PMID- 36447248 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221202 IS - 2520-1026 (Electronic) IS - 2520-1026 (Linking) VI - 6 IP - 1 DP - 2022 Nov 30 TI - Real world safety of CT-P10 (anti-CD 20 monoclonal antibodies biosimilar) in rheumatic and autoimmune diseases. PG - 77 LID - 10.1186/s41927-022-00306-7 [doi] LID - 77 AB - BACKGROUND: Rituximab (RTX), anti-CD 20 monoclonal antibodies, has been approved for many rheumatic and autoimmune diseases, the use of RTX is still limited due to financial constrain. Biosimilar RTX may increase access by offering patients a more affordable option, lead to improved patient outcomes. However, real-world data related to its immediate and short-term safety is scarce. This study aimed to evaluate the real-world immediate and short-term safety profiles of CT-P10, a biosimilar of Rituximab, in patients with rheumatic and autoimmune diseases. METHODS: This prospective study included patients diagnosed with rheumatic or autoimmune diseases, aged >/= 18 years, who were treated with biosimilar RTX at Siriraj or Ramathibodi Hospital during February 2019 to May 2019. Patients were followed up through 6 months after the infusions. RESULTS: Of the 74 patients, with 124 infusions, 84% were females with mean age (SD) of 49.4 (15.7) years. The most common rheumatic and autoimmune disease included in this study was systemic lupus erythematosus (26%). All immediate adverse events (AEs) (15 out of 124 infusions) were mild requiring only symptomatic and supportive treatment. Short-term AEs included infection (N = 35), hematologic abnormalities (N = 33), chylous ascites (N = 1), and others (N = 10). Two deaths were related to serious bacterial and viral infection. Hematologic AEs comprised anemia (N = 5), neutropenia (N = 10), lymphopenia (N = 15), and thrombocytopenia (N = 3). CONCLUSION: In this real-world study, biosimilar RTX (CT-P10) has favorable immediate and short-term safety profiles. However, further studies with large sample size and long-term follow-up in real-world practice are still required to confirm the result. CI - (c) 2022. The Author(s). FAU - Katchamart, Wanruchada AU - Katchamart W AUID- ORCID: 0000-0002-8952-5967 AD - Division of Rheumatology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkoknoi, Bangkok, 10700, Thailand. wanruchada.kat@mahidol.ac.th. FAU - Ngamjanyaporn, Pintip AU - Ngamjanyaporn P AD - Division of Rheumatology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. FAU - Orawongpaisarn, Annop AU - Orawongpaisarn A AD - Division of Rheumatology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkoknoi, Bangkok, 10700, Thailand. FAU - Phubangkertphon, Thossapoom AU - Phubangkertphon T AD - Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Borrirukwisitsak, Sasimon AU - Borrirukwisitsak S AD - Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Dechapaphapitak, Nichapa AU - Dechapaphapitak N AD - Division of Rheumatology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. LA - eng PT - Journal Article DEP - 20221130 PL - England TA - BMC Rheumatol JT - BMC rheumatology JID - 101738571 PMC - PMC9710159 OTO - NOTNLM OT - Adverse event OT - Biosimilar anti-CD 20 antibodies OT - CT-P10 OT - Infusion reaction OT - Rituximab COIS- The authors declare no conflicts of interest. EDAT- 2022/11/30 06:00 MHDA- 2022/11/30 06:01 PMCR- 2022/11/30 CRDT- 2022/11/29 23:58 PHST- 2022/04/01 00:00 [received] PHST- 2022/09/26 00:00 [accepted] PHST- 2022/11/29 23:58 [entrez] PHST- 2022/11/30 06:00 [pubmed] PHST- 2022/11/30 06:01 [medline] PHST- 2022/11/30 00:00 [pmc-release] AID - 10.1186/s41927-022-00306-7 [pii] AID - 306 [pii] AID - 10.1186/s41927-022-00306-7 [doi] PST - epublish SO - BMC Rheumatol. 2022 Nov 30;6(1):77. doi: 10.1186/s41927-022-00306-7.