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NCT02925338: ReFLECT

National Observational Study On The Use Of Inflectra™ An Infliximab Biosimilar In Real Life

Completed Results posted Last updated 25 January 2023
What this trial tests

trial testing QOL questionaire in Crohn Disease in 1,431 participants. Completed in 12 April 2021.

Timeline
19 October 2016
Primary endpoint
12 April 2021
12 April 2021

Quick facts

Lead sponsorPfizer
StatusCompleted
Study typeOBSERVATIONAL
Enrollment1,431
Start date19 October 2016
Primary completion12 April 2021
Estimated completion12 April 2021
Sites67 locations across France

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

6 and older, any sex, with Crohn Disease or Ulcerative Colitis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants Without Treatment Failure During 2-Years of Observation Primary · 2 years post inclusion in the study

Treatment failure was defined as permanent discontinuation of the Inflectra treatment due to intolerance and/or permanent discontinuation of treatment due to absence of response according to the physician's assessment, or death of the participant related to Inflectra. In this outcome measure percentage of participants without treatment failure and whose data were missing are reported.

Without Treatment Failure
GroupValue95% CI
Crohn's Disease (CD)59.255.1 – 63.4
Ulcerative Colitis (UC)53.547.0 – 59.9
Rheumatoid Arthritis (RA)53.545.3 – 61.7
Ankylosing Spondylitis (SpA)61.156.4 – 65.8
Psoriatic Arthritis (PA)64.655.0 – 74.2
Missing Data
GroupValue95% CI
Crohn's Disease (CD)19.215.9 – 22.5
Ulcerative Colitis (UC)21.316.0 – 26.6
Rheumatoid Arthritis (RA)7.73.3 – 12.1
Ankylosing Spondylitis (SpA)14.411.0 – 17.7
Psoriatic Arthritis (PA)9.43.5 – 15.2
Number of Participants With Pre-treatment Assessment Prior to Initiation of Inflectra Treatment (Anti-Tumor Necrosis Factor [TNF] Aplha) Therapy Primary · Data collected and recorded at study inclusion visit

Pre-treatment assessment was a check-list with the set of measures determined by the physician to check the eligibility of a participant before initiation of treatment. Physician recorded as "Yes" if a participant was eligible for initiation of treatment and "No" if a participant was not eligible to initiate a treatment. In this outcome measure, number of participants whose pre-treatment assessment were performed prior to initiation of Inflectra are reported and whose data were missing are reported.

Had Pre-treatment Assessment
GroupValue95% CI
Crohn's Disease (CD)458
Ulcerative Colitis (UC)177
Rheumatoid Arthritis (RA)118
Ankylosing Spondylitis (SpA)355
Psoriatic Arthritis (PA)86
Missing Data
GroupValue95% CI
Crohn's Disease (CD)5
Ulcerative Colitis (UC)4
Rheumatoid Arthritis (RA)2
Ankylosing Spondylitis (SpA)2
Psoriatic Arthritis (PA)0
Time Between Diagnosis and Inclusion in Study Primary · Data collected and recorded at study inclusion visit
GroupValue95% CI
Crohn's Disease (CD)10.05± 9.51
Ulcerative Colitis (UC)8.77± 8.56
Rheumatoid Arthritis (RA)15.18± 10.13
Ankylosing Spondylitis (SpA)13.58± 10.26
Psoriatic Arthritis (PA)11.50± 8.42
Time Between Diagnosis and the First Inflectra Infusion Primary · Data collected and recorded at study inclusion visit
GroupValue95% CI
Crohn's Disease (CD)9.37± 9.67
Ulcerative Colitis (UC)8.22± 8.66
Rheumatoid Arthritis (RA)14.39± 10.11
Ankylosing Spondylitis (SpA)12.80± 10.29
Psoriatic Arthritis (PA)10.78± 8.42
Number of Participants Who Received Biotherapy Other Than Inflectra Before Inclusion in the Study Primary · Data collected and recorded at study inclusion visit

Type of biotherapies received by participants before inclusion in the study were: anti-TNF alpha (remicade/ adalimumab/ golimumab / etanercept/ rituximab); anti-integrin (vedolizumab); immunosuppressant (abatacept); interleukin inhibitor (anakinra / tocilizumab); anti interleukin (IL) 12 and anti IL-23 (ustekinumab); and other. In this outcome measure number of participants who received biotherapies other than Inflectra and whose data were missing are reported.

