Evidence map›Paper›PMID 35296993›Full record

Observational studyAdvances in therapy2022

Impact of Infliximab-dyyb (Infliximab Biosimilar) on Clinical and Patient-Reported Outcomes: 1-Year Follow-up Results from an Observational Real-World Study Among Patients with Inflammatory Bowel Disease in the US and Canada (the ONWARD Study).

Bincy Abraham, Bertus Eksteen, Khan Nedd, Hrishikesh Kale, Dipen Patel, Jennifer Stephens, Ahmed Shelbaya, Richard Chambers, Arif Soonasra

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Advances in therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03801928 (OBSERVATIONAL, REAL WORLD STUDY OF INFLECTRA IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 43% 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.

NCT03801928 completednot on this map

Observational, real world study of inflectra in patients with inflammatory bowel disease (ibd) in the united states and canada

TypeobservationalSponsorPfizerRan2018 to 2020Enrolled118ConditionsInflammatory Bowel Disease (IBD), Crohn's Disease (CD), Ulcerative Colitis (UC)ArmsInflectra
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

9 authors at 4 institutions in 1 country.

Bincy AbrahamHouston Methodist Hospital, Houston, TX, USA.
Bertus EksteenAspen Woods Clinic, Calgary, AB, Canada.
Khan NeddInfusion Associates, Grand Rapids, MI, USA.
Hrishikesh KaleOPEN Health, 4350 East-West Hwy #1100, Bethesda, MD, 20814, USA.
Dipen PatelOPEN Health, 4350 East-West Hwy #1100, Bethesda, MD, 20814, USA.
Jennifer StephensOPEN Health, 4350 East-West Hwy #1100, Bethesda, MD, 20814, USA. jenniferstephens@openhealthgroup.com.
Ahmed ShelbayaMailman School of Public Health, Columbia University, New York, NY, USA.
Richard Chambers, Pfizer, PA, USA.
Arif Soonasra, Pfizer, PA, USA.
Pfizer (United States) · USColumbia University · USInfusion Associates · USMethodist Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo date, there are limited real-world studies published on the use of infliximab-dyyb, a biosimilar to reference product (RP) infliximab approved for the treatment of moderate to severe inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC) in North America. This study examined utilization patterns and the effects of infliximab-dyyb on clinical outcomes, patient-reported outcomes (PROs), and healthcare resource use (HCRU) in IBD patients in a real-world setting.

methodsIn this prospective, observational study, adult IBD patients in the US and Canada were recruited to initiate treatment with infliximab-dyyb and followed for 12 months. Patients included biologic-naïve users of infliximab-dyyb and patients switching from RP infliximab or other biologics to infliximab-dyyb. Partial Mayo (pMAYO) and Harvey Bradshaw Index (HBI) scores measured clinical outcomes for the UC and CD cohorts, respectively. Key PRO measures included the SIBDQ, EQ-VAS, and psychological outcomes. In addition, work productivity, HCRU, and adverse events (AEs) were assessed.

resultsA total of 67 CD and 48 UC patients were enrolled (51% female; mean age 44 years; 87% Caucasian; mean BMI 27.9). Thirty-nine patients were biologic-naïve, 57 switched from RP infliximab, and 19 switched from other biologics. Among UC biologic-naïve users, pMAYO decreased from 5.67 to 1.09 (p < 0.0001) and the remission rate increased from 5.6 to 90.9% (p = 0.0015). For UC patients switching from RP infliximab, pMAYO decreased from 1.38 to 0.29 (p = 0.0103). For CD biologic-naïve users, HBI scores and remission rates did not significantly change. The scores on all the PROs significantly improved from baseline to 12 months. A total of 22 AEs occurred consistent with the known AE profile for infliximab.

conclusionsClinical outcomes among biologic-naïve users of infliximab-dyyb improved for UC and were maintained for CD patients. Biologic-naïve users of infliximab-dyyb showed significant improvements in PROs. Patients switching from RP infliximab to infliximab-dyyb maintained their clinical outcomes and PROs.

trial registrationClinicalTrials.gov Registration Number: NCT03801928 (February 23, 2018).

Indexed as

Biosimilar PharmaceuticalsColitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesAdultChronic DiseaseFemaleFollow-Up StudiesGastrointestinal AgentsHumansInfliximabMalePatient Reported Outcome MeasuresProspective StudiesBiosimilar PharmaceuticalsGastrointestinal AgentsInfliximabBiosimilarsExploratory Treatment Effectiveness StudyInflammatory bowel diseaseInfliximabReal-world outcomes

Identifiers

PMID35296993
PMCPMC9056488
OpenAlexW4221019027

What OpenQuestion holds

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LicenceCC BY-NC
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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.