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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
Novel TNF antagonists for the treatment of rheumatoid arthritis
Laisvyde Statkute1, Eric M Ruderman
1Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.
Importance Of The Field:
TNF antagonists have become an integral part of the standard of care for patients with rheumatoid arthritis (RA). Two additional TNF antagonists have recently been approved in the US for this indication, and clinicians will need to understand the data on the efficacy and safety of these agents in order to properly place them into the clinical treatment algorithm.
Areas Covered In This Review:
This review covers the published clinical trial data on the use of certolizumab and golimumab for RA. The literature search included manuscripts published through September 2009 and abstracts from major meetings (ACR and EULAR) in 2007 - 2009.
What The Reader Will Gain:
This paper will review the efficacy and safety of golimumab and certolizumab in the treatment of RA at various stages of disease. Use of these agents will be described in the context of other available alternatives, including other TNF antagonists and other biologic therapies.
Take Home Message:
Certolizumab and golimumab have comparable efficacy and safety profiles compared with previously approved TNF antagonists. These two agents have several unique theoretical benefits when compared to existing agents, but the available published data do not suggest a clear clinical advantage at this time.
Insights
Two new TNF antagonists, certolizumab and golimumab, show comparable efficacy and safety to existing rheumatoid arthritis (RA) treatments. Current data do not indicate a clear clinical advantage for these new RA therapies.
Area of Science:
- Rheumatology
- Immunology
- Pharmacology
Background:
- Tumor Necrosis Factor (TNF) antagonists are standard care for rheumatoid arthritis (RA).
- Recent US approvals of two new TNF antagonists necessitate understanding their efficacy and safety.
- Clinicians require data to integrate these agents into RA treatment algorithms.
Purpose of the Study:
- To review published clinical trial data on certolizumab and golimumab for RA treatment.
- To compare the efficacy and safety of certolizumab and golimumab with existing RA therapies.
- To discuss the role of these new agents within the broader context of RA treatment options.
Main Methods:
- Literature search of published manuscripts through September 2009.
- Inclusion of abstracts from major rheumatology meetings (ACR, EULAR) from 2007-2009.
- Review focused on clinical trial data regarding efficacy and safety in RA.
Main Results:
- Certolizumab and golimumab demonstrate comparable efficacy and safety profiles to established TNF antagonists.
- The review examines the use of these agents across various RA disease stages.
- Comparative analysis includes other TNF antagonists and biologic therapies for RA.
Conclusions:
- Certolizumab and golimumab offer comparable efficacy and safety to existing TNF antagonists for RA.
- While theoretically advantageous, current data do not support a distinct clinical superiority for these new agents.
- Further research may clarify the unique benefits of certolizumab and golimumab in RA management.
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