Subcutaneously-Administered Infliximab in the Management of Rheumatoid Arthritis: A Short Narrative Review of Current Clinical Evidence.

IV RA SC TNF inhibitors infliximab intravenous rheumatoid arthritis subcutaneous

Journal

Journal of inflammation research
ISSN: 1178-7031
Titre abrégé: J Inflamm Res
Pays: New Zealand
ID NLM: 101512684

Informations de publication

Date de publication:
2022
Historique:
received: 15 02 2022
accepted: 04 05 2022
entrez: 8 6 2022
pubmed: 9 6 2022
medline: 9 6 2022
Statut: epublish

Résumé

The first subcutaneous (SC) formulation of infliximab CT-P13 has been authorized for the treatment of rheumatoid arthritis (RA) in Europe in 2019. Later, in 2020, approved indications were extended also to ankylosing spondylitis, psoriatic arthritis, psoriasis, Crohn's disease (CD) and ulcerative colitis (UC). The present review provides summary of the key features of SC infliximab, with particular focus on pharmacokinetic profile, clinical development program in comparison with the intravenous (IV) formulation, and the latest evidence in the literature. We conclude that SC infliximab represents a new and promising approach in the treatment of patients with RA, offering an optimized clinical profile and a more practical option in comparison to the IV formulation. Nevertheless, SC formulation can improve the use of national health systems resources (e.g., through the time of healthcare workers not having to supervise infusions) and facilitate social distancing measures during the COVID-19 pandemic, as the patient can self-inject the medicine at home without going to the hospital. The limitations of the SC infliximab are mainly due to the limited experience of use in clinical practice and the absence of long-term drug retention data.

Identifiants

pubmed: 35673354
doi: 10.2147/JIR.S240593
pii: 240593
pmc: PMC9167594
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

3259-3267

Informations de copyright

© 2022 Iannone et al.

Déclaration de conflit d'intérêts

AF is an employee of Celltrion Healthcare Italy srl. Professor Fabrizio Conti reports personal fees from Lilly, personal fees from BMS, personal fees from Galapagos, personal fees from AbbVie, personal fees from Pfizer, outside the submitted work. Professor Roberto Caporali reports personal fees from pfizer, personal fees from AbbVie, personal fees from amgen, personal fees from celltrion, personal fees from BMS, personal fees from Lilly, personal fees from MSD, personal fees from Fresenius-Kabi, personal fees from Galapagos, during the conduct of the study. The other authors report no conflicts of interest in this work.

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Auteurs

Florenzo Iannone (F)

Rheumatology Unit, Department of Emergency and Organ Transplantation, Università Degli Studi Di Bari Aldo Moro, Bari, Italy.

Fabrizio Conti (F)

Rheumatology Unit, Department of Clinical, Internal, Anesthetic and Cardiovascular Sciences, Sapienza Università di Roma, Rome, Italy.

Alberto Cauli (A)

Rheumatology Unit, Department of Medical Sciences and Public Health, AOU and University of Cagliari, Monserrato, Italy.

Alberto Farina (A)

Medical Affairs Department, Celltrion Healthcare Italy srl, Milan, Italy.

Roberto Caporali (R)

Department of Clinical Sciences and Community Health, Research Centre for Adult and Pediatric Rheumatic Diseases, University of Milan, Milan, Italy.

Classifications MeSH