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Cited by 353

The DOI matches its Crossref record; 122 of the 122 references it cites were found in a registry or an index.

Immunogenicity of Biologics in Chronic Inflammatory Diseases: A Systematic Review

Open access
Strand, Vibeke, Balsa, Alejandro, Al-Saleh, Jamal, Barile-Fabris, Leonor, Horiuchi, Takahiko, Takeuchi, Tsutomu, Lula, Sadiq, Hawes, Charles, Kola, Blerina, Marshall, Lisa·2017·BioDrugs

Abstract

OBJECTIVES: A systematic review was conducted to explore the immunogenicity of biologic agents across inflammatory diseases and its potential impact on efficacy/safety. METHODS: Literature searches were conducted through November 2016 to identify controlled and observational studies of biologics/biosimilars administered for treatment of rheumatoid arthritis (RA), psoriatic arthritis (PsA), juvenile idiopathic arthritis (JIA), ankylosing spondylitis (AS), non-radiographic axial spondyloarthritis (nr-axSpA), psoriasis (Ps), Crohn's disease, and ulcerative colitis. RESULTS: Of >21,000 screened publications, 443 were included. Anti-drug antibody (ADAb) rates varied widely among biologics across diseases (and are not directly comparable because of immunoassay heterogeneity); the highest overall rates were reported with infliximab (0-83%), adalimumab (0-54%), and infliximab biosimilar CT-P13 (21-52%), and the lowest with secukinumab (0-1%), ustekinumab (1-11%), etanercept (0-13%), and golimumab (0-19%). Most ADAbs were neutralizing, except those to abatacept and etanercept. ADAb+ versus ADAb- patients had lower rates of clinical response to adalimumab (RA, PsA, JIA, AS, Ps), golimumab (RA), infliximab (RA, PsA, AS, Ps), rituximab (RA), ustekinumab (Ps), and CT-P13 (RA, AS). Higher rates of infusion-related reactions were reported in infliximab- and CT-P13-treated ADAb+ patients. Background immunosuppressives/anti-proliferatives reduced biologic immunogenicity across diseases. CONCLUSIONS: Based on reviewed reports, biologic/biosimilar immunogenicity differs among agents, with the highest rates observed with infliximab and adalimumab. As ADAb formation in biologic-/biosimilar-treated patients may increase the risk of lost response, the immunogenicity of these agents is an important (albeit not the only) consideration in the treatment decision-making process.

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Metadata

Authors
Strand, V., Balsa, A., Al-Saleh, J., Barile-Fabris, L., Horiuchi, T., Takeuchi, T., Lula, S., Hawes, C., Kola, B., & Marshall, L.
Venue
BioDrugs
Published
2017-06-13
Volume
31
Issue
4
Pages
299-316
ISSN
  • 1172-7039 (ISSN-L)
  • 1173-8804
  • 1179-190X
OpenAlex
W2624671969
Cited by
353
References
122
FWCI
2.60
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Immunogenicity of Biologics in Chronic Inflammatory Diseases: A Systematic Review. https://app.cochat.ai/papers/10.1007/s40259-017-0231-8
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Strand, V., Balsa, A., Al-Saleh, J., Barile-Fabris, L., Horiuchi, T., Takeuchi, T., Lula, S., Hawes, C., Kola, B., & Marshall, L. (2017). Immunogenicity of Biologics in Chronic Inflammatory Diseases: A Systematic Review. BioDrugs. https://doi.org/10.1007/s40259-017-0231-8

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