Evidence map›Paper›PMID 31939063›Full record

Trial reportBioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy2020

Long-term Efficacy, Safety, and Immunogenicity of the Infliximab (IFX) Biosimilar, PF-06438179/GP1111, in Patients with Rheumatoid Arthritis After Switching from Reference IFX or Continuing Biosimilar Therapy: Week 54-78 Data From a Randomized, Double-Blind, Phase III Trial.

Stanley B Cohen, Sebastiao C Radominski, Hideto Kameda, Alan J Kivitz, Michael Tee, Carol Cronenberger, Min Zhang, Sarah Hackley, Muhammad I Rehman, Oliver von Richter and 1 more

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

Trial report in BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02222493 (A Phase 3 Randomized, Double-blind Study Assessing The Efficacy And Safety Of Pf-06438179 And Infliximab In Combination With Methotrexate In Subjects With Moderately To Severely Active Rheumatoid Arthritis Who Have Had An Inadequate Response To Methotrexate), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 29% 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.

NCT02222493 phase3completednot on this map

A Phase 3 Randomized, Double-blind Study Assessing The Efficacy And Safety Of Pf-06438179 And Infliximab In Combination With Methotrexate In Subjects With Moderately To Severely Active Rheumatoid Arthritis Who Have Had An Inadequate Response To Methotrexate

TypeinterventionalSponsorPfizerRan2014 to 2017Enrolled650ConditionsRheumatoid ArthritisArmsPF-06438179, Infliximab
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Maximizing the success of biosimilar implementation.Nature reviews. Rheumatology · 2023
    Article
  8. Article
  9. Article
  10. Regulatory Evaluation of Biosimilars: Refinement of Principles Based on the Scientific Evidence and Clinical Experience.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022
    Review
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

11 authors at 9 institutions in 6 countries.

Stanley B CohenMetroplex Clinical Research Center, Dallas, TX, USA. arthdoc@aol.com.
Sebastiao C RadominskiUniversidade Federal do Paraná, Rua General Carneiro, 181-Alto Da Glória, Curitiba, PR, 80060-900, Brazil.
Hideto KamedaToho University, 2-22-36, Ohashi Meguro-ku, Tokyo, 153-8515, Japan.
Alan J KivitzAltoona Center for Clinical Research, Duncansville, PA, USA.
Michael TeeDepartment of Medicine, Medical Center Manila, University of the Philippines, Manila, Philippines.
Carol CronenbergerPfizer Inc, Collegeville, PA, USA.
Min ZhangPfizer Inc, La Jolla, CA, USA.
Sarah HackleyPfizer R&D UK, Ltd, Sandwich, Kent, UK.
Muhammad I RehmanPfizer Inc, Andover, MA, USA.
Oliver von RichterBiopharmaceuticals, Hexal AG (a Sandoz company), Holzkirchen, Germany.
Rieke AltenSchlosspark-Klinik University Medicine, Heubnerweg 2, 14059, Berlin, Germany.
Pfizer (United States) · USAltoona Center for Clinical Research · USHexal (Germany) · DEMetroplex Clinical Research Center · USPfizer (United Kingdom) · GBSchlosspark-Klinik · DEToho University Ohashi Medical Center · JPUniversidade Federal do Paraná · BRUniversity of the Philippines Manila · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur objective was to evaluate the long-term efficacy, safety, and immunogenicity of the infliximab biosimilar, PF-06438179/GP1111 (PF-SZ-IFX), in patients with rheumatoid arthritis (RA) who continued biosimilar treatment throughout 78 weeks or who switched from reference infliximab (Remicade

methodsIn this phase III, double-blind, active-controlled study, patients with moderate-to-severe active RA were initially randomized to PF-SZ-IFX or IFX-EU, each with methotrexate (treatment period [TP] 1; N = 650). At week 30, patients receiving PF-SZ-IFX continued PF-SZ-IFX; patients receiving IFX-EU were re-randomized to continue IFX-EU or switch to PF-SZ-IFX (TP2; n = 566). From weeks 54 to 78, all patients received open-label treatment with PF-SZ-IFX (TP3; n = 505). Efficacy, safety, and immunogenicity data were analyzed during TP3.

resultsEfficacy was sustained and comparable across groups at week 78, with American College of Rheumatology criteria for ≥ 20% clinical improvement response rates of 75.9% (biosimilar group), 77.8% (week 30 switch group), and 68.3% (week 54 switch group). The incidence of treatment-emergent adverse events was 28.9%, 29.4%, and 30.2%, respectively. The proportion of patients who were antidrug antibody (ADA) positive and neutralizing antibody positive (as a percentage of ADA-positive patients) was stable and comparable between groups.

conclusionsResults to week 78 continue to support the efficacy, safety, and immunogenicity of PF-SZ-IFX in patients with moderate-to-severe active RA. There were no clinically meaningful differences between groups, independent of a single treatment transition from IFX-EU to PF-SZ-IFX at week 30 or week 54. TRIAL REGISTRATION NUMBER: NCT02222493.

Indexed as

AdultAgedAged, 80 and overAntirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsDouble-Blind MethodFemaleHumansInfliximabMaleMethotrexateMiddle AgedSafetyTherapeutic EquivalencyAntirheumatic AgentsBiosimilar PharmaceuticalsGP1111InfliximabMethotrexate

Identifiers

PMID31939063
PMCPMC7113200
OpenAlexW3000207999

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.