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Updated: Jun 17, 2026

Using Reference Reagents to Confirm Robustness of Cytokine Release Assays for the Prediction of Monoclonal Antibody Safety
Published on: September 15, 2023
Cytokines as targets for anti-inflammatory agents
1University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA. lwm5@pitt.edu
Tumor necrosis factor (TNF) inhibitors have transformed rheumatoid arthritis (RA) treatment, offering significant benefits. Ongoing research focuses on predicting patient response and managing potential opportunistic infections associated with these therapies.
Area of Science:
- Immunology and Rheumatology
- Pharmacology and Therapeutics
Background:
- Tumor necrosis factor (TNF) plays a critical role in rheumatoid arthritis (RA) pathogenesis.
- Anti-TNF therapies, including monoclonal antibodies and receptor fusion proteins, have shown remarkable clinical benefits in RA patients.
- Five anti-TNF agents are currently approved for RA treatment.
Purpose of the Study:
- To identify which RA patients achieve meaningful clinical responses to anti-TNF monotherapy or combination therapy.
- To investigate potential adverse events associated with anti-TNF therapies, particularly opportunistic infections.
Main Methods:
- Clinical trials and observational studies evaluating anti-TNF agents in RA patients.
- Analysis of patient outcomes using measures like ACR 20 and DAS scores.
- Monitoring and assessment of adverse events, focusing on infection rates.
Main Results:
- Anti-TNF therapies have significantly improved outcomes for RA patients, revolutionizing treatment.
- Predicting individual patient response to anti-TNF agents remains an active area of research.
- An increased risk of opportunistic infections is the most clearly linked adverse event.
Conclusions:
- Anti-TNF therapies represent a major advancement in managing RA, a condition with significant morbidity and mortality.
- Further research is needed to optimize patient selection and safety monitoring for anti-TNF treatments.
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