Adalimumab Biosimilar GP2017 versus Adalimumab Originator in Treating Patients with Inflammatory Bowel Diseases: A Real-Life, Multicenter, Observational Study
Giammarco Mocci,
Giorgia Bodini,
Leonardo Allegretta,
Alessia Immacolata Cazzato,
Stefania Chiri,
Giovanni Aragona,
Patrizia Perazzo,
Antonio Ferronato,
Maria Giovanna Graziani,
Cristiano Pagnini,
Costantino Zampaletta,
Camilla Graziosi,
Marcello Picchio,
Walter Elisei,
Giovanni Maconi,
Antonio Tursi
Affiliations
Giammarco Mocci
Division of Gastroenterology, “Brotzu” Hospital, 09124 Cagliari, Italy
Giorgia Bodini
Department of Internal Medicine and Medical Specialties, Division of Gastroenterology, IRCCS “San Martino” Hospital, University of Genoa, 16132 Genoa, Italy
Leonardo Allegretta
Division of Gastroenterology, “Santa Caterina Novella” Hospital, 73050 Galatina, Italy
Alessia Immacolata Cazzato
Division of Gastroenterology, “Santa Caterina Novella” Hospital, 73050 Galatina, Italy
Stefania Chiri
Division of Gastroenterology, “Santa Caterina Novella” Hospital, 73050 Galatina, Italy
Giovanni Aragona
Division of Gastroenterology, “Guglielmo da Saliceto" Hospital, 29100 Piacenza, Italy
Patrizia Perazzo
Division of Gastroenterology, “Guglielmo da Saliceto" Hospital, 29100 Piacenza, Italy
Antonio Ferronato
Digestive Endoscopy Unit, ULSS7 Pedemontana, 36061 Santorso, Italy
Maria Giovanna Graziani
Division of Gastroenterology, “S. Giovanni-Addolorata” Hospital, 00184 Rome, Italy
Cristiano Pagnini
Division of Gastroenterology, “S. Giovanni-Addolorata” Hospital, 00184 Rome, Italy
Costantino Zampaletta
Division of Gastroenterology, “Belcolle” Hospital, 92911 Viterbo, Italy
Camilla Graziosi
Division of Gastroenterology, “Belcolle” Hospital, 92911 Viterbo, Italy
Marcello Picchio
Division of General Surgery, “P. Colombo” Hospital, ASL Roma 6, 00041 Rome, Italy
Walter Elisei
Division of Gastroenterology, “S. Camillo” Hospital, 00152 Rome, Italy
Giovanni Maconi
Division of Gastroenterology, “L. Sacco” University Hospital, 20157 Milan, Italy
Antonio Tursi
Territorial Gastroenterology Service, ASL BAT, 76123 Andria, Italy
The approval of adalimumab (ADA) biosimilars for inflammatory bowel disease (IBD) has reduced the cost of treatment. While several ADA biosimilars are currently available, comparative data on the ADA biosimilar GP2017 (HyrimozTM) and its originator (HumiraTM) in IBD are lacking. We compared the efficacy and safety of GP2017 versus originator in IBD outpatients in an Italian real-life setting. This retrospective analysis enrolled consecutive IBD patients with complete clinical, laboratory, and endoscopic data. Clinical activity was assessed with the Mayo score in ulcerative colitis (UC) and the Harvey–Bradshaw Index in Crohn’s disease (CD). The primary endpoints were the induction of remission and the safety of GP2017 versus ADA originator. One hundred and thirty-four patients (30.6% with UC and 69.4% with CD, median age 38 years) were enrolled: 62 (46.3%) patients were treated with GP2017, and 72 (53.7%) with ADA originator; 118 (88.1%) patients were naïve to ADA. Clinical remission was obtained in 105 (78.4%) patients, during a median follow-up of 12 months, 82.3% and 75% in the GP2017 and ADA originator groups, respectively (p = 0.311). Treatment was well tolerated in both groups. This analysis of real-world data suggests that GP2017 and its originator are equivalent in terms of efficacy and safety in patients with IBD.