Evidence map›Paper›PMID 32852139›Full record

Trial reportInternational journal of rheumatic diseases2020

Immunogenicity of an adalimumab biosimilar, FKB327, and its reference product in patients with rheumatoid arthritis.

Rieke Alten, Colin Markland, Malcolm Boyce, Kazuki Kawakami, Rafael Muniz, Mark C Genovese

Open access · hybridAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in International journal of rheumatic diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 33% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Switching from Adalimumab Reference Product to and Among Adalimumab Biosimilars Outside the USA: Insights for US Clinicians.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  6. Article
  7. Article
  8. Maximizing the success of biosimilar implementation.Nature reviews. Rheumatology · 2023
    Article
  9. 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

6 authors at 6 institutions in 4 countries.

Rieke AltenUniversity Medicine Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-3395-4412
Colin MarklandNDA Group, Leatherhead, UK.ORCID https://orcid.org/0000-0002-8706-4677
Malcolm BoyceHammersmith Medicines Research, London, UK.ORCID https://orcid.org/0000-0001-8807-612X
Kazuki KawakamiFujifilm Kyowa Kirin Biologics, Tokyo, Japan.ORCID https://orcid.org/0000-0002-0328-8981
Rafael MunizMylan Inc, Canonsburg, PA, USA.ORCID https://orcid.org/0000-0003-2696-6500
Mark C GenoveseStanford University, Palo Alto, CA, USA.ORCID https://orcid.org/0000-0001-5294-4503
Edif Group (United Kingdom) · GBHammersmith Medicines Research · GBKyowa Kirin (Japan) · JPMylan (United States) · USPalo Alto University · USSRH University Berlin · DE

Funding

Fujifilm Kyowa Kirin Biologics Co. Ltd FKB327-002 (NCT02260791)Fujifilm Kyowa Kirin Biologics Co. Ltd FKB327-003 (NCT02405780)Mylan Inc
6 · The paper itself

Abstract

aimThis study, FKB327-003, is a phase 3, open-label extension (OLE) study comparing the long-term immunogenicity of an adalimumab biosimilar, FKB327 (F), with the reference product (RP).

methodsIn the OLE, patients completing 24 weeks of an initial randomized, double-blind (DB) study (Period 1) with clinical response and no safety concerns were rerandomized to F or RP, so that two-thirds of patients remained on the same treatment and one-third switched to the alternate treatment for weeks 24 through 54 (OLE weeks 0-30; Period 2), then all received F through week 100 (OLE week 76; Period 3). Treatment sequences were F-F-F (no switch), RP-F-F and RP-RP-F (single switch), and F-RP-F (double switch). Patients who entered the OLE study were evaluated for immunogenicity across switching sequences.

resultsThe proportion of patients with positive antidrug antibody (ADA) status at the end of Period 1 was 61.7% and 60.0% for F and RP, respectively. The proportion of patients with positive ADA status did not increase throughout Period 1, and was similar for F and RP at all time points. At the end of Period 3, the proportion of patients with positive ADA status was lower in all treatment sequences, at 51.1%, 54.4%, 48.1%, and 42.5% for F-F-F, F-RP-F, RP-F-F, and RP-RP-F, respectively.

conclusionThe RP and F showed comparable immunogenicity characteristics after long-term administration. Development of ADAs with the RP and F was similar, and was not impacted by switching and double switching between F and RP treatment.

Indexed as

AdalimumabAdolescentAdultAgedAged, 80 and overAntibodies, NeutralizingAntirheumatic AgentsArthritis, RheumatoidBiomarkersBiosimilar PharmaceuticalsDouble-Blind MethodDrug SubstitutionFemaleHumansMaleMiddle AgedAdalimumabAntibodies, NeutralizingAntirheumatic AgentsBiomarkersBiosimilar PharmaceuticalsFKB327adalimumabbiosimilarsimmunogenicityrheumatoid arthritisswitchingTNF inhibitors

Identifiers

PMID32852139
PMCPMC7754138
OpenAlexW3080823905

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.