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. 2023 Feb 22;15:125–138. doi: 10.2147/CEOR.S391413

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:
  • The recommended dose for induction treatment is 10 mg given orally twice daily for 8 weeks

  • For patients who do not achieve adequate therapeutic benefit by week 8, the induction dose of 10 mg twice daily can be extended for an additional 8 weeks (16 weeks total), followed by 5 mg twice daily for maintenance


Maintenance:
  • The recommended dose for maintenance treatment is tofacitinib 5 mg orally given twice daily

  • For patients with UC who are not at increased risk for venous thromboembolism, tofacitinib 10 mg orally twice daily may be considered if the patient experiences a decrease in response on tofacitinib 5 mg twice daily and failed to respond to alternative treatment options for UC such as anti-TNF therapy

Induction:
  • Tofacitinib 10 mg twice daily or extended-release tofacitinib 22 mg once daily for 8 weeks; evaluate patients and transition to maintenance therapy depending on therapeutic response

  • If needed, continue tofacitinib 10 mg twice daily or extended-release tofacitinib 22 mg once daily for a maximum of 16 weeks

  • Discontinue tofacitinib 10 mg twice daily or extended-release tofacitinib 22 mg once daily after 16 weeks if adequate therapeutic response is not achieved


Maintenance:
  • Tofacitinib 5 mg twice daily or extended-release tofacitinib 11 mg once daily

  • For patients with loss of response during maintenance treatment, tofacitinib 10 mg twice daily or extended-release tofacitinib 22 mg once daily may be considered and limited to the shortest duration, with careful consideration of the benefits and risks for the individual patient

Stelara (ustekinumab) IL-12/ IL-23 antagonist Janssen Biotech IV and SC A single IV, weight based:
  • ≤55 kg: 260 mg (2 vials)

  • 56–85 kg: 390 mg (3 vials)

  • >85 kg: 520 mg (4 vials)


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:
  • ≤55 kg: 260 mg (2 vials)

  • 56–85 kg: 390 mg (3 vials)

  • >85 kg: 520 mg (4 vials)


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.