Evidence map›Paper›PMID 34338481›Full record

Trial reportJBRA assisted reproduction2021

Efficacy, safety, and immunogenicity of a biosimilar recombinant human follicle-stimulating hormone (Folitime®) vs. Gonal-f® in women undergoing ovarian stimulation for IVF: A randomized, multicenter, evaluator-blinded, non-inferiority study.

Agustín Pasqualini, Claudio Ruhlmann, Gustavo Angel Botti, Daniel Eduardo Estofán, Sergio Pasqualini, Florencia Inciarte, Felicitas Ruhlmann, Carla Lopez, Celina Palena, Ezequiel Klimovsky and 4 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in JBRA assisted reproduction, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 46% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

14 authors at 1 institution in 1 country.

Agustín PasqualiniHalitus Instituto Médico, Ciudad Autónoma de Buenos Aires, Argentina.
Claudio RuhlmannInstituto Medico de Alta Complejidad San Isidro, San Isidro, Buenos Aires, Argentina.
Gustavo Angel BottiLaboratorio Biológico PROAR SRL, Rosario Santa Fe, Argentina.
Daniel Eduardo EstofánCentro Integral de Ginecología Obstetricia y Reproduccion (CIGOR), Córdoba, Córdoba - Argentina.
Sergio PasqualiniHalitus Instituto Médico, Ciudad Autónoma de Buenos Aires, Argentina.
Florencia InciarteHalitus Instituto Médico, Ciudad Autónoma de Buenos Aires, Argentina.
Felicitas RuhlmannInstituto Medico de Alta Complejidad San Isidro, San Isidro, Buenos Aires, Argentina.
Carla LopezLaboratorio Biológico PROAR SRL, Rosario Santa Fe, Argentina.
Celina PalenaCentro Integral de Ginecología Obstetricia y Reproduccion (CIGOR), Córdoba, Córdoba - Argentina.
Ezequiel KlimovskyQUID Quality In Drugs SRL, Ciudad Autónoma de Buenos Aires, Argentina.
Andrea FedericoQUID Quality In Drugs SRL, Ciudad Autónoma de Buenos Aires, Argentina.
Eliseo GonzalezNestor Lago, MD Gema Biotech SAU, Ciudad Autónoma de Buenos Aires, Argentina.
Lucas CordeiroNestor Lago, MD Gema Biotech SAU, Ciudad Autónoma de Buenos Aires, Argentina.
Nestor LagoNestor Lago, MD Gema Biotech SAU, Ciudad Autónoma de Buenos Aires, Argentina.
Halitus Instituto Médico · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe compared the efficacy, safety, and immunogenicity of a biosimilar recombinant human follicle-stimulating hormone (Folitime®) with Gonal-f® in women undergoing ovarian stimulation for in-vitro fertilization.

methodsThis randomized (1:1), multicenter, assessor-blinded, non-inferiority, parallel-group, controlled study conducted at four infertility clinics in Argentina included infertile normogonadotropic women with ages below 39 years, with menstrual cycles of 25/35 days and a body mass index of 18-32 kg/m2 undergoing assisted reproductive technology therapy. During a 5-day fixed-dose phase, the women received 225 IU/day of Folitime® (n=49) or Gonal-f® (n=44), followed by a dose-adaptation phase up to a maximum of 450 IU/day. The non-inferiority margin for oocyte retrieval was estimated at -4 oocytes (one-sided test). Immunogenicity was investigated on days 9 and 84, following the start of treatment.

resultsThe mean number of oocytes retrieved was 12.6 (SD 7.4) in the Folitime® group and 13.4 (SD 6.9) in the Gonal-f® group (per protocol analysis, 95% confidence interval = -3.82; 2.33), within the non-inferiority margin. Pregnancy rate at week 10 was 24.4% among subjects treated with Folitime® and 19.5% for subjects treated with Gonal-f®. One serious adverse drug reaction-late mild ovarian hyper stimulation syndrome and deep venous thrombosis in the left deep jugular vein-occurred in a subject treated with Folitime®. None of the subjects developed antibodies against the study drugs. There were no unexpected safety findings.

conclusionsFolitime® is non-inferior to Gonal-f®, with no differences in the safety profile and has been approved as a biosimilar in Argentina.

Indexed as

Biosimilar PharmaceuticalsAdultFemaleFertilization in VitroFollicle Stimulating Hormone, HumanHumansOvulation InductionPregnancyRecombinant ProteinsBiosimilar PharmaceuticalsFollicle Stimulating Hormone, Humanfollitropin alfaRecombinant ProteinsbiosimilarFolitime®Gonal-f®in-vitro fertilizationrecombinant FSH

Identifiers

PMID34338481
PMCPMC8489821
OpenAlexW3182063684

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.