Evidence map›Paper›PMID 34089587›Full record

Observational studyJournal of Crohn's & colitis2021

Effectiveness and Safety of Adalimumab Biosimilar SB5 in Inflammatory Bowel Disease: Outcomes in Originator to SB5 Switch, Double Biosimilar Switch and Bio-Naïve SB5 Observational Cohorts.

Lauranne A A P Derikx, Heather W Dolby, Nikolas Plevris, Laura Lucaciu, Caitlin S Rees, Mathew Lyons, Spyros I Siakavellas, Nathan Constantine-Cooke, Philip Jenkinson, Shanna Su and 7 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of Crohn's & colitis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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.

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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Switching from One Biosimilar to Another Biosimilar of the Same Reference Biologic: A Systematic Review of Studies.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. 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
  9. Review
  10. Review
  11. Article
  12. Review
  13. Biosimilars in IBD: What Every Clinician Needs to Know.Current gastroenterology reports · 2024
    Review
  14. An Update on Anti-TNF Biosimilar Switching-Real-World Clinical Effectiveness and Safety.Journal of the Canadian Association of Gastroenterology · 2024
    Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

17 authors at 2 institutions in 2 countries.

Lauranne A A P DerikxEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0002-4081-8451
Heather W DolbyEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Nikolas PlevrisEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0002-3229-8759
Laura LucaciuEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0002-6310-2384
Caitlin S ReesEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Mathew LyonsEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Spyros I SiakavellasEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Nathan Constantine-CookeMRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK.
Philip JenkinsonEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0002-0201-7602
Shanna SuEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Claire O'HareEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Laura KirckpatrickEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Lynne M MerchantEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Colin NobleEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Ian D ArnottEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0003-3352-9253
Gareth-Rhys JonesEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0001-7355-2357
Charlie W LeesEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0002-0732-8215
Western General Hospital · GBRadboud University Nijmegen · NL

Funding

Medical Research Council MR/S034919/1UK Research and Innovation
6 · The paper itself

Abstract

BACKGROUND AND

aimsMultiple adalimumab [ADA] biosimilars are now approved for use in inflammatory bowel disease [IBD]; however, effectiveness and safety data remain scarce. We aimed to investigate long-term outcomes of the ADA biosimilar SB5 in IBD patients following a switch from the ADA originator [SB5-switch cohort] or after start of SB5 [SB5-start cohort].

methodsWe performed an observational cohort study in a tertiary IBD referral centre. All IBD patients treated with Humira underwent an elective switch to SB5. We identified all these patients in a biological prescription database that prospectively registered all ADA start and stop dates including brand names. Data on IBD phenotype, C-reactive protein [CRP], drug persistence, ADA drug and antibody levels, and faecal calprotectin were collected.

resultsIn total, 481 patients were treated with SB5, 256 in the SB5-switch cohort (median follow-up: 13.7 months [IQR 8.6-15.2]) and 225 in the SB5-start cohort [median follow-up: 8.3 months [4.2-12.8]). Of the SB5-switch cohort, 70.8% remained on SB5 beyond 1 year; 90/256 discontinued SB5, mainly due to adverse events [46/90] or secondary loss of response [37/90]. In the SB5-start cohort, 81/225 discontinued SB5, resulting in SB5-drug persistence of 60.3% beyond 1 year. No differences in clinical remission [p = 0.53], CRP [p = 0.80], faecal calprotectin [p = 0.40] and ADA trough levels [p = 0.55] were found between baseline, week 26 and week 52 following switch. Injection site pain was the most frequently reported adverse event.

conclusionSwitching from ADA originator to SB5 appeared effective and safe in this study with over 12 months of follow-up.

Indexed as

AdalimumabAdolescentAdultBiosimilar PharmaceuticalsCohort StudiesDatabases, FactualDisease-Free SurvivalFemaleGastrointestinal AgentsHumansInflammatory Bowel DiseasesMaleProspective StudiesRetrospective StudiesScotlandState MedicineAdalimumabBiosimilar PharmaceuticalsGastrointestinal AgentsbiosimilarCrohn’s diseaseulcerative colitis

Identifiers

PMID34089587
PMCPMC8684477
OpenAlexW3167168161

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.