PMID- 31365335 OWN - NLM STAT- MEDLINE DCOM- 20200403 LR - 20220609 IS - 0392-856X (Print) IS - 0392-856X (Linking) VI - 38 IP - 2 DP - 2020 Mar-Apr TI - Retention rate and long-term safety of biosimilar CT-P13 in patients with ankylosing spondylitis: data from the Korean College of Rheumatology Biologics registry. PG - 267-274 LID - 10.55563/clinexprheumatol/z0va6o [doi] AB - OBJECTIVES: To evaluate the long-term drug retention, efficacy, and safety of the infliximab biosimilar CT-P13 in Korean patients with ankylosing spondylitis (AS) in clinical practice. The primary outcome was drug retention (i.e. time to treatment discontinuation or changing to another biologic) in Korean patients with AS. Additional outcomes included efficacy and safety. METHODS: Data were collected through the Korean College of Rheumatology Biologics (KOBIO) registry (ClinicalTrials.gov identifier: NCT01965132). CT-P13 efficacy was assessed using standard disease activity parameters, and safety was evaluated by adverse events (AEs). RESULTS: Between December 2012 and December 2017, 244 patients with AS treated with CT-P13 were enrolled. Of those, 203 (83.2%) received CT-P13 as first-line therapy. The median duration of treatment was 2.05 years. After 4 years' follow-up, the retention rate of CT-P13 in the overall patient population was 66%. Treatment changes or discontinuations occurred in 38 (15.6%) and 32 (13.1%) patients, respectively. Lack of efficacy was the most common reason for treatment changes, whereas AEs were the most common single cause of discontinuation. Disease activity decreased markedly from baseline following initiation of CT-P13 treatment, and thereafter remained stable. A total of 313 AEs occurred in 118 patients (48.4%); the majority (94.6%) were mild or moderate in severity. The most common treatment-related AEs were infusion or injection-site reactions (4.1% of patients), uveitis (3.7%), and skin rash (3.7%). CONCLUSIONS: In this real-world study, CT-P13 demonstrated encouraging drug retention rates and times, together with reasonable long-term efficacy and safety, in Korean patients with AS. FAU - Kim, Hyoun-Ah AU - Kim HA AD - Ajou University School of Medicine, Suwon, Republic of Korea. FAU - Lee, Eunyoung AU - Lee E AD - Ajou University School of Medicine, Suwon, Republic of Korea. FAU - Lee, Sun-Kyung AU - Lee SK AD - Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Republic of Korea. FAU - Park, Yong-Beom AU - Park YB AD - Yonsei University College of Medicine, Severance Hospital, Seoul, Republic of Korea. FAU - Lee, Young Nam AU - Lee YN AD - Celltrion Healthcare Co. Ltd, Incheon, Republic of Korea. FAU - Kang, Hee Jung AU - Kang HJ AD - Celltrion Healthcare Co. Ltd, Incheon, Republic of Korea. FAU - Shin, Kichul AU - Shin K AD - Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Republic of Korea. kideb1@gmail.com. LA - eng SI - ClinicalTrials.gov/NCT01965132 PT - Journal Article DEP - 20190719 PL - Italy TA - Clin Exp Rheumatol JT - Clinical and experimental rheumatology JID - 8308521 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antirheumatic Agents) RN - 0 (Biosimilar Pharmaceuticals) RN - 0 (CT-P13) RN - B72HH48FLU (Infliximab) SB - IM MH - Antibodies, Monoclonal/adverse effects/therapeutic use MH - *Antirheumatic Agents/adverse effects/therapeutic use MH - *Biosimilar Pharmaceuticals/adverse effects/therapeutic use MH - Humans MH - *Infliximab/adverse effects/therapeutic use MH - Registries MH - Republic of Korea MH - Rheumatology MH - Severity of Illness Index MH - *Spondylitis, Ankylosing/drug therapy/immunology MH - Treatment Outcome EDAT- 2019/08/01 06:00 MHDA- 2020/04/04 06:00 CRDT- 2019/08/01 06:00 PHST- 2018/12/17 00:00 [received] PHST- 2019/05/23 00:00 [accepted] PHST- 2019/08/01 06:00 [pubmed] PHST- 2020/04/04 06:00 [medline] PHST- 2019/08/01 06:00 [entrez] AID - 13765 [pii] AID - 10.55563/clinexprheumatol/z0va6o [doi] PST - ppublish SO - Clin Exp Rheumatol. 2020 Mar-Apr;38(2):267-274. doi: 10.55563/clinexprheumatol/z0va6o. Epub 2019 Jul 19.