A randomised, double-blind, parallel-group study to demonstrate equivalence in efficacy and safety of CT-P13 compared with innovator infliximab when coadministered with methotrexate in patients with active rheumatoid arthritis: the PLANETRA study
| Autor: | Omid Zamani, Luis Morales-Olazabal, Dae Hyun Yoo, Mariusz Piotrowski, Pedro Miranda, Nenad Prodanovic, Sergii Shevchuk, Michael L. Tee, HoUng Kim, Edgar Ramiterre, Sang Joon Lee, Renato Jimenez, Volodymyr Kovalenko, Won Park, Mauricio Abello-Banfi, Paweł Hrycaj, Ulf Müller-Ladner, Sergio Gutierrez-Ureña |
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| Rok vydání: | 2013 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Immunology Population General Biochemistry Genetics and Molecular Biology Arthritis Rheumatoid Rheumatology Internal medicine Clinical endpoint Humans Immunology and Allergy Medicine Spondylitis Ankylosing skin and connective tissue diseases education education.field_of_study business.industry Antibodies Monoclonal Clinical and Epidemiological Research medicine.disease Infliximab Methotrexate Antirheumatic Agents Immunoglobulin G Pharmacodynamics Rheumatoid arthritis Female business Rheumatism medicine.drug |
| Zdroj: | Annals of the Rheumatic Diseases |
| ISSN: | 1468-2060 0003-4967 |
| Popis: | Objectives To compare the efficacy and safety of innovator infliximab (INX) and CT-P13, an INX biosimilar, in active rheumatoid arthritis patients with inadequate response to methotrexate (MTX) treatment. Methods Phase III randomised, double-blind, multicentre, multinational, parallel-group study. Patients with active disease despite MTX (12.5–25 mg/week) were randomised to receive 3 mg/kg of CT-P13 (n=302) or INX (n=304) with MTX and folic acid. The primary endpoint was the American College of Rheumatology 20% (ACR20) response at week 30. Therapeutic equivalence of clinical response according to ACR20 criteria was concluded if the 95% CI for the treatment difference was within ±15%. Secondary endpoints included ACR response criteria, European League Against Rheumatism (EULAR) response criteria, change in Disease Activity Score 28 (DAS28), Medical Outcomes Study Short-Form Health Survey (SF-36), Simplified Disease Activity Index, Clinical Disease Activity Index, as well as pharmacokinetic (PK) and pharmacodynamic (PD) parameters, safety and immunogenicity. Results At week 30, ACR20 responses were 60.9% for CT-P13 and 58.6% for INX (95% CI −6% to 10%) in the intention-to-treat population. The proportions in CT-P13 and INX groups achieving good or moderate EULAR responses (C reactive protein (CRP)) at week 30 were 85.8% and 87.1%, respectively. Low disease activity or remission according to DAS28–CRP, ACR–EULAR remission rates, ACR50/ACR70 responses and all other PK and PD endpoints were highly similar at week 30. Incidence of drug-related adverse events (35.2% vs 35.9%) and detection of antidrug antibodies (48.4% vs 48.2%) were highly similar for CT-P13 and INX, respectively. Conclusions CT-P13 demonstrated equivalent efficacy to INX at week 30, with a comparable PK profile and immunogenicity. CT-P13 was well tolerated, with a safety profile comparable with that of INX. ClinicalTrials.gov Identifier NCT01217086 |
| Databáze: | OpenAIRE |
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