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Table 1 Characterization of the studies included in the systematic review (n = 6)

From: Efficacy, safety, and immunogenicity of biosimilars compared with the biologic etanercept in patients with rheumatoid arthritis: a systematic review and meta-analysis

Author/year

Country

Study design

Follow-up time

Population

Outcomes

Dosage

Control group (biological)1

Exposed group (biosimilar) 1

Total participants

Bae et al. 2017 [19]

South Korea

Phase III RCT

48 weeks

Patients ≥ 20 years with RA3

Primary: ACR20 at week 24

Secondary: ACR20 at weeks 12 and 48; ACR50 and 70 at weeks 12, 24, and 48; DAS286; EULAR4 response. AEs7. ADAs8 at weeks 24 and 48

25 mg of HD203 and ETN administered subcutaneously twice a week with MTX once a week (7.5–25 mg/week)

ETN (n = 147)

HD203

(n = 147)

n = 294

Emery et al. 2015–2017 [20,21,22]

Ukraine, United Kingdom, Bulgaria, Colombia, Czech Republic, Hungary, South Korea, Lithuania, Mexico, and Poland

Phase III RCT with open-label period

100 weeks

Patients aged 18 to 75 years with RA3

Primary: ACR20 at week 24

Secondary: ACR20, 50, and 70 up to week 52; DAS286-ESR; EULAR4 response. SDAI9 and CDAI10 scores. HAQ-DI12. AEs7. ADAs8 and neutralizing antibodies at weeks 0, 2, 4, 8, 12, 16, 24, and 52

50 mg of SB4 and ETN self-administered subcutaneously once a week with MTX (10–25 mg/week) and folic acid (5–10 mg/week)

ETN (n = 297,

open label n = 119)

SB4 (n = 299, open label n = 126)

n = 596

open label n = 245

Jaworski et al. 2019 [23]

Mexico, Russian Federation, the United States of America, and 13 European countries 2

Phase III RCT

48 weeks

Patients ≥ 18 years of age with RA34

Primary: DAS286-CRP up to week 24

Secondary: DAS286, EULAR4 response, ACR20/50/70 response, HAQ-DI12 in week 24 and week 48; FACIT11; AEs7. ADAs8 and neutralizing antibodies up to 48 weeks

GP2015 50 mg and ETN self-administered subcutaneously once a week with MTX (10–25 mg/week) and folic acid (≥ 5 mg/week)

ETN (n = 166)

GP2015 (n = 175)

n = 376

Matsuno et al. 2018 [24]

South Korea and Japan

Phase III RCT

52 weeks

Patients aged between 20 and 75 years with RA3

Primary: DAS286-ESR at week 24

Secondary: DAS286 at weeks 12 and 52, ACR20 at weeks 12, 24, and 52, ACR50, ACR70 and

EULAR4 response at weeks 12, 24, and 52. AEs up to week 54. ADAs8 and neutralizing antibodies at weeks

0, 12, 24, and 52

50 mg of LBEC0101 and ETN-RP5 subcutaneously once a week with MTX (7.5 to 15 mg/week in Korea and 6 to 16 mg/week in Japan, with dose approval in the country)

ETN (n = 187)

LBEC0101 (n = 187)

n = 374

Matucci-Cerinic et al. 2018 [25]

Mexico, the Russian Federation, the United States of America, and 13 European countries 2

Phase III RCT

24 weeks

Patients ≥ 18 years with RA34

Primary: DAS286-CRP week 24

Secondary:

EULAR4, DAS286

ACR20/50/70, HAQ-DI12,

FACIT11; AEs7;

ADAs8 at weeks 2,

4, 12, and 24

50 mg of GP2015 and ETN self-administered subcutaneously once a week with MTX (10–25 mg/week) and folic acid (≥ 5 mg/week)

ETN (n = 190)

GP 2015 (n = 186)

n = 376

Park et al. 2019 [26]

South Korea and Japan

Phase III RCT, with open-label period

100 weeks

Patients aged 41 to 65 years with RA4

Primary: DAS286-ESR/CRP at weeks 76 and 100

Secondary: ACR 20, 50, 70, EULAR4 response at weeks 52, 76, and 100

50 mg LBEC0101 and ETN self-administered subcutaneously once a week with MTX (7.5–15 mg/week)

ETN (n = 187, open label 78)

LBEC0101 (n = 187, open label 70)

n = 374

n = 148 no open label

  1. 1Number of participants at baseline
  2. 2Bulgaria, Czech Republic, Estonia, Germany, Hungary, Italy, Latvia, Lithuania, Poland, Serbia, Slovakia, Spain, United Kingdom
  3. 3American College of Rheumatology Criteria, 1987
  4. 4Criteria of the European American College of Rheumatology (EULAR) 2010
  5. 5Etanercept Reference Product–ETN-RP
  6. 6Disease Activity Score 28–DAS28
  7. 7Adverse Events–AEs
  8. 8Antidrug Antibodies–ADAs
  9. 9Simplified Disease Activity Index–SDAI
  10. 10Clinical Disease Activity Index–CDAI
  11. 11Functional Assessment of Chronic Illness Therapy–FACIT
  12. 12Health Assessment Questionnaire Disability Index–HAQ-DI
  13. Source: Prepared by the authors