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EDITORIAL ARTICLE
Biosymilars in the treatment of rheumatic diseases
 
 
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Online publication date: 2013-12-24
 
 
Reumatologia 2013;51(6):399-408
 
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ABSTRACT
The availability of biosimilar versions of biopharmaceuticals with comparative efficacy and safety but at a lower cost may increase the number of patients treated with biological agents. CT-P13 is a biosimilar infliximab that was compared to innovator infliximab in two clinical trials to assess its potential non-inferiority to the reference product according to the EMA guidelines. The PLANETRA trial was a phase III study that evaluated the efficacy and safety of CT-P13 compared to infliximab in combination with methotrexate in 602 patients with active rheumatoid arthritis. The PLANETAS trial was a phase I study that compared the pharmacokinetics, efficacy and safety of both agents as monotherapy in 250 patients with ankylosing spondylitis. Both studies are the first clinical trials to demonstrate unequivocal efficacy and safety of a biosimilar for the treatment.
REFERENCES (16)
1.
Dranitsaris G, Amir E, Dorward K. Biosimilars of biological drug therapies: regulatory, clinical and commercial considerations. Drug 2011; 71: 1527-1536.
 
2.
Kresse GB. Biosimilars – science, status and strategic perspectives. Eur J Pharm Biopharm 2009; 72: 479-486.
 
3.
World Health Organization. Expert committee on biological standarization Geneva, 19 to 23 October 2009. Guidelines on evaluation of similar biotherapeutics products [SBPs], http:/www. who.int/biological/areas/biological_therapeutics/BIOTHERAPEUTICS_FOR –WEB_22APRIL2010.pdg (accessed 10 Sep 2012).
 
5.
Schiestl M, Stangler T, Torella C, et al. Acceptable changes in quality attributes of glycosylated biopharmaceuticals. Nat Biotech 2011; 29: 310-312.
 
6.
European Medicines Agency. Guideline on similar biological medicinal products containing monoclonal antibodies – non-clinical and clinical issues. http://www.ema.europa.eu/docs/....
 
7.
European Medicines Agency. Summary of opinion (initial authorisation) Remsima (infliximab). http://www.ema.europa.eu/ docs/en_GB/document_library/Summary_of_opinion_-_Initial_authorisation/human/002576/WC500144832.pdf].
 
8.
Maini R, St Clair EW, Breedveld F, et al. Infliximab (chimeric anti-tumour necrosis factor alpha monoclonal antibody) versus placebo in rheumatoid arthritis patients receiving concomitant methotrexate: a randomised phase III trial. ATTRACT Study Group. Lancet 1999; 354: 1932-1939.
 
9.
Lipsky PE, van der Heijde DM, St Clair EW, et al.; Anti-Tumor Necrosis Factor Trial in Rheumatoid Arthritis with Concomitant Therapy Study Group. Infliximab and methotrexate in the treatment of rheumatoid arthritis. Anti-Tumor Necrosis Factor Trial in Rheumatoid Arthritis with Concomitant Therapy Study Group. N Engl J Med 2000; 343: 1594-1602.
 
10.
Yoo DH, Hrycaj P, Miranda P, et al. A randomized, 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. Ann Rheum Dis 2013; May 21 [Epub ahead print].
 
11.
Dranitsaris G, Dorward K, Hatzimichael E, Amir E. Clinical trial design in biosimilar drug development. Invest New Drugs 2013; 31: 479-487. .
 
12.
Fletcher MP. Biosimilars clinical development program: confirmatory clinical trials: a virtual/simulated case study comparing equivalence and non-inferiority approaches. Biologicals 2011; 39: 270-277.
 
13.
Westhovens R, Yocum D, Han J, et al. The safety of infliximab, combined with background treatments, among patients with rheumatoid arthritis and various comorbidities: a large, randomized, placebo-controlled trial. Arthritis Rheum 2006; 54: 1075-1086.
 
14.
Yoo DH, Racewicz A, Brzezicki J, et al. A phase 3 randomized controlled trial to compare CT-P13 with infliximab in patients with active rheumatoid arthritis: 54 week results from the PLANETRA study. Ann Rheum Dis 2013; 72: OP0068 (Suppl 3).
 
15.
Park W, Hrycaj P, Jeka S, et al. A randomised, double-blind, multicentre paralel – group, prospective study comparing pharmacokinetics, safety, and efficacy of CT-P13 and innovator infliximab in patients with ankylosing spondylitis: the PLANETAS study, Ann Rheum Dis 2013; May 16 [Epub ahead of print]. .
 
16.
Park W, Jaworski J, Brzezicki J, et al. A randomized, double-blind, paralel-group, phase 1 study comparing the pharmacokinetics, safety and efficacy of CT-P13 and infliximab in patients with active ankylosing spondylitis: 54 week results from the PLANETAS study. Ann Rheum Dis 2013; 72; FRI0421 (Suppl 3).
 
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ISSN:0034-6233
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