Table 1.
Characteristics of the different anti-TNF agents.
Infliximab | Etanercept | Adalimumab | Certolizumab pegol | Golimumab | |
---|---|---|---|---|---|
Type | Monoclonal antibody against TNF-α | TNF soluble receptor | Monoclonal antibody against TNF-α | Monoclonal antibody against TNF-α | Monoclonal antibody against TNF-α |
| |||||
Composition | Chimeric antibody | Recombinant fusion protein | Recombinant monoclonal antibody | Monoclonal antibody | Monoclonal antibody |
| |||||
Origin | Human and murine | Human | Human | Human | Human |
| |||||
Mechanism of action | Binding to soluble and cell-bound TNF-α | Binding to soluble TNF-α and TNF-β | Binding to soluble and cell-bound TNF-α | Binding to soluble and cell-bound TNF-α | Binding to soluble and cell-bound TNF-α |
| |||||
Dose | 3–5 mg/kg at weeks 0, 2, and 6; then, every 4–8 weeks | 25–50 mg once or twice a week | 40 mg every other week | 400 mg every other week (maintenance every 4 weeks can be considered) | 50 mg once monthly |
| |||||
Administration route | Intravenous | Subcutaneous | Subcutaneous | Subcutaneous | Subcutaneous |