Effect of Therapeutic Drug Monitoring vs Standard Therapy During Infliximab Induction on Disease Remission in Patients With Chronic Immune-Mediated Inflammatory Diseases
Author(s) -
Silje Watterdal Syversen,
Guro Løvik Goll,
Kristin Kaasen Jørgensen,
Øystein Sandanger,
Joseph Sexton,
Inge Christoffer Olsen,
Johanna Elin Gehin,
David J. Warren,
Marthe Kirkesæther Brun,
Rolf Anton Klaasen,
Lars Normann Karlsen,
Geir Noraberg,
Camilla Zettel,
M. K. A. Ljosa,
Anne Julsrud Haugen,
Rune Johan Njålla,
Trude Jannecke Bruun,
Kathrine Aglen Seeberg,
Brigitte Michelsen,
Eldri Kveine Strand,
Svanaug Skorpe,
Ingrid Marianne Blomgren,
Yngvill Hovde Bragnes,
Christian Kvikne Dotterud,
Turid Thune,
Carl Magnus Ystrøm,
Roald Torp,
Paweł Mielnik,
Cato Mørk,
Tore K Kvien,
Jørgen Jahnsen,
Nils Bolstad,
Espen A. Haavardsholm
Publication year - 2021
Publication title -
jama
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.688
H-Index - 680
eISSN - 1538-3598
pISSN - 0098-7484
DOI - 10.1001/jama.2021.4172
Subject(s) - medicine , infliximab , ulcerative colitis , therapeutic drug monitoring , randomized controlled trial , psoriatic arthritis , rheumatoid arthritis , pharmacotherapy , psoriasis , dosing , maintenance therapy , adalimumab , inflammatory bowel disease , disease , pharmacokinetics , chemotherapy , immunology
Proactive therapeutic drug monitoring (TDM), defined as individualized drug dosing based on scheduled monitoring of serum drug levels, has been proposed as an alternative to standard therapy to maximize efficacy and safety of infliximab and other biological drugs. However, whether proactive TDM improves clinical outcomes when implemented at the time of drug initiation, compared with standard therapy, remains unclear.
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