Received Biotherapy
GroupValue95% CI
Crohn's Disease (CD)347
Ulcerative Colitis (UC)146
Rheumatoid Arthritis (RA)116
Ankylosing Spondylitis (SpA)344
Psoriatic Arthritis (PA)81
Missing Data
GroupValue95% CI
Crohn's Disease (CD)4
Ulcerative Colitis (UC)2
Rheumatoid Arthritis (RA)0
Ankylosing Spondylitis (SpA)0
Psoriatic Arthritis (PA)0
Number of Participants With Reasons for Discontinuation of Previous Biotherapy Primary · Data collected and recorded at study inclusion visit

Type of previous biotherapies included were: anti-TNF alpha (infliximab/adalimumab/etanercept/golimumab), selective immuno-suppressant (vedolizumab/abatacept), interleukin inhibitor (anakinra/ustekinumab/tocilizumab), and other. In this outcome measure, number of participants who discontinued previous biotherapy are reported according to reason of discontinuations.

GroupValue95% CI
Crohn's Disease (CD)13
Ulcerative Colitis (UC)5
Rheumatoid Arthritis (RA)5
Ankylosing Spondylitis (SpA)29
Psoriatic Arthritis (PA)6
Crohn's Disease (CD)80
Ulcerative Colitis (UC)35
Rheumatoid Arthritis (RA)19
Ankylosing Spondylitis (SpA)52
Psoriatic Arthritis (PA)14
Crohn's Disease (CD)25
Ulcerative Colitis (UC)40
Rheumatoid Arthritis (RA)16
Ankylosing Spondylitis (SpA)49
Psoriatic Arthritis (PA)10
Crohn's Disease (CD)42
Ulcerative Colitis (UC)5
Rheumatoid Arthritis (RA)9
Ankylosing Spondylitis (SpA)23
Psoriatic Arthritis (PA)9
Duration of Previous Biotherapies Primary · Data collected and recorded at study inclusion visit

Type of previous biotherapies included were: anti-TNF alpha (infliximab/adalimumab/etanercept/golimumab), selective immuno-suppressant (vedolizumab/abatacept), interleukin inhibitor (anakinra/ustekinumab/tocilizumab), and other.

GroupValue95% CI
Crohn's Disease (CD)51.3± 43.1
Ulcerative Colitis (UC)33.2± 38.2
Rheumatoid Arthritis (RA)81.0± 55.8
Ankylosing Spondylitis (SpA)73.1± 51.2
Psoriatic Arthritis (PA)70.4± 60.7
Mean of Number of Doses Administered in Previous Biotherapy Primary · Data collected and recorded at study inclusion visit

Type of previous biotherapies included were: anti-TNF alpha (infliximab/adalimumab/etanercept/golimumab), selective immuno-suppressant (vedolizumab/abatacept), interleukin inhibitor (anakinra/ustekinumab/tocilizumab), and other. In this outcome measure mean of number of doses administered in previous biotherapy is reported.

GroupValue95% CI
Crohn's Disease (CD)38.2± 48.1
Ulcerative Colitis (UC)26.5± 24.5
Rheumatoid Arthritis (RA)33.5± 30.1
Ankylosing Spondylitis (SpA)39.2± 55.6
Psoriatic Arthritis (PA)24.3± 26.6
Last Dosage Administered of a Previous Biotherapy Primary · Data collected and recorded at study inclusion visit

Type of previous biotherapies included were: anti-TNF alpha (infliximab/adalimumab/etanercept/golimumab), selective immuno-suppressant (vedolizumab/abatacept), interleukin inhibitor (anakinra/ustekinumab/tocilizumab), and other. In this outcome measure mean of last dosage (in units) of previous biotherapy administered dose is reported.

GroupValue95% CI
Crohn's Disease (CD)104.4± 193.3
Ulcerative Colitis (UC)86.8± 127.2
Rheumatoid Arthritis (RA)204.8± 255.5
Ankylosing Spondylitis (SpA)216.7± 218.0
Psoriatic Arthritis (PA)238.4± 227.9
Number of Participants Who Received Concomitant Treatments Prior to Initiation of Inflectra Primary · Data collected and recorded at study inclusion visit

Following concomitant treatments were received by participants before initiation of Inflectra: 1) Corticosteroids, 2) Salicylates, and 3) Azathioprine/6-MP, Methotrexate, and Cyclosporine.

