Table 1.
Regular Dosages for Drugs Administered in Patients with UC
| Drug, Brand (Generic) | Class | Manufacturer | Mode of Administration | EU Dosage in UC | US Dosage in UC |
|---|---|---|---|---|---|
| Remicade (infliximab) | Anti-TNF therapy | Janssen Biotech | IV | 5 mg/kg at 0, 2, and 6 weeks and every 8 weeks thereafter for the treatment of adult patients | 5 mg/kg at 0, 2, and 6 weeks and every 8 weeks thereafter |
| Humira (adalimumab) | AbbVie | SC | 160 mg at week 0 (given as four 40 mg injections in 1 day or as two 40 mg injections per day for 2 consecutive days) and 80 mg at week 2 (given as two 40 mg injections in 1 day) After induction treatment, the recommended dose is 40 mg every other week via SC injection |
160 mg on day 1 (given in 1 day or split over 2 consecutive days), 80 mg on day 15 and 40 mg every other week starting on day 29. Discontinue in patients without evidence of clinical remission by 8 weeks (day 57) | |
| Simponi (golimumab) | Janssen Biotech | SC | Patients with body weight <80 kg → initial dose of 200 mg, followed by 100 mg at week 2. Patients who have an adequate response should receive 50 mg at week 6 and every 4 weeks thereafter Patients with body weight ≥ 80 kg → initial dose of 200 mg, followed by 100 mg at week 2 and 100 mg every 4 weeks thereafter |
200 mg initially administered by SC injection at week 0, followed by 100 mg at week 2 and 100 mg every 4 weeks thereafter | |
| Entyvio (vedolizumab) | Integrin receptor antagonist | Takeda | IV | 300 mg administered by IV infusion at 0, 2, and 6 weeks and every 8 weeks thereafter EU SmPC states that some patients who have experienced a decrease in their response may benefit from an increase in dosing frequency to IV vedolizumab 300 mg every 4 weeks |
IV 300 mg infused over approximately 30 minutes at 0, 2, and 6 weeks and every 8 weeks thereafter |
| Xeljanz (tofacitinib) | JAK inhibitor | Pfizer | Oral | Induction:
Maintenance:
|
Induction:
Maintenance:
|
| Stelara (ustekinumab) | IL-12/ IL-23 antagonist | Janssen Biotech | IV and SC | A single IV, weight based:
The first SC dose should be given at week 8 following the IV dose. After this, dosing every 12 weeks is recommended |
A single IV, weight based:
The SC maintenance dose is 90 mg 8 weeks after the first IV dose and every 8 weeks thereafter |
Abbreviations: Anti-TNF, tumor necrosis factor inhibitor; IL, interleukin; JAK, Janus kinase; SmPC, summary of product characteristics; UC, ulcerative colitis.