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[Treatment of rheumatoid arthritis (RA) with anti-TNF-alpha antibody (Remicade). Individual monitoring of bioavailability and immunogenicity--secondary publication]

AbstractRemicade/infliximab is effective in rheumatoid arthritis (RA), but response failure is frequent. Sera from 106 RA patients were monitored using an RIA for functional infliximab and an RIA for anti-infliximab antibody (Ab). S-infliximab varied considerably, e.g. 0-22 microg/ml before the 3rd infusion, and 44% were Ab-positive after 6 months. Low s-infliximab was associated with Ab development and later therapeutic failure, and high Ab levels could be related to dose increases, side-effects and cessation of therapy. Pharmacological monitoring should help optimize anti-TNF therapies.
AuthorsKlaus Bendtzen, Pierre Geborek, Morten Svenson, Lotta Larsson, Meliha C Kapetanovic, Tore Saxne (Affiliation: Rigshospitalet, Institut for Inflammationsforskning (IIR), BioMonitor ApS, Symbion. kben at mail.dk)
JournalUgeskrift for laeger (Ugeskr Laeger) Vol. 169 Issue 5 Pg. 420-3 (Jan 29 2007) ISSN: 1603-6824 Denmark
Vernacular TitleBehandling af reumatoid artrit med anti-tumornekrosefaktor-alpha-antistof. Individuel monitorering af biotilgaengelighed og immunogenicitet-- sekundaerpublikation.
PMID17280636 (Publication Type: English Abstract, Journal Article)