Corticosteroids
GroupValue95% CI
Crohn's Disease (CD)5
Ulcerative Colitis (UC)1
Rheumatoid Arthritis (RA)0
Ankylosing Spondylitis (SpA)0
Psoriatic Arthritis (PA)0
Crohn's Disease (CD)440
Ulcerative Colitis (UC)162
Rheumatoid Arthritis (RA)83
Ankylosing Spondylitis (SpA)373
Psoriatic Arthritis (PA)82
Crohn's Disease (CD)102
Ulcerative Colitis (UC)67
Rheumatoid Arthritis (RA)59
Ankylosing Spondylitis (SpA)38
Psoriatic Arthritis (PA)14
Salicylates
GroupValue95% CI
Crohn's Disease (CD)6
Ulcerative Colitis (UC)1
Rheumatoid Arthritis (RA)0
Ankylosing Spondylitis (SpA)1
Psoriatic Arthritis (PA)0
Crohn's Disease (CD)339
Ulcerative Colitis (UC)70
Rheumatoid Arthritis (RA)131
Ankylosing Spondylitis (SpA)359
Psoriatic Arthritis (PA)90
Crohn's Disease (CD)202
Ulcerative Colitis (UC)159
Rheumatoid Arthritis (RA)11
Ankylosing Spondylitis (SpA)51
Psoriatic Arthritis (PA)6
Azathioprine/6-MP; Methotrexate; Cyclosporine
GroupValue95% CI
Crohn's Disease (CD)5
Ulcerative Colitis (UC)1
Rheumatoid Arthritis (RA)0
Ankylosing Spondylitis (SpA)0
Psoriatic Arthritis (PA)0
Crohn's Disease (CD)144
Ulcerative Colitis (UC)62
Rheumatoid Arthritis (RA)17
Ankylosing Spondylitis (SpA)224
Psoriatic Arthritis (PA)22
Crohn's Disease (CD)398
Ulcerative Colitis (UC)167
Rheumatoid Arthritis (RA)125
Ankylosing Spondylitis (SpA)187
Psoriatic Arthritis (PA)74
Physician Global Assessment (PGA) of Disease for RA, SpA and PA Secondary · 24 months

PGA was evaluated in participants with RA, SpA and PA on a 0 to 10 centimeter (cm) visual analog scale (VAS), with 0 cm = no disease activity and 10 cm = worst disease activity possible. Higher scores indicated worse condition.

GroupValue95% CI
Rheumatoid Arthritis (RA)3.5± 2.6
Ankylosing Spondylitis (SpA)3.2± 2.4
Psoriatic Arthritis (PA)3.2± 2.3
Mean Administered Dose of Inflectra (in mg) Secondary · Inclusion visit up to 6-Month visit, 6-Month visit to 12-Month visit, 12-Month visit up to 18-Month visit, and 18-Month visit up to 24-Month visit

Mean dose (in milligrams \[mg\]) administered was sum of dose of all infusions administered divided by total number of doses administered.

Inclusion to Month 6
GroupValue95% CI
Crohn's Disease (CD)451.0± 184.5
Ulcerative Colitis (UC)493.9± 202.1
Rheumatoid Arthritis (RA)313.7± 125.4
Ankylosing Spondylitis (SpA)406.9± 113.4
Psoriatic Arthritis (PA)440.8± 142.5
Month 6 to Month 12
GroupValue95% CI
Crohn's Disease (CD)473.4± 195.6
Ulcerative Colitis (UC)534.0± 213.2
Rheumatoid Arthritis (RA)313.4± 127.3
Ankylosing Spondylitis (SpA)411.3± 123.0
Psoriatic Arthritis (PA)441.2± 152.2
Month 12 to Month 18
GroupValue95% CI
Crohn's Disease (CD)503.1± 211.7
Ulcerative Colitis (UC)520.8± 212.7
Rheumatoid Arthritis (RA)313.1± 121.7
Ankylosing Spondylitis (SpA)414.8± 120.6
Psoriatic Arthritis (PA)437.7± 155.1
Month 18 to Month 24
GroupValue95% CI
Crohn's Disease (CD)515.6± 223.6
Ulcerative Colitis (UC)533.6± 218.5
Rheumatoid Arthritis (RA)317.5± 109.2
Ankylosing Spondylitis (SpA)417.3± 127.0
Psoriatic Arthritis (PA)433.7± 155.6

Adverse events — posted to ClinicalTrials.gov

Time frame: During 2 years post inclusion in the study (24 months). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Crohn's Disease (CD)
Serious: 73/547 (13%)
Deaths: 1/547
Ulcerative Colitis (UC)
Serious: 28/230 (12%)
Deaths: 2/230
Rheumatoid Arthritis (RA)
Serious: 20/142 (14%)
Deaths: 1/142
Ankylosing Spondylitis (SpA)
Serious: 47/411 (11%)
Deaths: 0/411
Psoriatic Arthritis (PA)
Serious: 10/96 (10%)
Deaths: 0/96

Serious adverse events (188 terms)

