Evidence map›Paper›PMID 31970610›Full record

SynthesisDigestive diseases and sciences2020

Systematic Review: Non-medical Switching of Infliximab to CT-P13 in Inflammatory Bowel Disease.

Edmond-Jean Bernard, Richard N Fedorak, Vipul Jairath

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Digestive diseases and sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.1field-weighted citation impact, top 12% 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.

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

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
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  5. An Update on Anti-TNF Biosimilar Switching-Real-World Clinical Effectiveness and Safety.Journal of the Canadian Association of Gastroenterology · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Edmond-Jean BernardCHUM, Université de Montréal, 1051 Rue Sanguinet, Montréal, QC, H2X 3E4, Canada.
Richard N FedorakFaculty of Medicine and Dentistry, University of Alberta, 8440 112 St. NW, Edmonton, AB, T6G 2R7, Canada.
Vipul JairathEpidemiology and Biostatistics, Division of Gastroenterology, London Health Sciences Centre, Western University, 339 Windermere Rd, London, ON, N6A 5A5, Canada. vjairath@uwo.ca.
Université de Montréal · CAUniversity of Alberta · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsBiosimilar approval, such as Inflectra™ (CT-P13) for treating ulcerative colitis (UC) and Crohn's disease (CD), has reduced direct drug costs. Though clinicians are comfortable with biosimilar use in treatment-naïve patients, there are concerns in some jurisdictions that there are insufficient data from well-controlled trials to support non-medical switching. A systematic review, along with a critical assessment of the study design, was conducted to assess the potential impact of switching stable CD/UC patients from infliximab to CT-P13.

methodsA literature search using PubMed and abstracts/posters from 3 major gastroenterology conferences from 2014 to 2018 was completed. Two individual reviewers extracted data from each relevant report and compiled it into evidence tables to facilitate descriptive analyses. Key randomized trial and observational study designs were critically assessed to contextualize data relevance.

resultsA total of 49 reports (3 randomized controlled trials, 40 observational trials, and 1 case series) were included. Most studies revealed no efficacy, safety, or immunogenicity concerns with non-medical switch. Limitations of supporting data include a small number of randomized controlled trials; predominance of observational studies with varying outcome assessments and lack of appropriate controls; and scarcity of research on biosimilar switch long-term effects.

conclusionsThe majority of studies suggested non-medical switch is safe. However, clinicians and regulatory bodies should be aware of differences and limitations in study designs when making inferences about the risks and benefits of switching stable IBD patients to biosimilars.

Indexed as

Drug SubstitutionAntibodies, MonoclonalBiosimilar PharmaceuticalsGastrointestinal AgentsHumansInflammatory Bowel DiseasesInfliximabAntibodies, MonoclonalBiosimilar PharmaceuticalsCT-P13Gastrointestinal AgentsInfliximabBiosimilarCrohn’s diseaseCT-P13Inflammatory bowel diseaseInfliximabUlcerative colitis

Identifiers

PMID31970610
PMCPMC7369127
OpenAlexW3001664763

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.