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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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TNF inhibitors for inflammatory arthritis

TNF inhibitors for inflammatory arthritis
Drug Route of administration Typical starting dose Notes
Etanercept SUBQ 50 mg SUBQ once weekly For concurrent moderate to severe plaque psoriasis – Start with etanercept 50 mg twice weekly for 3 months
Infliximab IV 5 mg/kg IV at 0, 2, and 6 weeks, then every 8 weeks

Administration with a conventional DMARD (eg, methotrexate) promotes drug survival

In the United States, SUBQ administration is approved only for ulcerative colitis and Crohn disease, and induction strategy differs; refer to local prescribing information for additional information including approved uses
SUBQ[1,2]

SUBQ induction – 120 mg SUBQ once weekly for 5 doses (ie, weeks 0, 1, 2, 3, 4), then 120 mg SUBQ once every 2 weeks

IV induction – 3 mg/kg IV at 0 and 2 weeks, then 120 mg SUBQ every 2 weeks starting 4 weeks after the second IV dose
Adalimumab SUBQ 40 mg SUBQ every other week Administration with a conventional DMARD (eg, methotrexate) promotes drug survival
Certolizumab pegol SUBQ 400 mg SUBQ at 0, 2, and 4 weeks, followed by 200 mg every other week PEGylation prevents crossing the placenta
Golimumab SUBQ 50 mg SUBQ once a month Available in both SUBQ and IV formulations
IV 2 mg/kg IV at weeks 0 and 4, then every 8 weeks
Choice of TNF inhibitor depends upon patient factors such as comorbidities and patient preferences (eg, for route of administration and frequency of treatment) and regulatory or insurance restrictions on drug choice. Biosimilar agents for some TNF inhibitors are available and may be less costly; refer to local product availability.
DMARD: disease-modifying antirheumatic drug; IV: intravenously; PEG: polyethylene glycol; SUBQ: subcutaneously; TNF: tumor necrosis factor.
References:
  1. Infliximab. Health Canada-approved product monograph. Revised March 7, 2023. Health Canada. https://health-products.canada.ca/dpd-bdpp/index-eng.jsp (Accessed on January 5, 2024).
  2. Infliximab. European Medicines Agency (EMA) summary of product characteristics. Last updated June 10, 2023. European Medicines Agency. www.ema.europa.eu/en/medicines (Accessed on January 5, 2024).

With additional data from:

  1. Lexicomp online. Copyright © 1978-2024 by Lexicomp, Inc. All rights reserved.
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