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In patients treated with infliximab, do rates of immunogenicity vary based on underlying disease (RA, IBD, sarcoidosis, etc) and/or baseline disease activity?

Are there significant differences in the incidence or timing of antibody development across different diseases?
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In patients treated with infliximab, how do you approach background DMARD therapy to mitigate immunogenicity?

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1 Answer
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Rheumatology · Harvard Medical School
Answered on

Yes, rates of infliximab immunogenicity appear to vary based on underlying disease, with evidence showing higher rates for RA than IBD and spondyloarthritis, and tend to increase with higher baseline disease activity. Most patients tend to develop anti-drug antibodies within the first year, but this...

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