{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T03:15:04Z","timestamp":1788491704884,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,12,7]],"date-time":"2017-12-07T00:00:00Z","timestamp":1512604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatology"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To evaluate drug survival, effectiveness, pharmacokinetics, immunogenicity, and safety in daily practice after transitioning treatment from original reference infliximab (Remicade [\n                      <jats:styled-content style=\"fixed-case\">REM<\/jats:styled-content>\n                      ]) to a biosimilar infliximab (\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      \u2010P13 [Remsima; Inflectra]) in patients with rheumatoid arthritis, psoriatic arthritis, or ankylosing spondylitis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Of the initial 222\n                      <jats:styled-content style=\"fixed-case\">REM<\/jats:styled-content>\n                      \u2010treated patients, 192 agreed to transition to\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      \u2010P13 and were included in this multicenter prospective cohort study. Changes in the Disease Activity Score in 28 joints using the C\u2010reactive protein level (\n                      <jats:styled-content style=\"fixed-case\">DAS<\/jats:styled-content>\n                      28\u2010\n                      <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                      ) and the Bath Ankylosing Spondylitis Disease Activity Index (\n                      <jats:styled-content style=\"fixed-case\">BASDAI<\/jats:styled-content>\n                      ) and changes in the CRP levels, infliximab trough levels, and anti\u2010infliximab antibody levels were assessed after 6 months, and adverse events (\n                      <jats:styled-content style=\"fixed-case\">AE<\/jats:styled-content>\n                      s) were documented. Drug survival and prognostic factors were analyzed using Kaplan\u2010Meier and Cox regression analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During 6 months follow\u2010up, 24% of the patients (n = 47) discontinued\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      \u2010P13. Thirty\u2010seven patients restarted\n                      <jats:styled-content style=\"fixed-case\">REM<\/jats:styled-content>\n                      , 7 switched to another biologic drug, and 3 continued without a biologic drug. The\n                      <jats:styled-content style=\"fixed-case\">DAS<\/jats:styled-content>\n                      28\u2010\n                      <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                      remained stable from baseline to month 6, with a mean \u00b1\n                      <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                      score of 2.2 \u00b1 0.9 at baseline to 2.2 \u00b1 0.8 at 6 months (difference of 0.0 [95% confidence interval (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ) \u20130.1, 0.2]). The\n                      <jats:styled-content style=\"fixed-case\">BASDAI<\/jats:styled-content>\n                      increased from a mean \u00b1\n                      <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                      of 3.8 \u00b1 2.0 at baseline to 4.3 \u00b1 2.1 at 6 months (difference of +0.5 [95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      0.1, 0.9]). The\n                      <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                      levels, infliximab trough levels, and anti\u2010infliximab antibody levels did not change. Just prior to\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      \u2010P13 discontinuation, the\n                      <jats:styled-content style=\"fixed-case\">DAS<\/jats:styled-content>\n                      28\u2010\n                      <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                      components tender joint count and patient's global assessment of disease activity, as well as the\n                      <jats:styled-content style=\"fixed-case\">BASDAI<\/jats:styled-content>\n                      were increased compared to baseline. The most frequently reported\n                      <jats:styled-content style=\"fixed-case\">AE<\/jats:styled-content>\n                      s were arthralgia, fatigue, pruritus, and myalgia. A shorter\n                      <jats:styled-content style=\"fixed-case\">REM<\/jats:styled-content>\n                      infusion interval (hazard ratio: 0.77 [95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      0.62, 0.95]) at baseline was predictive of discontinuing\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      \u2010P13.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      In our cohort, one\u2010fourth of patients discontinued\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      \u2010P13 during 6 months of follow\u2010up, mainly due to an increase in the subjective features of the tender joint count and the patient's global assessment of disease activity and\/or subjective\n                      <jats:styled-content style=\"fixed-case\">AE<\/jats:styled-content>\n                      s, possibly explained by nocebo effects and\/or incorrect causal attribution effects.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/art.40324","type":"journal-article","created":{"date-parts":[[2017,10,18]],"date-time":"2017-10-18T01:02:43Z","timestamp":1508288563000},"page":"60-68","source":"Crossref","is-referenced-by-count":153,"title":["Subjective Complaints as the Main Reason for Biosimilar Discontinuation After Open\u2010Label Transition From Reference Infliximab to Biosimilar Infliximab"],"prefix":"10.1002","volume":"70","author":[{"given":"Lieke","family":"Tweehuysen","sequence":"first","affiliation":[{"name":"Sint Maartenskliniek Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bart J. F.","family":"van den Bemt","sequence":"additional","affiliation":[{"name":"Sint Maartenskliniek and Radboud University Medical Center Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iris L.","family":"van Ingen","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alphons J. L.","family":"de Jong","sequence":"additional","affiliation":[{"name":"Rijnstate Arnhem The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willemijn H.","family":"van der Laan","sequence":"additional","affiliation":[{"name":"Maartenskliniek Woerden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank H. J.","family":"van den Hoogen","sequence":"additional","affiliation":[{"name":"Sint Maartenskliniek and Radboud University Medical Center Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfons A.","family":"den Broeder","sequence":"additional","affiliation":[{"name":"Sint Maartenskliniek and Radboud University Medical Center Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,7]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"European Medicines Agency.Remsima (infliximab). October 2013. URL:http:\/\/www.ema.europa.eu\/ema\/index.jsp?curl=pages\/medicines\/human\/medicines\/002576\/human_med_001682.jsp&mid=WC0b01ac058001d124."},{"key":"e_1_2_7_3_1","unstructured":"European Medicines Agency.Inflectra (infliximab). October 2013. 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