OBSIDIAN - real-world evidence of originator to biosimilar drug switch in juvenile idiopathic arthritis

© The Author(s) 2021. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissionsoup.com..

OBJECTIVES: Limited data about use of biosimilars (BIOs) are available in children with JIA. This study therefore aimed to evaluate long-term efficacy and safety of switching from etanercept (ETA) and adalimumab (ADA) originators to their biosimilars (BIOs), in children with JIA, in a real-world setting.

METHODS: This is a retro-prospective non-interventional multicentre Italian comparative cohort study. Medical charts of JIA children treated with biosimilars of ETA or ADA were included. Efficacy and safety of TNF-inhibitors therapy was evaluated at last follow-up during originator and at 3, 6 and 12 months following the switch to biosimilar.

RESULTS: A total of 59 children (42 female, median age at onset 88 months) were treated with biosimilar of ETA (21) and ADA (38). Forty-five switched from the originator to the BIO (17 ETA, 28 ADA). At time of switch, 12/17 patients on ETA and 18/28 on ADA were in remission. No significant difference has been found at 3, 6 and 12 months after the switch. Ten patients discontinued biosimilars due to disease remission (4 ETA, 3 ADA), family willing (1 ETA), occurrence of burning at injection site (1 ETA) and persistent activity (1 ADA). No statistically significant difference was observed between originator and BIOs, nor between originator and BIOs, and between ADA and ETA in time to disease remission achievement, time to relapse and number of patients who experienced adverse event (AE).

CONCLUSION: Our real-life results seem to confirm the efficacy and safety profile of switching from originator of ADA and ETA to their respective BIOs, also in paediatric patients with JIA.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:61

Enthalten in:

Rheumatology (Oxford, England) - 61(2022), 4 vom: 11. Apr., Seite 1518-1528

Sprache:

Englisch

Beteiligte Personen:

Maccora, Ilaria [VerfasserIn]
Lombardi, Niccolò [VerfasserIn]
Crescioli, Giada [VerfasserIn]
Bettiol, Alessandra [VerfasserIn]
Bonaiuti, Roberto [VerfasserIn]
Pagnini, Ilaria [VerfasserIn]
Maniscalco, Valerio [VerfasserIn]
Marrani, Edoardo [VerfasserIn]
Mastrolia, Maria Vincenza [VerfasserIn]
Ravaldi, Claudia [VerfasserIn]
Consolini, Rita [VerfasserIn]
Cattalini, Marco [VerfasserIn]
Vannacci, Alfredo [VerfasserIn]
Simonini, Gabriele [VerfasserIn]

Links:

Volltext

Themen:

12244-39-2
Adalimumab
Anti-TNF
Antirheumatic Agents
Biologics
Biosimilar
Biosimilar Pharmaceuticals
Children
Efficacy
Etanercept
FYS6T7F842
JIA
Journal Article
OP401G7OJC
Obsidian
Safety
TNF-inhibitors

Anmerkungen:

Date Completed 13.04.2022

Date Revised 25.05.2022

published: Print

Citation Status MEDLINE

doi:

10.1093/rheumatology/keab572

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM328185302