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Infliximab biosimilar CT-P13 therapy is effective in maintaining endoscopic remission in ulcerative colitis - results from multicenter observational cohort

A. Bálint, M. Rutka, M. Kolar, M. Bortlik, D. Duricova, V. Hruba, M. Lukas, K. Mitrova, K. Malickova, M. Lukas, Z. Szepes, F. Nagy, K. Palatka, S. Lovas, Z. Végh, Z. Kürti, Á. Csontos, P. Miheller, T. Nyári, R. Bor, Á. Milassin, A. Fábián, K....

. 2018 ; 18 (11) : 1181-1187. [pub] 20181009

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články, multicentrická studie, pozorovací studie, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc19028178

BACKGROUND: CT-P13, the first biosimilar monoclonal antibody to infliximab (IFX), has previously been confirmed to be efficacious in inducing mucosal healing in ulcerative colitis (UC) patients. The aim of this study was to evaluate the efficacy of CT-P13 therapy in maintaining mucosal healing in UC. METHODS: CT-P13 trough levels, antibody positivity, serum inflammatory markers as CRP level, fecal calprotectin at weeks 14 and 54, concomitant steroid and azathioprine therapy at the time of induction therapy and at weeks 14 and 54, previous use of anti TNF drug and the need of dose intensification as possible predictive factors for mucosal healing at week 54 were evaluated in this prospective study. RESULTS: 61 patients had already completed the 54-week treatment period. Mucosal healing was shown in 65.5 % and 62.1 %, complete mucosal healing was present in 31% and 38 % at week 14 and 54, respectively. The median values of CRP, leukocytes, thrombocytes, and albumin showed significant difference between baseline and week 54. Serum antibody positivity was proved in 6.5 % and 19.7 % of cases at week 14 and 54, respectively. CONCLUSION: Our study confirmed the long-term efficacy of CT-P13 therapy on mucosal healing in UC.

Citace poskytuje Crossref.org

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$a BACKGROUND: CT-P13, the first biosimilar monoclonal antibody to infliximab (IFX), has previously been confirmed to be efficacious in inducing mucosal healing in ulcerative colitis (UC) patients. The aim of this study was to evaluate the efficacy of CT-P13 therapy in maintaining mucosal healing in UC. METHODS: CT-P13 trough levels, antibody positivity, serum inflammatory markers as CRP level, fecal calprotectin at weeks 14 and 54, concomitant steroid and azathioprine therapy at the time of induction therapy and at weeks 14 and 54, previous use of anti TNF drug and the need of dose intensification as possible predictive factors for mucosal healing at week 54 were evaluated in this prospective study. RESULTS: 61 patients had already completed the 54-week treatment period. Mucosal healing was shown in 65.5 % and 62.1 %, complete mucosal healing was present in 31% and 38 % at week 14 and 54, respectively. The median values of CRP, leukocytes, thrombocytes, and albumin showed significant difference between baseline and week 54. Serum antibody positivity was proved in 6.5 % and 19.7 % of cases at week 14 and 54, respectively. CONCLUSION: Our study confirmed the long-term efficacy of CT-P13 therapy on mucosal healing in UC.
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$a Rutka, Mariann $u a 1st Department of Medicine , University of Szeged , Szeged , Hungary.
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$a Kolar, Martin $u b IBD Clinical and Research Centre , Prague , Czech Republic. c 1st Medical Faculty , Charles University , Prague , Czech Republic.
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$a Bortlik, Martin $u b IBD Clinical and Research Centre , Prague , Czech Republic. d Department of Internal Medicine , Military Hospital, Charles University , Prague , Czech Republic.
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$a Duricova, Dana $u b IBD Clinical and Research Centre , Prague , Czech Republic. e Institute of Pharmacology, 1st Medical Faculty , Charles University , Prague , Czech Republic.
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$a Hruba, Veronika $u b IBD Clinical and Research Centre , Prague , Czech Republic.
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$a Lukas, Martin $u b IBD Clinical and Research Centre , Prague , Czech Republic.
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$a Mitrova, Katarina $u b IBD Clinical and Research Centre , Prague , Czech Republic. f Department of Paediatrics, Faculty Hospital Motol, 2nd Medical Faculty , Charles University , Prague , Czech Republic.
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$a Malickova, Karin $u b IBD Clinical and Research Centre , Prague , Czech Republic. f Department of Paediatrics, Faculty Hospital Motol, 2nd Medical Faculty , Charles University , Prague , Czech Republic.
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$a Lukas, Milan $u b IBD Clinical and Research Centre , Prague , Czech Republic.
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$a Szepes, Zoltán $u a 1st Department of Medicine , University of Szeged , Szeged , Hungary.
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$a Nagy, Ferenc $u a 1st Department of Medicine , University of Szeged , Szeged , Hungary.
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$a Palatka, Károly $u g Institute of Medicine, Department of Gastroenterology , University of Debrecen, Clinical Center , Debrecen , Hungary.
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$a Lovas, Szilvia $u g Institute of Medicine, Department of Gastroenterology , University of Debrecen, Clinical Center , Debrecen , Hungary.
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$a Végh, Zsuzsanna $u h First Department of Internal Medicine , Semmelweis University , Budapest , Hungary.
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$a Kürti, Zsuzsanna $u h First Department of Internal Medicine , Semmelweis University , Budapest , Hungary.
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$a Csontos, Ágnes $u i Second Department of Internal Medicine , Semmelweis University , Budapest , Hungary.
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$a Miheller, Pál $u i Second Department of Internal Medicine , Semmelweis University , Budapest , Hungary.
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$a Nyári, Tibor $u j Department of Medical Physics and Informatics , University of Szeged , Szeged , Hungary.
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$a Bor, Renáta $u a 1st Department of Medicine , University of Szeged , Szeged , Hungary.
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