Evidence map›Paper›PMID 33230526›Full record

Trial reportRheumatology (Oxford, England)2021

Efficacy, pharmacokinetics and safety of subcutaneous versus intravenous CT-P13 in rheumatoid arthritis: a randomized phase I/III trial.

Rene Westhovens, Piotr Wiland, Marek Zawadzki, Delina Ivanova, Alfredo Berrocal Kasay, Elias Chalouhi El-Khouri, Éva Balázs, Sergii Shevchuk, Larisa Eliseeva, Mykola Stanislavchuk and 12 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Rheumatology (Oxford, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03147248 (A Randomized, Parallel-Group, Phase I/III Study to Evaluate Efficacy, Pharmacokinetics and Safety Between Subcutaneous CT-P13 and Intravenous CT-P13 in Patients With Active Rheumatoid Arthritis), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 2% 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.

NCT03147248 phase3completednot on this map

A Randomized, Parallel-Group, Phase I/III Study to Evaluate Efficacy, Pharmacokinetics and Safety Between Subcutaneous CT-P13 and Intravenous CT-P13 in Patients With Active Rheumatoid Arthritis

TypeinterventionalSponsorCelltrionRan2016 to 2019Enrolled407ConditionsRheumatoid ArthritisArmsCT-P13
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  11. Biosimilars in IBD: What Every Clinician Needs to Know.Current gastroenterology reports · 2024
    Review
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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

22 authors at 11 institutions in 6 countries.

Rene WesthovensSkeletal Biology and Engineering Research Center KU Leuven, Rheumatology University Hospital Leuven, Leuven, Belgium.
Piotr WilandWrocław Medical University, Wrocław, Poland.
Marek ZawadzkiWrocław Medical University, Wrocław, Poland.
Delina IvanovaDiagnostic and Consulting Center Aleksandrovska, Sofia, Bulgaria.
Alfredo Berrocal KasayABK Reuma SRL - Medicentro Biociencias, Lima, Peru.
Elias Chalouhi El-KhouriClínica Internacional, Lima, Peru.
Éva BalázsCsongrád Megyei Dr. Bugyi István Kórház, Szentes, Hungary.
Sergii ShevchukNational Pirogov Memorial Medical University, Vinnytsia, Ukraine.
Larisa EliseevaSiberian State Medical University, Tomsk, Russia.
Mykola StanislavchukNational Pirogov Memorial Medical University, Vinnytsia, Ukraine.
Roman YatsyshynIvano-Frankivsk Regional Clinical Hospital, Ivano-Frankivsk, Ukraine.
Paweł HrycajKoscian Municipal Hospital, Koscian, Poland.
Janusz JaworskiReumatika-Centrum Reumatologii, Warsaw, Poland.
Vyacheslav ZhdanPoltava Regional Clinical Hospital n.a. M.V. Sklifosovskyi, Poltava, Ukraine.
Jakub TreflerReuma Centrum, Warsaw, Poland.
Pavel ShesternyaKrasnoyarsk State Medical University, Krasnoyarsk, Russia.
Sang Joon LeeCelltrion, Inc., Incheon, Republic of Korea.
Sung Hyun KimCelltrion, Inc., Incheon, Republic of Korea.
Jee Hye SuhCelltrion, Inc., Incheon, Republic of Korea.
Seul Gi LeeCelltrion, Inc., Incheon, Republic of Korea.
Noo Ri HanCelltrion, Inc., Incheon, Republic of Korea.
Dae Hyun YooHanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea.ORCID 0000-0002-0643-4008
Celltrion (South Korea) · KRNational Pirogov Memorial Medical University, Vinnytsya · UAWroclaw Medical University · PLEuro-Centrum · PLHanyang University Seoul Hospital · KRInternational Potato Center · PEIvano-Frankivsk National Medical University · UAKrasnoyarsk State Medical University · RUKU Leuven · BEM.V. Оstrohradskyi Poltava Academy of Continuous Education · UASiberian State Medical University · RU

Funding

CREATING THE CONSORTIAL CENTER FOR CHIROPRACTIC RESEARCHU01AT000170 · NCCIH · PALMER COLLEGE OF CHIROPRACTIC · PI MEEKER, WILLIAM C · 1999 to 2003
$2.2M
NCCIH NIH HHS U01 AT000170
6 · The paper itself

Abstract

objectiveTo assess non-inferiority of s.c. to i.v. CT-P13 in RA.

methodsPatients with active RA and inadequate response to MTX participated in this phase I/III double-blind study at 76 sites. Patients received CT-P13 i.v. 3 mg/kg [week (W) 0 and W2] before randomization (1:1) at W6 to CT-P13 s.c. via pre-filled syringe (PFS) 120 mg biweekly until W28, or CT-P13 i.v. 3 mg/kg every 8 weeks until W22. Randomization was stratified by country, W2 serum CRP and W6 body weight. From W30, all patients received CT-P13 s.c. In a usability sub-study, patients received CT-P13 s.c. via auto-injector (W46-54) then PFS (W56-64). The primary endpoint was change (decrease) from baseline in disease activity score in 28 joints (DAS28)-CRP at W22 (non-inferiority margin: -0.6).

resultsOf 357 patients enrolled, 343 were randomized to CT-P13 s.c. (n = 167) or CT-P13 i.v. (n = 176) at W6. The least-squares mean change (decrease) from baseline (standard error) in DAS28-CRP at W22 was 2.21 (0.22) for CT-P13 s.c. (n = 162) and 1.94 (0.21) for CT-P13 i.v. [n = 168; difference 0.27 (95% CI: 0.02, 0.52)], establishing non-inferiority. Efficacy findings were similar between arms at W54. Safety was similar between arms throughout: 92 (54.8%; CT-P13 s.c.) and 117 (66.9%; CT-P13 i.v.) patients experienced treatment-emergent adverse events (from W6). There were no treatment-related deaths or new safety findings. Usability was similar for CT-P13 s.c. via auto-injector or PFS.

conclusionCT-P13 s.c. was non-inferior to CT-P13 i.v. in active RA. The convenience of s.c. administration could benefit patients.

trial registrationClinicalTrials.gov, https://clinicaltrials.gov/ct2/show/NCT03147248.

Indexed as

AdultAntibodies, MonoclonalAntirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsDouble-Blind MethodHumansInjections, IntravenousInjections, SubcutaneousMaleMiddle AgedTreatment OutcomeAntibodies, MonoclonalAntirheumatic AgentsBiosimilar PharmaceuticalsCT-P13biosimilarCT-P13immunogenicityinfliximabnon-inferioritypharmacokineticsrheumatoid arthritissubcutaneousswitching

Identifiers

PMID33230526
PMCPMC8121438
OpenAlexW3106628143

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.