Evidence map›Paper›PMID 38829416›Full record

ArticleOncology and therapy2024

Long-Term Safety and Effectiveness of Rituximab Biosimilar RTXM83: A Retrospective Extension Study in Brazilian Patients with Diffuse Large B-Cell Lymphoma.

Marcia Torresan Delamain, Ana Carolina Ferreira Cardoso, Fernando Vieira Pericole, Sérgio Shusterschitz da Silva Araújo, Laura Fogliatto, Marcia Higashi, Juliana Pereira, Roberto Luiz da Silva, Gustavo Werutsky, Patrícia de Paulo Giacon Radtke and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Oncology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04928573 (Retrospective Observational Study for Late Assessment of the Safety and Efficacy of Biosimilar Rituximab), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT04928573 completednot on this map

Retrospective Observational Study for Late Assessment of the Safety and Efficacy of Biosimilar Rituximab: a Subanalysis of the RTXM83-AC-01-11 Trial

TypeobservationalSponsorLibbs Farmacêutica LTDARan2022 to 2023Enrolled27ConditionsDiffuse Large B Cell Lymphoma
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Marcia Torresan DelamainDepartment of Internal Medicine, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.ORCID http://orcid.org/0000-0001-9071-4397
Ana Carolina Ferreira CardosoMedical Affairs, Libbs Farmacêutica, São Paulo, São Paulo, Brazil. ana.cardoso@libbs.com.br.ORCID http://orcid.org/0000-0002-9612-2285
Fernando Vieira PericoleHemocentro, Universidade de Campinas UNICAMP, Campinas, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-2369-0545
Sérgio Shusterschitz da Silva AraújoHospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.ORCID http://orcid.org/0000-0002-3944-7235
Laura FogliattoSanta Casa de Porto Alegre, Hospital das Clínicas de Porto Alegre, Porto Alegre, Brazil.ORCID http://orcid.org/0000-0002-0610-7971
Marcia HigashiHospital Amaral Carvalho, Jaú, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-2475-9954
Juliana PereiraLaboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology, Escola de Medicina da Universidade de São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-0655-2821
Roberto Luiz da SilvaInstituto Brasileiro de Controle do Câncer (IBCC), São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-5445-7194
Gustavo WerutskyClinical Research Center, Hospital São Lucas PUCRS, Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0001-6271-105X
Patrícia de Paulo Giacon RadtkeCasa de Saúde Santa Marcelina, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0009-0005-5733-2705
Marco Aurélio SalvinoUniversidade Federal da Bahia, Salvador, Bahia, Brazil.ORCID http://orcid.org/0000-0001-5885-869X
Vivienne CastilhoMedical Affairs, Libbs Farmacêutica, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-0784-6642

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRTXM83, a biosimilar of rituximab, was approved after physicochemical, functional, non-clinical, and clinical studies demonstrated their similarity; these studies included RTXM83-AC-01-11, a multicentric double-blind international prospective pivotal study. Long-term data on biosimilars can potentially elucidate their clinical robustness and facilitate their broader adoption.

methodsIn this retrospective observational study, we analyzed a dataset from a Brazilian cohort previously randomized in the RTXM83-AC-01-11 study followed by the assessment of long-term outcomes in an observational extension phase from randomization in the RTXM83-AC-01-11 study to the last recorded evaluation. Patients with diffuse large B cell lymphoma (DLBCL) received either reference rituximab (R) or RTXM83 plus cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) as adjuvant treatment.

resultsThe median follow-up period was 77.0 months. Patients with initial DLBCL stages III and IV comprised 50% of the R-CHOP group and 40% of the biosimilar group. Five (18.5%) patients, including two RTXM83-CHOP-treated and three R-CHOP-treated individuals, experienced late adverse events (AEs) of interest. No new safety signs were established. At the final assessment, the progression-free survival (PFS) rates were 93.3% and 50.0% in the RTXM83-CHOP and R-CHOP groups, respectively. Median PFS was not achieved in the RTXM83-CHOP group, which was 40.5 months in the R-CHOP group. The overall survival (OS) rates were 100% and 66.7% in the RTXM83-CHOP and R-CHOP groups, respectively. The median OS was not reached in any group.

conclusionThis study demonstrated the long-term safety and effectiveness of RTXM83 in treating DLBCL; outcomes comparable to those of the reference product and potentially improved access to treatment have been indicated. However, further research with more diverse patient groups can validate these findings and advocate the broader adoption of biosimilars in cancer care.

trial registrationClinicalTrials.gov Identifier: NCT04928573. June 16, 2021, "retrospectively registered".

Indexed as

BiosimilarDiffuse large B-cell lymphomaEffectivenessLong-term dataRituximabSafetyVivaxxia®

Identifiers

PMID38829416
PMCPMC11333413

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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.