Biosimilar infliximab introduction into the gastroenterology care pathway in a large acute Irish teaching hospital: A story behind the evidence

Category: Review Article
Author(s): , , , , ,
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Keywords: biologics, Evidence-based, inflammatory bowel disease (IBD), secondary care, switching
Abstract:
Background and aim: Biosimilar medicines are not considered exact replicas of originator biologic medicines. As a result, prescribers can be hesitant to introduce such medicines into the clinical setting until evidence surfaces confirming their safety and effectiveness. In Ireland, a national biosimilar medicines policy is currently in development but the decision to prescribe biosimilar medicines remains at the discretion of the physician. The aim of this descriptive review is to tell the story of the evidence used by a large acute Irish teaching hospital to introduce biosimilar infliximab CT-P13 for the treatment of inflammatory bowel disease (IBD) in a safe and timely manner into routine care.
Setting and methods: To explore the evidence supporting the effective introduction of biosimilar infliximab in a large acute Irish teaching hospital, a literature review was conducted. Evidence consisted of published studies, reviews, reports, position statements, articles, clinical guidelines and recommendations from national bodies, regulatory authorities and professional organisations. All evidence was published in English.
Results and conclusion: In September 2014, the accumulated evidence base provided physicians with reassurance to prescribe biosimilar infliximab CT-P13 for new patients suffering from IBD in this large acute Irish teaching hospital. In September 2016, as the evidence base grew, physicians began to safely switch patients from the originator infliximab product to the biosimilar product. Published evidence can sometimes prove misleading thus must be thoroughly examined before being included in a decision-making process.

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