Novel TNF antagonists for the treatment of rheumatoid arthritis

Laisvyde Statkute1, Eric M Ruderman

  • 1Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.

Abstract

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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