PMID- 31734899 OWN - NLM STAT- MEDLINE DCOM- 20201005 LR - 20210110 IS - 1179-190X (Electronic) IS - 1173-8804 (Print) IS - 1173-8804 (Linking) VI - 34 IP - 1 DP - 2020 Feb TI - Retention Rate and Safety of Biosimilar CT-P13 in Rheumatoid Arthritis: Data from the Korean College of Rheumatology Biologics Registry. PG - 89-98 LID - 10.1007/s40259-019-00393-y [doi] AB - OBJECTIVE: The aim was to evaluate long-term drug retention, discontinuation, efficacy and safety of CT-P13 and reference infliximab in patients with rheumatoid arthritis (RA) enrolled in the Korean College of Rheumatology Biologics (KOBIO) registry. METHODS: Patients included adults with RA who received CT-P13 or reference infliximab between December 2012 and December 2017. Drug retention, efficacy (Disease Activity Score in 28 joints [DAS28]-erythrocyte sedimentation rate [ESR] or DAS28-C-reactive protein [CRP] and American College of Rheumatology [ACR] core set measure), and adverse events (AEs) were assessed over 4-years' follow-up. RESULTS: Data from 199 RA patients (CT-P13: n = 147; reference infliximab: n = 52) were analyzed. Median treatment duration was 1.22 years for CT-P13 and 1.40 years for reference infliximab (p = 0.67). Overall, 82% of patients received first-line therapy. Drug retention of CT-P13 versus reference infliximab was comparable for the overall population (p = 0.84) and for first-line (p = 0.66) and subsequent treatment lines (p = 0.96). Treatment changes or discontinuations occurred in 65.2% of patients with CT-P13 and 69.6% with reference infliximab. The most common reason for treatment changes or discontinuing treatment was lack of efficacy (CT-P13: 31.9%; reference infliximab: 34.8%). CT-P13 demonstrated comparable improvements in DAS28-ESR, DAS28-CRP and ACR responses to reference infliximab. Overall, 19 grade 3 AEs were reported for CT-P13 and eight for reference infliximab. CONCLUSION: Long-term data from patients with RA treated in routine clinical practice in Korea showed that CT-P13 had a comparable drug retention rate to reference infliximab, with similar efficacy and an acceptable safety profile. CLINICALTRIALS. GOV IDENTIFIER: NCT01965132. FAU - Kim, Hyoun-Ah AU - Kim HA AUID- ORCID: 0000-0003-2609-3367 AD - Department of Rheumatology, Ajou University School of Medicine, Suwon, Republic of Korea. FAU - Lee, Eunyoung AU - Lee E AD - Department of Biomedical Informatics, Ajou University School of Medicine, Suwon, Republic of Korea. AD - Office of Biostatistics, Ajou Research Institute for Innovative Medicine, Ajou University Medical Center, Suwon, Republic of Korea. FAU - Lee, Sun-Kyung AU - Lee SK AD - Division of Rheumatology, Seoul Metropolitan Government-Seoul National University Hospital Boramae Medical Center, Seoul, Republic of Korea. FAU - Park, Yong-Beom AU - Park YB AD - Department of Internal Medicine (Division of Rheumatology), Yonsei University College of Medicine, Severance Hospital, Seoul, Republic of Korea. FAU - Lee, Young Nam AU - Lee YN AUID- ORCID: 0000-0003-2776-4708 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 AUID- ORCID: 0000-0002-6749-7598 AD - Division of Rheumatology, Seoul Metropolitan Government-Seoul National University Hospital Boramae Medical Center, Seoul, Republic of Korea. kideb1@gmail.com. LA - eng SI - ClinicalTrials.gov/NCT01965132 PT - Journal Article PL - New Zealand TA - BioDrugs JT - BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy JID - 9705305 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antirheumatic Agents) RN - 0 (Biosimilar Pharmaceuticals) RN - 0 (CT-P13) RN - B72HH48FLU (Infliximab) SB - IM MH - Antibodies, Monoclonal/*therapeutic use MH - Antirheumatic Agents MH - Arthritis, Rheumatoid/*drug therapy MH - Biosimilar Pharmaceuticals/*therapeutic use MH - Blood Sedimentation/drug effects MH - Drug Substitution/methods MH - Female MH - Humans MH - Infliximab/therapeutic use MH - Male MH - Middle Aged MH - Registries MH - Republic of Korea MH - Rheumatology/methods MH - Severity of Illness Index MH - Treatment Outcome PMC - PMC6985057 COIS- Young Nam Lee and Hee Jung Kang are employees of Celltrion Healthcare Co., Ltd. Hyoun-Ah Kim, Eunyoung Lee, Sun-Kyung Lee, Yong-Beom Park, and Kichul Shin have no conflicts to declare. EDAT- 2019/11/18 06:00 MHDA- 2020/10/06 06:00 PMCR- 2019/11/16 CRDT- 2019/11/18 06:00 PHST- 2019/11/18 06:00 [pubmed] PHST- 2020/10/06 06:00 [medline] PHST- 2019/11/18 06:00 [entrez] PHST- 2019/11/16 00:00 [pmc-release] AID - 10.1007/s40259-019-00393-y [pii] AID - 393 [pii] AID - 10.1007/s40259-019-00393-y [doi] PST - ppublish SO - BioDrugs. 2020 Feb;34(1):89-98. doi: 10.1007/s40259-019-00393-y.