Table 1.
Comparison of Induction and Maintenance Dosing for Medications Used Across PsA, Psoriasis, and IBD
| Psoriasis | Psoriatic Arthritis | Inflammatory Bowel Disease | ||||
|---|---|---|---|---|---|---|
| Drug | Induction | Maintenance | Induction | Maintenance | Induction | Maintenance |
| infliximab | 5-10mg/kg IV wks 0,2,6 | 5-10mg/kg IV q4-8 wks | 5-10mg/kg IV wks 0,2,6 | 5mg/kg IV q8 wks | 5-10mg/kg IV wks 0,2,6 | 5-10mg/kg IV q4-8 wks |
| adalimumab | 80mg SQ single dose (wk 0) | 40mg SQ q2 wks (starting wk 1) | N/A | 40mg SQ q2 wks | 160mg SQ wk 0, 80mg wk 2 | 40-80mg SQ q1-2 wks |
| certolizumab | 400mg SQ q2 wks | 400mg q2 wks SQ; if <90 kg consider 200mg dose | 400mg SQ wks 0,2,4 | 200mg SQ q2 wks | 400mg SQ wks 0,2,4 | 400mg SQ q4 wks |
| golimumab | N/A | N/A | IV: 2mg/kg wks 0,4 SQ: 50mg qmonth |
IV: 2mg/kg q8 wks SQ: 50mg qmonth |
200mg SQ wk 0, 100mg wk 2 | 100mg SQ q4 wks |
| ustekinumab |
<100 kg: 45mg SQ wks 0,4 >100 kg: 90mg SQ wks 0,4 |
<100 kg: 45mg SQ q12 wks; may require 90mg or q8 wks >100 kg: 90mg SQ q12 wks; may require q8 wks |
45mg SQ wks 0,4 | 45mg SQ q12 wks; may require 90mg or q8 wks | 260/390/520mg IV single dose (weight-based) | 90mg SQ q8 wks |
| risankizumab | 150mg SQ wks 0,4 | 150mg SQ q12 wks | 150mg SQ wks 0,4 | 150mg SQ q12 wks |
CD: 600mg IV wks 0,4,8 UC: 1200mg IV wks 0,4,8 |
180 or 360mg SQ q8 wks (starting wk 12) |
| guselkumab | 100mg SQ wks 0,4 | 100mg SQ q8 wks | 100mg SQ wks 0, 4 | 100mg SQ q8 wks | UC: 200mg IV wks 0,4,8 | 200mg SQ q4 or 100mg q8 wks |
| tofacitinib | N/A | N/A | N/A | 5mg PO BID or 11mg daily (ER) | 10mg PO BID | 5-10mg PO BID |
| upadacitinib | N/A | N/A | N/A | 15mg PO daily |
CD: 45mg PO daily x12 wks UC: 45mg PO daily x8 wks |
15 - 30mg PO daily |
Legend: PsA: psoriatic arthritis; IBD: inflammatory bowel disease; q: every; wk(s): week(s); IV: intravenous; SQ: subcutaneous; CD: Crohn’s disease; UC: ulcerative colitis; PO: oral; N/A: not applicable; BID: twice daily; ER: extended-release