Evidence map›Paper›PMID 34941914›Full record

Trial reportPloS one2021

Comparison of biosimilar Tigerase and Pulmozyme in long-term symptomatic therapy of patients with cystic fibrosis and severe pulmonary impairment (subgroup analysis of a Phase III randomized open-label clinical trial (NCT04468100)).

Elena L Amelina, Stanislav A Krasovsky, Nina E Akhtyamova-Givirovskaya, Nataliya Yu Kashirskaya, Diana I Abdulganieva, Irina K Asherova, Ilya E Zilber, Liliya S Kozyreva, Lubov M Kudelya, Natalya D Ponomareva and 9 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04468100 (A Multicenter Prospective Randomized Comparative Study of Pharmacokinetics, Clinical Efficacy and Safety of Tigerase®), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 38% 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.

NCT04468100 phase3completednot on this map

A Multicenter Prospective Randomized Comparative Study of Pharmacokinetics, Clinical Efficacy and Safety of Tigerase® (JSC GENERIUM, Russia) vs. Pulmozyme® (Hoffmann-La Roche, Switzerland) as Part of Complex Therapy in Patients With Cystic Fibrosis

TypeinterventionalSponsorAO GENERIUMRan2017 to 2018Enrolled100ConditionsCystic Fibrosis, FibrosisArmsTigerase®, Pulmozyme®
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Nebuliser systems for drug delivery in cystic fibrosis.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Cell-Free DNA-Based Theranostics for Inflammatory Disorders.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  3. 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

19 authors at 10 institutions in 1 country.

Elena L AmelinaState Budgetary Healthcare Facility of Moscow City D.D. Pletnyov City Clinical Hospital of the Department of Healthcare of Moscow, Moscow, Russia.
Stanislav A KrasovskyState Budgetary Healthcare Facility of Moscow City D.D. Pletnyov City Clinical Hospital of the Department of Healthcare of Moscow, Moscow, Russia.
Nina E Akhtyamova-GivirovskayaJSC GENERIUM, Moscow, Russia.ORCID 0000-0002-4548-7532
Nataliya Yu KashirskayaResearch Centre for Medical Genetics, Moscow, Russia.
Diana I AbdulganievaDepartment of Hospital Therapy, Federal State Budgetary Educational Institution of Higher Education Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan, Russia.
Irina K AsherovaState Healthcare Institution of Yaroslavl Region Children's Clinical Hospital No. 1, Cystic Fibrosis Centre, Yaroslavl, Russia.
Ilya E ZilberState Autonomous Healthcare Institution of Yaroslavl Region Clinical Hospital No. 2, Yaroslavl, Russia.
Liliya S KozyrevaState Budgetary Healthcare Institution G.G. Kuvatov Republican Clinical Hospital, Republic of Bashkortostan, Russia.
Lubov M KudelyaState Budgetary Healthcare Institution of Novosibirsk Region State Novosibirsk Regional Clinical Hospital, Novosibirsk, Russia.
Natalya D PonomarevaState Budgetary Healthcare Institution of Sverdlovsk Region Sverdlovsk Regional Clinical Hospital No. 1, Yekaterinburg, Russia.
Nataliya P Revel-MurozState Budgetary Healthcare Institution Chelyabinsk Regional Clinical Hospital, Chelyabinsk, Russia.
Elena M ReutskayaKrai State Budgetary Healthcare Institution Krai Clinical Hospital (KSBHI Krai Clinical Hospital), Barnaul, Russia.
Tatiana A StepanenkoState Budgetary Healthcare Institution Municipal Multidisciplinary Hospital No. 2, Saint Petersburg, Russia.
Gulnara N SeitovaFederal State Budgetary Scientific Institution Tomsk National Research Medical Centre of the Russian Academy of Sciences (Tomsk NRMC), Clinic of Genetics, Research Scientific Institute of Medical Genetics, Tomsk, Russia.
Olga P UkhanovaResearch Medical Centre for General Therapy and Pharmacology, Limited Liability Company, Stavropol, Russia.
Olga V MagnitskayaDepartment of Clinical Pharmacology and Intensive Care, Volgograd State Medical University, Volgograd, Russia.
Dmitry A KudlayJSC GENERIUM, Moscow, Russia.
Oksana A MarkovaJSC GENERIUM, Moscow, Russia.
Elena V GapchenkoJSC GENERIUM, Moscow, Russia.
Genetika · RUCity Clinical Hospital · RUGOUZ YaO "Solovyov NV Clinical Emergency Hospital" · RUKazan State Medical University · RURegional State Budget Health Care Institution "Regional Clinical Hospital" · RURepublican Clinical Hospital named after G.G. Kuvatova · RUResearch Centre for Medical Genetics · RUStavropol State Medical University · RUSt. Petersburg State Medical Academy "City Hospital No. 26" · RUVolgograd State Medical University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with cystic fibrosis (CF) need costly medical care and adequate therapy with expensive medicinal products. Tigerase® is the first biosimilar of dornase alfa, developed by the lead Russian biotechnology company GENERIUM. The aim of the manuscript to present post hoc sub-analysis of patients' data with cystic fibrosis and severe pulmonary impairment of a larger comparative study (phase III open label, prospective, multi-centre, randomized study (NCT04468100)) of a generic version of recombinant human DNase Tigerase® to the only comparable drug, Pulmozyme®.

methodsIn the analyses included subgroup of 46 severe pulmonary impairment patients with baseline FEV1 level 40-60% of predicted (23 patients in each treatment group) out of 100 patients registered in the study phase III open label, prospective, multi-center, randomized study (NCT04468100), and compared efficacy endpoints (FEV1, FVC, number and time of exacerbations, body weight, St.George's Respiratory Questionnaire) as well as safety parameters (AEs, SAEs, anti-drug antibody) within 24 treatment weeks.

resultsAll outcomes were comparable among the studied groups. In the efficacy dataset, the similar mean FEV1 and mean FVC changes for 24 weeks of both treatment groups were observed. The groups were also comparable in safety, all the secondary efficacy parameters and immunogenicity.

conclusionsThe findings from this study support the clinical Tigerase® biosimilarity to Pulmozyme® administered in CF patients with severe impairment of pulmonary function.

Indexed as

AdultBiosimilar PharmaceuticalsCystic FibrosisDeoxyribonuclease IDeoxyribonucleasesExpectorantsFemaleForced Expiratory VolumeHumansLungLung DiseasesMaleMiddle AgedMucociliary ClearanceProspective StudiesRecombinant ProteinsBiosimilar PharmaceuticalsDeoxyribonuclease IDeoxyribonucleasesdornase alfaExpectorantsRecombinant Proteins

Identifiers

PMID34941914
PMCPMC8699637
OpenAlexW4200454277

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.