, Russia.
Jose Chavez-CorralesDepartment of Rheumatology, Clinica San Borja, Lima, Peru.
Piotr WilandDepartment of Rheumatology and Internal Medicine, Medical University of Wroclaw, Wroclaw, Poland.
Slawomir JekaDepartment of Rheumatology and Connective Tissue Diseases, University Hospital No. 2, Collegium Medicum UMK, Bydgoszcz, Poland.
Olena GarmishNational Scientific Center M.D. Strazhesko, Institute of Cardiology, Kyiv, Ukraine.
Pawel HrycajDepartment of Rheumatology, Koscian Municipal Hospital, Koscian, Poland.
Natalia FominaDepartment of Cardiology, Kemerovo Regional Clinical Hospital, Kemerovo, Russian Federation.
Won ParkDepartment of Medicine/Rheumatology, IN-HA University, School of Medicine, Incheon, Republic of Korea.
Chang-Hee SuhDepartment of Rheumatology, Ajou University School of Medicine, Suwon, Republic of Korea.
Sang Joon LeeCELLTRION, Inc., Incheon, Republic of Korea.
Sung Young LeeCELLTRION, Inc., Incheon, Republic of Korea.
Yun Ju BaeCELLTRION, Inc., Incheon, Republic of Korea.
Dae Hyun YooDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of CT-P10, a rituximab biosimilar after a single switch, during a multinational, randomized, double-blind Phase 3 trial involving patients with RA.

methodsPatients received 48 weeks' treatment with CT-P10 or United States- or European Union-sourced reference rituximab (US-RTX and EU-RTX, respectively). Patients entering the extension period (weeks 48-72) remained on CT-P10 (CT-P10/CT-P10; n = 122) or US-RTX (US-RTX/US-RTX; n = 64), or switched to CT-P10 from US-RTX (US-RTX/CT-P10; n = 62) or EU-RTX (EU-RTX/CT-P10; n = 47) for an additional course. Efficacy endpoints included Disease Activity Score using 28 joints (DAS28), American College of Rheumatology (ACR) response rates, and quality of life-related parameters. Pharmacodynamics, immunogenicity and safety were also assessed.

resultsAt week 72, similar improvements were observed by disease activity parameters including DAS28 and ACR response rate in the four extension period treatment groups. Quality of life improvements at week 72 vs baseline were similarly shown during the extension period in all groups. Newly developed anti-drug antibodies were detected in two patients following study drug infusion in the extension period. Similar pharmacodynamic and safety profiles were observed across groups.

conclusionLong-term use of CT-P10 up to 72 weeks was effective and well tolerated. Furthermore, switching from reference rituximab to CT-P10 in RA was well tolerated and did not result in any clinically meaningful differences in terms of efficacy, pharmacodynamics, immunogenicity and safety. TRAIL REGISTRATION: ClinicalTrials.gov, http://clinicaltrials.gov, NCT02149121.

Indexed as

Drug SubstitutionAdultAntibodies, Monoclonal, Murine-DerivedAntirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsDouble-Blind MethodEuropeFemaleHumansMaleMiddle AgedQuality of LifeRituximabTreatment OutcomeUnited StatesAntibodies, Monoclonal, Murine-DerivedAntirheumatic AgentsBiosimilar PharmaceuticalsCT-P10Rituximabanti-TNFB cellsbiosimilarCT-P10disease activityDMARDs (biologic)rheumatoid arthritisrituximabswitch

Identifiers

PMID31184752
PMCPMC6880852

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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.