PMID- 29764238 OWN - NLM STAT- MEDLINE DCOM- 20190204 LR - 20190215 IS - 1744-7593 (Electronic) IS - 1742-5247 (Linking) VI - 15 IP - 6 DP - 2018 Jun TI - Successful administration of BI 695501, an adalimumab biosimilar, using an autoinjector (AI): results from a Phase II open-label clinical study (VOLTAIRE((R))-RL). PG - 545-548 LID - 10.1080/17425247.2018.1472572 [doi] AB - BACKGROUND: This study examined the patient handling experience and self-injection success of patients with rheumatoid arthritis (RA) administering BI 695501 using an AI. METHODS: This Phase II, 7-week, open-label, interventional study (NCT02636907) included adult patients with moderately to severely active RA not adequately controlled by DMARDs, with no experience of self-injecting with AI/pen. Patients self-injected BI 695501 via AI every 2 weeks in the AI Assessment Period (AAP). Training was given on first injection; AI handling events were recorded. Percentage of self-injection success was the primary end point. Patients could enter a 42-week pre-filled syringe (PFS) safety extension. RESULTS: The AAP was completed by 73/77 patients. In total, 216/218 (99.1%) self-injections on Days 15, 29, and 43, were successful. Nine (11.7%) patients had drug-related adverse events (AEs). Two patients reported four serious AEs (SAEs), none drug-related. Overall (in the AAP and PFS extension), 28 (36.4%) patients had drug-related AEs; nine patients had SAEs, one was considered drug-related. Five (6.5%) patients reported injection-site reactions in the AAP; 13 (18.1%) in the PFS extension. CONCLUSIONS: After training, almost all patients were successfully able to self-administer BI 695501 using an AI. BI 695501 via AI (and via PFS in the extension) was well tolerated. CLINICAL TRIAL REGISTRATION: NCT02636907. FAU - Cohen, Stanley AU - Cohen S AD - a Metroplex Clinical Research Center , Dallas , USA. FAU - Klimiuk, Piotr A AU - Klimiuk PA AD - b Medical University of Bialystok and Gabinet Internistyczno-Reumatologiczny , Bialystok , Poland. FAU - Krahnke, Tillmann AU - Krahnke T AD - c Cogitars GmbH , Heidelberg , Germany. FAU - Assudani, Deepak AU - Assudani D AD - d Boehringer Ingelheim , Ingelheim a.R. , Germany. LA - eng SI - ClinicalTrials.gov/NCT02636907 PT - Clinical Trial, Phase II PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180515 PL - England TA - Expert Opin Drug Deliv JT - Expert opinion on drug delivery JID - 101228421 RN - 0 (Antirheumatic Agents) RN - 0 (Biosimilar Pharmaceuticals) RN - FYS6T7F842 (Adalimumab) SB - IM MH - Adalimumab/*administration & dosage MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antirheumatic Agents/*administration & dosage MH - Arthritis, Rheumatoid/*drug therapy MH - Biosimilar Pharmaceuticals/*administration & dosage MH - Female MH - Humans MH - Injections MH - Male MH - Middle Aged MH - Self Administration MH - Syringes MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Adalimumab OT - BI 695501 OT - autoinjector OT - biosimilar OT - rheumatoid arthritis EDAT- 2018/05/17 06:00 MHDA- 2019/02/05 06:00 CRDT- 2018/05/17 06:00 PHST- 2018/05/17 06:00 [pubmed] PHST- 2019/02/05 06:00 [medline] PHST- 2018/05/17 06:00 [entrez] AID - 10.1080/17425247.2018.1472572 [doi] PST - ppublish SO - Expert Opin Drug Deliv. 2018 Jun;15(6):545-548. doi: 10.1080/17425247.2018.1472572. Epub 2018 May 15.