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Updated: Jun 17, 2026

Determination of the Relative Potency of an Anti-TNF Monoclonal Antibody (mAb) by Neutralizing TNF Using an In Vitro Bioanalytical Method
Published on: September 16, 2017
What have we learnt from targeted anti-TNF therapy?
M Feldmann1, R O Williams, E Paleolog
1Kennedy Institute of Rheumatology Division, Imperial College, 65 Aspenlea Road, London W6 8LH, UK. m.feldmann@imperial.ac.uk
Anti-tumour necrosis factor (anti-TNF) therapy has been used for rheumatoid arthritis since 1992. This review examines anti-TNF knowledge, gaps, and potential cytokine-based treatments for unmet clinical needs.
Area of Science:
- Rheumatology
- Immunology
- Pharmacology
Background:
- Anti-tumour necrosis factor (anti-TNF) therapy has been a cornerstone in rheumatoid arthritis (RA) treatment since the early 1990s.
- Extensive research has elucidated the mechanisms by which anti-TNF agents provide therapeutic benefits in RA patients.
Purpose of the Study:
- To review current knowledge and identify existing gaps in understanding anti-TNF therapy for rheumatoid arthritis.
- To explore the role of the TNF-dependent cytokine cascade in RA pathogenesis and treatment.
- To discuss novel therapeutic strategies, including cytokine analysis, for addressing unmet clinical needs in RA.
Main Methods:
- Literature review of studies on anti-TNF therapy in rheumatoid arthritis.
- Analysis of the TNF-dependent cytokine cascade and its implications.
- Exploration of potential new treatment approaches.
Main Results:
- Significant progress has been made in understanding anti-TNF therapy, but knowledge gaps remain.
- The TNF-dependent cytokine cascade plays a crucial role in RA.
- Cytokine analysis may offer new avenues for treating RA and addressing unmet clinical needs.
Conclusions:
- While anti-TNF therapies have advanced RA treatment, further research is needed to address remaining challenges.
- Understanding the cytokine network is key to developing more effective and targeted therapies.
- Cytokine profiling holds promise for personalized medicine and managing refractory RA cases.
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