Research Article

Monitoring a Mandatory Nonmedical Switching Policy from Originator to Biosimilar Infliximab in Patients with Inflammatory Bowel Diseases: A Population-Based Cohort Study

Table 1

Patient flow for the policy cohort and the three historical cohorts.

Policy cohortHistorical cohorts
2019201620172018

Inclusion criteria
 Number of users of originator infliximab3,1793,2733,3633,328
 Number of patients with an inflammatory bowel disease2,6742,6372,7802,783
Exclusion criteria, n (%) of patients excluded
 Low compliance/discontinuers97 (3.1)119 (3.6)125 (3.7)157 (4.7)
 Switchers24 (0.8)7 (0.2)7 (0.2)9 (0.3)
 Lack of enrollment20 (0.6)28 (0.9)28 (0.8)33 (1.0)
 No PharmaCare694 (21.8)115 (3.5)378 (11.2)590 (17.7)
Patients in the final cohort, n1,8392,3682,2421,994

Criteria are listed in Supplementary Table 2.
Brand name Remicade.
The policy cohort comprised individuals with a prescription for originator infliximab during a 6-month identification period between March 7, 2019 and September 4, 2019, the day before policy introduction. The three historical cohorts consisted of individuals with a prescription for the originator infliximab during 6-month identification periods between March 7 and September 4, 2016, 2017, and 2018.