Although the benefits of originator infliximab have been deemed to outweigh the potential harm during pregnancy, in a recent observational study, researchers looked to evaluate whether biosimilar infliximab therapy was associated with any new safety risks.
Anti-tumor necrosis factor (anti-TNF) therapy used to treat pregnant patients with inflammatory bowel disease (IBD) has been linked with lower birth weight, shorter gestational term, and in some studies, more frequent birth defects or spontaneous abortion.
Although the benefits of originator infliximab have been deemed to outweigh the potential harm during pregnancy, in a recent observational study, researchers looked to evaluate whether biosimilar infliximab therapy was associated with any new safety risks in the same population.
The observational study was conducted among 20 pregnant women who were treated with biosimilar infliximab. Researchers compiled data on disease activity, prior treatment, and newborn outcome, as well as blood levels of the anti-TNF agent.
Of the 20 women studied, 16 had Crohn disease, and 4 had ulcerative colitis. Patients’ mean age was 28.7 (±4.1), and 55% (n = 11) were pregnant for the first time.
At the time they conceived, 30% (6) of the patients had active disease, and 65% (n = 13) were in remission. One patient was newly diagnosed with acute severe colitis after having conceived. Other than the last patient, all women had already received infliximab treatment prior to pregnancy.
Researchers recorded 19 live births, with a mean weight 3305 g (±493 g), 18 of which were at term. One was both preterm and had a low birth weight. One pregnancy was spontaneously aborted.
In addition, researchers found that disease activity at conception was associated with both lower birth weight; mean birthweight was 3549 g (±392 g) in the remission group versus 2921 g (±390 g) in the active disease group, respectively (P =.0043).
Although researchers note that findings were limited by the small study size, no new safety concerns were found in pregnant women treated with biosimilar infliximab. In addition, according to the study authors, this was the first report of pregnancy outcomes in women treated with biosimilar infliximab.
Reference
Kolar M, Duricova D, Bortlik M, et al. Pregnancy outcomes in women with IBD treatment with biosimilar infliximab. Presented at the European Crohn's and Colitis Organisation Congress 2018 meeting, February 14-17, 2018; Vienna, Austria. Abstract P614.
ecco-ibd.eu/publications/congress-abstract-s/abstracts-2018/item/p614-pregnancy-outcomes-in-women-with-ibd-treated-with-biosimilar-infliximab.html
The Growing Impact of Biosimilars in IBD Care
April 23rd 2025Biosimilars are proving to be a game-changing solution in the fight against inflammatory bowel disease (IBD), offering a cost-effective alternative to biologics with similar efficacy and safety, while innovative drug delivery systems promise to further enhance treatment outcomes and accessibility for millions worldwide.
How AI Can Help Address Cost-Related Nonadherence to Biologic, Biosimilar Treatment
March 9th 2025Despite saving billions, biosimilars still account for only a small share of the biologics market—what's standing in the way of broader adoption and how can artificial intelligence (AI) help change that?
Biosimilar and Biologic Use Increasing in Greek Patients With IBD
April 19th 2025A retrospective study from a single inflammatory bowel disease (IBD) center in Greece reported that from 2018 to 2022, the use of biologics increased by 28% yearly, and the proportion of patients using biosimilars grew from 33% to 67%.
Will the FTC Be More PBM-Friendly Under a Second Trump Administration?
February 23rd 2025On this episode of Not So Different, we explore the Federal Trade Commission’s (FTC) second interim report on pharmacy benefit managers (PBMs) with Joe Wisniewski from Turquoise Health, discussing key issues like preferential reimbursement, drug pricing transparency, biosimilars, shifting regulations, and how a second Trump administration could reshape PBM practices.
Latest Biosimilar Deals Signal Growth Across Immunology, Oncology Markets
April 14th 2025During Q1 2025, pharmaceutical companies accelerated biosimilar expansion through strategic acquisitions and partnerships in hopes of boosting patient access to lower-cost treatments in immunology and oncology.
Early Success of Adalimumab Biosimilars Featured at AMCP 2025
April 5th 2025High adherence rates, comparable clinical effectiveness, and cost savings have marked the early adoption of adalimumab biosimilars in the US, particularly in formulary-driven transitions, as shown in 2 retrospective studies presented at the Academy of Managed Care Pharmacy annual meeting (AMCP 2025).