一项非干预性的晚期销售监测研究,评估生物类似物利妥单抗(CT-P10)在韩国日常临床实践中的安全性和有效性。
A non-interventional, post-marketing surveillance study evaluating the safety and effectiveness of biosimilar rituximab (CT-P10) during routine clinical practice in the Republic of Korea.
发表日期:2023 Feb 09
作者:
Jae-Cheol Jo, Youngwoo Jean, DaJung Kim, Deok-Hwan Yang, Won Sik Lee, Yoon Seok Choi, Jun Ho Yi, Dok Hyun Yoon, Jee Hyun Kong, Jung-Yoon Choe, SungHyun Kim, KeumYoung Ahn, TaeHong Park, Hana Ju, Soonbum Kwon, Seok-Goo Cho
来源:
EXPERT OPINION ON BIOLOGICAL THERAPY
摘要:
CT-P10是第一个获批的利妥昔单抗生物仿制药。这项韩国后市场监测研究评估了CT-P10在批准适应症方面的安全性和有效性。这是一项前瞻性、开放式、观察性和4期研究,收集了韩国境内27个中心的日常临床实践数据。在监测期间(2016年11月16日至2020年11月15日),根据处方信息,患者接受了第一次CT-P10治疗,主要用于非何杰金淋巴瘤(NHL)、慢性淋巴细胞白血病(CLL)、类风湿性关节炎(RA)、多发性肉芽肿性血管炎(GPA)或微小血管性肉芽肿(MPA)。对≤1年(NHL/CLL)或≤24周(RA/GPA/MPA)内的安全性(包括不良事件[AE]和不良药物反应[ADR])和疾病特异性临床反应(根据最佳总体反应[NHL/CLL]、28关节疾病活动评分[RA]或Wegener的肉芽肿性血管炎伯明翰血管炎活动评分[GPA/MPA])进行了评估。安全人群包括677名患者(604名NHL、16名CLL、42名RA、7名GPA和8名MPA)。68.4%/27.7%的患者(NHL/CLL)、31.0%/14.3%的患者(RA)和86.7%/13.3%的患者(GPA/MPA)报告了不良事件/不良药物反应。严重不良事件和意外不良药物反应没有引起新的安全信号。肺炎是总体最频繁的严重不良药物反应。发现和已知的CT-P10/参比利妥昔单抗安全剖面一致,在NHL/CLL和RA方面表现出高效性。
CT-P10 was the first licensed rituximab biosimilar. This Korean post-marketing surveillance study evaluated CT-P10 safety and effectiveness in approved indications.This prospective, open-label, observational, phase 4 study collected routine clinical practice data across 27 centers in the Republic of Korea. Patients received their first CT-P10 treatment, per prescribing information, for non-Hodgkin's lymphoma (NHL), chronic lymphocytic leukemia (CLL), rheumatoid arthritis (RA), granulomatosis with polyangiitis (GPA), or microscopic polyangiitis (MPA) during the surveillance period (16 November 2016-15 November 2020). Safety (including adverse events [AEs] and adverse drug reactions [ADRs]) and disease-specific clinical response (by best overall response [NHL/CLL], Disease Activity Score in 28-joints [RA], or Birmingham Vasculitis Activity Score for Wegener's Granulomatosis [GPA/MPA]) were assessed for ≤1 year (NHL/CLL) or ≤24 weeks (RA/GPA/MPA).The safety population comprised 677 patients (604 NHL, 16 CLL, 42 RA, 7 GPA, 8 MPA). AEs/ADRs were reported for 68.4%/27.7% (NHL/CLL), 31.0%/14.3% (RA), and 86.7%/13.3% (GPA/MPA) of patients. Serious AEs and unexpected ADRs did not raise new safety signals. Pneumonia was the most frequent serious ADR overall. Positive effectiveness outcomes were observed.Findings were consistent with the known CT-P10/reference rituximab safety profile, with high effectiveness observed in NHL/CLL and RA.