Evidence map›Paper›PMID 40297206›Full record

ArticleTherapeutic advances in gastroenterology2025

Switch acceptance and persistence of adalimumab biosimilars in IBD patients: a prospective observational study.

Gabrielle D'Abbundo, Maria Nachury, Alice Wartski, Aurélie Blondeaux, Sofia Hambli, Romain Gérard, Pierre Desreumaux, Nicolas Duveau, Pauline Wils

Abstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Review
  2. Article
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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.

Gabrielle D'AbbundoDepartment of Gastroenterology, Claude Huriez Hospital, University of Lille 2, Lille, France.
Maria NachuryDepartment of Gastroenterology, Claude Huriez Hospital, University of Lille 2, Lille, France.
Alice WartskiDepartment of Gastroenterology, Claude Huriez Hospital, University of Lille 2, Lille, France.
Aurélie BlondeauxDepartment of Gastroenterology, Claude Huriez Hospital, University of Lille 2, Lille, France.
Sofia HambliDepartment of Gastroenterology, Claude Huriez Hospital, University of Lille 2, Lille, France.
Romain GérardDepartment of Gastroenterology, Claude Huriez Hospital, University of Lille 2, Lille, France.
Pierre DesreumauxDepartment of Gastroenterology, Claude Huriez Hospital, University of Lille 2, Lille, France.
Nicolas DuveauDepartment of Gastroenterology, Victor Provo Hospital of Roubaix, Roubaix, France.
Pauline WilsService des Maladies de l'Appareil Digestif, Centre Hospitalier Claude Huriez, 1 Rue Michel Polonovski, Lille 59000, France.ORCID https://orcid.org/0000-0002-7684-6067

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prospective data about the acceptance and outcomes of switching from the adalimumab (ADA) reference product (RP) to multiple ADA biosimilars in inflammatory bowel disease (IBD) patients are lacking. Objectives: To evaluate the acceptance rate of switching from the ADA RP to ADA biosimilars, identify factors associated with non-acceptance, assess persistence at 6 and 12 months, determine reasons for discontinuation, analyze changes in disease activity, and explore patient perceptions at 12 months. Design: A prospective study was conducted at a French tertiary center between July 2020 and September 2021, including consecutive IBD outpatients treated with ADA RP for over 6 weeks. Methods: Patients were offered a switch to five different ADA biosimilars, with the presence of a trained nurse. Data were collected on acceptance rates, persistence at 6 and 12 months, discontinuation reasons, disease activity, and patient perceptions using a 5-item questionnaire at 12 months. Results: Of the 97 patients included, 91.8% accepted the switch. The only factor linked to non-acceptance was a poor opinion of generic drugs. Persistence with the initial ADA biosimilar was 68.6% at 6 months and 60.4% at 12 months. The overall survival rate without biosimilar discontinuation was 76.7% at 6 months and 71% at 12 months. Injection site pain (24.7%) was the leading cause of discontinuation, and 22 patients switched back to the ADA originator. Clinical remission was maintained in 90.4% of patients at 12 months. Among respondents, 65.8% reported a positive experience with the switch. Conclusion: The study demonstrates high acceptance and favorable outcomes for switching to ADA biosimilars in IBD patients, including sustained efficacy and good treatment persistence. These findings suggest that switching to ADA biosimilars is a viable option for IBD patients, with positive results in terms of both clinical effectiveness and patient adherence.

Indexed as

acceptanceadalimumabbiosimilarinflammatory bowel diseasesswitch

Identifiers

PMID40297206
PMCPMC12035160

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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.