Evidence map›Paper›PMID 40493334›Full record

Trial reportAdvances in therapy2025

Multiple Switches Between Adalimumab-fkjp and Reference Adalimumab in Moderate-to-Severe Chronic Plaque Psoriasis: A Multicenter, Double-Blind, Parallel Group, Randomized Clinical Trial for Interchangeability.

Sarika Deodhar, Subramanian Loganathan, Ramesh Kadadanamari Subbarama Reddy, Gopinath M Ranganna, Shiyao Liu, Matthew A Hummel, Stefan Daniluk, Anna Hanczewska, Kamelia Vekovska, Maria Zegadlo-Mylik and 2 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05637515 (A Multicenter, Randomized, Blinded, Parallel Group, Interchangeability Study in Moderate to Severe Chronic Plaque Psoriasis Evaluating Pharmacokinetics, Efficacy, Safety, and Immunogenicity Between Subjects Receiving Humira® Pre Filled Syringe), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05637515 phase3completednot on this map

A Multicenter, Randomized, Blinded, Parallel Group, Interchangeability Study in Moderate to Severe Chronic Plaque Psoriasis Evaluating Pharmacokinetics, Efficacy, Safety, and Immunogenicity Between Subjects Receiving Humira® Pre Filled Syringe (40 mg) Continuously and Subjects Undergoing Repeated Switches Between Humira® Pre Filled Syringe (40 mg) and Hulio Pre-filled Syringe (40 mg)

TypeinterventionalSponsorBiocon Biologics Inc.Ran2022 to 2023Enrolled374ConditionsModerate Chronic Plaque Psoriasis, Severe Chronic Plaque PsoriasisArmsHumira 40 MG in Prefilled Syringe, Hulio 40 MG in Prefilled Syringe / Humira 40 MG in Prefilled Syringe
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Sarika DeodharClinical Development and Medical Affairs, Biocon Biologics Ltd., Biocon House, Tower 3, Semicon Park, Plot No 29-P1 & 31-P, KIADB Industrial Area, Electronic City Phase-2, Bangalore, Karnataka, 560100, India. sarika.deodhar@biocon.com.ORCID http://orcid.org/0000-0002-4010-8505
Subramanian LoganathanClinical Development and Medical Affairs, Biocon Biologics Ltd., Biocon House, Tower 3, Semicon Park, Plot No 29-P1 & 31-P, KIADB Industrial Area, Electronic City Phase-2, Bangalore, Karnataka, 560100, India.
Ramesh Kadadanamari Subbarama ReddyMylan Pharmaceuticals Pvt Ltd (A Viatris Company), Bengaluru, Karnataka, India.
Gopinath M RangannaMylan Pharmaceuticals Pvt Ltd (A Viatris Company), Bengaluru, Karnataka, India.
Shiyao LiuMylan Pharmaceuticals Inc (A Viatris Company), Morgantown, WV, USA.
Matthew A HummelMylan Pharmaceuticals Inc (A Viatris Company), Morgantown, WV, USA.
Stefan DanilukClinicMed Daniluk, Nowak Sp.K, Białystok, Poland.
Anna HanczewskaAi Centrum Medyczne Sp, Poznan, Poland.
Kamelia VekovskaMedical Center Medconsult Pleven OOD, Pleven, Bulgaria.
Maria Zegadlo-MylikETG Warszawa ul, Belgradzka, Warsaw, Poland.
Grazyna PulkaCentrum Medyczne All-Med Badania Kliniczne, Krakow, Poland.
Elena Wolff -HolzClinical Development and Medical Affairs, Biocon Biologics UK Ltd, London, WC2B 5 AH, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study was conducted to fulfill the FDA requirement for the designation of adalimumab-fkjp, an FDA-approved biosimilar, as an 'interchangeable' biosimilar to the reference adalimumab. The primary objective was to evaluate the interchangeability of adalimumab-fkjp (low concentration, 40 mg/0.8 mL) with reference adalimumab (high concentration, 40 mg/0.4 mL) by comparing adalimumab steady-state pharmacokinetics (PK) between switching and non-switching arms. The efficacy, safety, and immunogenicity were also evaluated.

methodsIn this randomized, double-blind, parallel-group study in patients with moderate-to-severe chronic plaque psoriasis (PPs) a total of 386 patients (134 F/252 M) with PPs for ≥ 6 months involving body surface area ≥ 10% and having a Psoriasis Area and Severity Index (PASI) ≥ 12 and static Physicians Global Assessment (sPGA) ≥ 3 (moderate) were enrolled into the run-in period to receive reference adalimumab (80 mg, Week 1; 40 mg biweekly, Weeks 2-10). At Week 12, patients with PASI ≥ 50 (n = 374) were randomized 1:1 to continue receiving reference adalimumab (n = 193; 40 mg/0.4 mL biweekly, Weeks 12-26) or undergo repeated switches between 40 mg/0.8 mL adalimumab-fkjp and 40 mg/0.4 mL reference adalimumab (n = 181; reference adalimumab-fkjp, Weeks 12 and 14; adalimumab, Weeks 16 and 18; and adalimumab-fkjp, Weeks 20, 22, 24, and 26). The assessments included PK (primary endpoints: AUC

resultsThe mean steady-state serum PK profiles were similar in both switching and non-switching arms. The 90% confidence intervals of LS mean ratios for AUC

conclusionPatients receiving adalimumab-fkjp (low concentration) and reference adalimumab (high concentration) in alternate fashion had similar PK, efficacy, safety, and immunogenicity profile. Interchangeability status has been granted to adalimumab-fkjp.

trial registrationClinicaltrial.gov identifier: NCT05637515, EudraCT No:2021-006015-29.

Indexed as

AdalimumabBiosimilar PharmaceuticalsPsoriasisAdultAgedChronic DiseaseDouble-Blind MethodDrug SubstitutionFemaleHumansMaleMiddle AgedSeverity of Illness IndexTreatment OutcomeAdalimumabBiosimilar PharmaceuticalsAdalimumabBiosimilarEfficacyImmunogenicityInterchangeabilityPsoriasisSafety

Identifiers

PMID40493334
PMCPMC12313752

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.