Kapoor Sanjiv
Sanjivni Rheumatology Centre and ISIC Superspeciality Hospital, New Delhi.
J Assoc Physicians India. 2017 May;65(5 Suppl):26-29.
Tumour necrosis factor inhibitors (TNFi) like Infliximab, Etarnacept and Adalimumab have been successfully studied in controlled clinical trials and are currently recommended in the treatment of patients with spondyloarthropathy (SPA). Significant proportion of patients in clinical studies have, however, failed to achieve a desired clinical response, or, are discontinued from the therapy due to secondary inefficacy or side effects. Therefore, owing to the different molecular structures and routes of administration, switching from one TNFi to another is considered as in important option in SPA patients eligible to receive TNFi therapy. We report here our experience of switching Indian patients with SPA with inadequate response to other TNFi to ZRC 3197(Adalimumab Biosimilar) treatment available in India.
肿瘤坏死因子抑制剂(TNFi),如英夫利昔单抗、依那西普和阿达木单抗,已在对照临床试验中得到成功研究,目前被推荐用于治疗脊柱关节病(SPA)患者。然而,临床研究中有相当比例的患者未能达到预期的临床反应,或者由于继发性无效或副作用而停止治疗。因此,由于分子结构和给药途径不同,对于有资格接受TNFi治疗的SPA患者,从一种TNFi转换为另一种被认为是一个重要选择。我们在此报告将对其他TNFi反应不佳的印度SPA患者转换为印度可用的ZRC 3197(阿达木单抗生物类似药)治疗的经验。