Evidence map›Paper›PMID 33546755›Full record

Trial reportArthritis research & therapy2021

Efficacy and safety of biosimilar CT-P17 versus reference adalimumab in subjects with rheumatoid arthritis: 24-week results from a randomized study.

Jonathan Kay, Janusz Jaworski, Rafal Wojciechowski, Piotr Wiland, Anna Dudek, Marek Krogulec, Slawomir Jeka, Agnieszka Zielinska, Jakub Trefler, Katarzyna Bartnicka-Maslowska and 8 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03789292 (A Randomized, Active-Controlled, Double-Blind, Phase 3 Study to Compare Efficacy and Safety of CT-P17 With Humira When Co-administered With Methotrexate in Patients With Moderate to Severe Active Rheumatoid Arthritis), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
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.

NCT03789292 phase3completednot on this map

A Randomized, Active-Controlled, Double-Blind, Phase 3 Study to Compare Efficacy and Safety of CT-P17 With Humira When Co-administered With Methotrexate in Patients With Moderate to Severe Active Rheumatoid Arthritis

TypeinterventionalSponsorCelltrionRan2018 to 2020Enrolled648ConditionsRheumatoid ArthritisArmsCT-P17 SC, Humira SC
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Trial
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  6. Article
  7. Article
  8. Observational
  9. Article
  10. Navigating adalimumab biosimilars: an expert opinion.Journal of comparative effectiveness research · 2023
    Review
  11. Review
  12. Review
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  14. 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

18 authors at 12 institutions in 5 countries.

Jonathan KayUniversity of Massachusetts Medical School and UMass Memorial Medical, Worcester, MA, USA.
Janusz JaworskiReumatika-Centrum Reumatologii, Warsaw, Poland.
Rafal WojciechowskiUniversity Hospital No 2, Bydgoszcz, Poland.
Piotr WilandMedical University, Wroclaw, Poland.
Anna DudekCentrum Medyczne AMED, Warsaw, Poland.
Marek KrogulecRheumatology Clinic NZOZ Lecznica MAK-MED, Nadarzyn, Poland.
Slawomir JekaNasz Lekarz Przychodnie Medyczne, Toruń, Poland.
Agnieszka ZielinskaMedycyna Kliniczna Marzena Waszczak-Jeka, Warsaw, Poland.
Jakub TreflerReuma Centrum, Warsaw, Poland.
Katarzyna Bartnicka-MaslowskaCentrum Medyczne AMED Oddzial w Lodzi, Łódź, Poland.
Magdalena Krajewska-WlodarczykUniversity of Warmia and Mazury, Olsztyn, Poland.
Piotr A KlimiukMedical University of Bialystok and Gabinet Internistyczno-Reumatologiczny Piotr Adrian Klimiuk, Białystok, Poland.
Sang Joon LeeCelltrion, Inc., Incheon, Republic of Korea.
Yun Ju BaeCelltrion, Inc., Incheon, Republic of Korea.
Go Eun YangCelltrion, Inc., Incheon, Republic of Korea.
Jae Kyoung YooCelltrion, Inc., Incheon, Republic of Korea.
Daniel E Furst *University of California, Los Angeles, CA, USA.
Edward Keystone *University of Toronto, Toronto, Canada. edkeystone@rheumkey.com.
Celltrion (South Korea) · KRCentrum Medyczne iMed24 · PLMeditest · PLEuro-Centrum · PLMedical University of Białystok · PLSzpital Kliniczny Dzieciątka Jezus · PLUniversity of Bydgoszcz · PLUniversity of Florence · ITUniversity of Massachusetts Chan Medical School · USUniversity of Toronto · CAUniversity of Warmia and Mazury in Olsztyn · PLWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo demonstrate equivalent efficacy of the proposed high-concentration (100 mg/ml), citrate-free adalimumab biosimilar CT-P17 to European Union-approved adalimumab (EU-adalimumab) in subjects with active rheumatoid arthritis (RA).

methodsThis randomized, double-blind phase III study ( ClinicalTrials.gov , NCT03789292) randomized (1:1) subjects with active RA at 52 centers to receive CT-P17 or EU-adalimumab 40 mg subcutaneously every 2 weeks until week 52. Results to week 24 are reported here. The primary endpoint was 20% improvement by American College of Rheumatology criteria (ACR20) response rate at week 24. Equivalence was concluded if the corresponding confidence intervals (CIs) for the estimate of treatment difference were within predefined equivalence margins: - 15 to 15% (95% CI; European Medicines Agency assumption); - 12 to 15% (90% CI; Food and Drug Administration assumption). Additional efficacy, pharmacokinetic, usability, safety, and immunogenicity endpoints were evaluated.

results648 subjects were randomized (324 CT-P17; 324 EU-adalimumab). The ACR20 response rate at week 24 was 82.7% (n = 268/324) in both groups (intention-to-treat population). The 95% CI (- 5.94 to 5.94) and 90% CI (- 4.98 to 4.98) were within predefined equivalence margins for both assumptions and equivalent efficacy was concluded. Additional endpoints and overall safety were comparable between groups. Mean trough serum concentrations of CT-P17 were slightly higher than those of EU-adalimumab. Immunogenicity was slightly lower numerically for the CT-P17 group than for the EU-adalimumab group.

conclusionsCT-P17 and EU-adalimumab have equivalent efficacy and comparable safety and immunogenicity in subjects with active RA. Overall safety of CT-P17 is consistent with the known safety profile of reference adalimumab.

trial registrationClinicalTrials.gov, NCT03789292 . Registered 28 December 2018-retrospectively registered.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsAdalimumabDouble-Blind MethodHumansTomography, X-Ray ComputedTreatment OutcomeAdalimumabAntirheumatic AgentsBiosimilar PharmaceuticalsAdalimumabBiologicsBiosimilarsComparative effectivenessImmunogenicityMonoclonal antibodiesRheumatoid arthritisSafetyTumor necrosis factor inhibitors

Identifiers

PMID33546755
PMCPMC7863328
OpenAlexW3127478789

What OpenQuestion holds

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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.