ReactionSystemCrohn's Disease (CD)Ulcerative Colitis (UC)Rheumatoid Arthritis (RA)Ankylosing Spondylitis (SpA)Psoriatic Arthritis (PA)
ILEOCOLOSTOMYSurgical and medical procedures
CROHN'S DISEASEGastrointestinal disorders
ABDOMINAL PAINGastrointestinal disorders
COLITIS ULCERATIVEGastrointestinal disorders
ANAL ABSCESSInfections and infestations
COLITISGastrointestinal disorders
ILEAL STENOSISGastrointestinal disorders
PERITONITISInfections and infestations
LARGE INTESTINAL STENOSISGastrointestinal disorders
SMALL INTESTINAL OBSTRUCTIONGastrointestinal disorders
HERPES ZOSTERInfections and infestations
EVENTRATION REPAIRSurgical and medical procedures
BASAL CELL CARCINOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)
DRUG INEFFECTIVEGeneral disorders
FALLInjury, poisoning and procedural complications
RADIUS FRACTUREInjury, poisoning and procedural complications
RHEUMATOID ARTHRITISMusculoskeletal and connective tissue disorders
SCIATICANervous system disorders
CARDIAC FAILURECardiac disorders
CARDIAC FLUTTERCardiac disorders
PREGNANCYPregnancy, puerperium and perinatal conditions
RENAL COLICRenal and urinary disorders
DEPRESSIONPsychiatric disorders
ABDOMINAL PAIN UPPERGastrointestinal disorders
ABDOMINAL RIGIDITYGastrointestinal disorders
Other adverse events (549 terms — click to expand)

ReactionSystemCrohn's Disease (CD)Ulcerative Colitis (UC)Rheumatoid Arthritis (RA)Ankylosing Spondylitis (SpA)Psoriatic Arthritis (PA)
BRONCHITISInfections and infestations
ASTHENIAGeneral disorders
NASOPHARYNGITISInfections and infestations
TONSILLITISInfections and infestations
ARTHRALGIAMusculoskeletal and connective tissue disorders
HEADACHENervous system disorders
DRUG INEFFECTIVEGeneral disorders
DIARRHOEAGastrointestinal disorders
URINARY TRACT INFECTIONInfections and infestations
RHINITISInfections and infestations
CONJUNCTIVITISInfections and infestations
PSORIASISSkin and subcutaneous tissue disorders
SINUSITISInfections and infestations
ABDOMINAL PAINGastrointestinal disorders
COUGHRespiratory, thoracic and mediastinal disorders
PRURITUSSkin and subcutaneous tissue disorders
HEPATOCELLULAR INJURYHepatobiliary disorders
GASTROENTERITISInfections and infestations
CROHN'S DISEASEGastrointestinal disorders
INFLUENZA LIKE ILLNESSGeneral disorders
VOMITINGGastrointestinal disorders
ECZEMASkin and subcutaneous tissue disorders
OVERDOSEInjury, poisoning and procedural complications
BACK PAINMusculoskeletal and connective tissue disorders
IRON DEFICIENCYMetabolism and nutrition disorders
VERTIGOEar and labyrinth disorders
DRY SKINSkin and subcutaneous tissue disorders
PARAESTHESIANervous system disorders
DYSPNOEARespiratory, thoracic and mediastinal disorders
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations
PYREXIAGeneral disorders
GASTROOESOPHAGEAL REFLUX DISEASEGastrointestinal disorders
RASHSkin and subcutaneous tissue disorders
OSTEOARTHRITISMusculoskeletal and connective tissue disorders
LIGAMENT SPRAINInjury, poisoning and procedural complications
RENAL COLICRenal and urinary disorders
TOOTH ABSCESSInfections and infestations
INFECTIONInfections and infestations
TOOTH INFECTIONInfections and infestations
VIRAL UPPER RESPIRATORY TRACT INFECTIONInfections and infestations

Most-reported serious reactions: ILEOCOLOSTOMY, CROHN'S DISEASE, ABDOMINAL PAIN, COLITIS ULCERATIVE, ANAL ABSCESS, COLITIS, ILEAL STENOSIS, PERITONITIS.

Data from ClinicalTrials.gov NCT02925338 adverse events section.

Sponsor's own description

National, prospective, multicentre observational study designed for eligible patients treated with Inflectra. Its objectives are to describe under real conditions of use, the profile of patients treated with Inflectra and the response to treatment.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Real-World Effectiveness and Safety of Infliximab Biosimilar CT-P13 for Rheumatic Diseases: A National Observational Cohort Study (ReFLECT).
    Marotte H, Cantagrel A, Coury F, Schaeverbeke T, et al · · 2025 · cited 1× · PMID 40720061 · DOI 10.1007/s12325-025-03304-6
  2. Real-world effectiveness and safety of CT-P13, an infliximab biosimilar, for inflammatory bowel diseases: A prospective national observational cohort study (ReFLECT study).
    Laharie D, Bouhnik Y, Vuitton L, Biron A, et al · · 2024 · cited 1× · PMID 39448029 · DOI 10.1016/j.clinre.2024.102483

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