Evidence map›Paper›PMID 39709462›Full record

Trial reportArthritis research & therapy2024

Comparing immunogenicity and safety following transition from reference rituximab to biosimilar rituximab (DRL_RI) in patients with rheumatoid arthritis: a randomized, double-blind, phase 3 study.

Narendra Maharaj, Dharma Rao Uppada, Naveen Reddy, Pramod Reddy, Anastas Batalov, Delina Lvanova, Nedyalka Staykova, Asta Baranauskaite, Laila Amirali Hassan

Abstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Arthritis research & therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Biosimilars in Adult and Pediatric Noninfectious Uveitis.Clinical ophthalmology (Auckland, N.Z.) · 2026
    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

9 authors.

Narendra MaharajClinical Development - Biologics, Dr. Reddy's Laboratories Ltd., Bachupally, Hyderabad, 500090, India. narendramaharaj@drreddys.com.ORCID 0009-0002-6713-5447
Dharma Rao UppadaClinical Development - Biologics, Dr. Reddy's Laboratories Ltd., Bachupally, Hyderabad, 500090, India.
Naveen ReddyClinical Development - Biologics, Dr. Reddy's Laboratories Ltd., Bachupally, Hyderabad, 500090, India.
Pramod ReddyClinical Development - Biologics, Dr. Reddy's Laboratories Ltd., Bachupally, Hyderabad, 500090, India.
Anastas BatalovMedical Faculty, Medical University of Plovdiv, University Hospital "Kaspela", Clinic of Rheumatology, Plovdiv, 4000, Bulgaria.
Delina LvanovaDiagnostic and Consulting Center Aleksandrovska EOOD, Sofia, 1431, Bulgaria.
Nedyalka StaykovaOutpatient Clinic for Specialized Medical Help - Medical Center Kuchuk Paris OOD, Plovdiv, 4004, Bulgaria.
Asta BaranauskaiteLithuanian University of Health Sciences Kaunas, Kaunas, LT-50161, Lithuania.
Laila Amirali HassanMemorial Herman Northwest Hospital, Houston, TX, 77089, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess immunogenicity and safety in patients with active rheumatoid arthritis (RA) transitioning from rituximab [US-licensed rituximab: Reference Product (RP); EU-approved rituximab: Reference Medicinal Product (RMP)] to DRL_RI (proposed rituximab biosimilar), in comparison to those continuing on RP/RMP.

methodsThis double-blind, randomized, Phase 3 study included 140 RA patients having prior exposure to RP/RMP; transitioned to DRL_RI (n = 70) or continued with RP/RMP (n = 70) for two 1000 mg infusions on Days 1 and 15. Assessments included Time-matched Rituximab Concentration (TMRC), anti-drug antibodies (ADAs), neutralizing antibodies (NAbs) and ADA titre over 12 weeks, and safety follow-up till 26 weeks.

resultsThe mean age of subjects was 59.8 years (range: 24, 86) and the mean BMI was 27.76 kg/m

conclusionImmunogenicity was low and comparable in RA patients transitioning to DRL_RI or continuing on RP/RMP. The overall safety profile in patients transitioning to DRL_RI did not appear to differ in frequency, severity, or quality from patients continuing on RP/RMP and was in line with the known safety profile of rituximab.

trial registrationClinicalTrials.gov identifier NCT0426877 EudraCT:2019-002810-37 US IND 112766.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsRituximabAdultAgedAged, 80 and overDouble-Blind MethodFemaleHumansMaleMiddle AgedYoung AdultAntirheumatic AgentsBiosimilar PharmaceuticalsRituximabBiosimilarImmunogenicityRheumatoid arthritisRituximabSafetySwitchingTransition

Identifiers

PMID39709462
PMCPMC11662803

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Registered trials

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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.