PMID- 10855120 OWN - NLM STAT- MEDLINE DCOM- 20000803 LR - 20191104 IS - 1042-895X (Print) IS - 1042-895X (Linking) VI - 22 IP - 6 DP - 1999 Nov-Dec TI - Anti-TNF alpha: new therapy for Crohn's disease. PG - 245-8 AB - Immunological technology has paved the way for a promising new therapy for patients suffering from chronic active Crohn's disease. Neutralization of tumor necrosis factor-alpha (TNF alpha), a cytokine secreted by cells in the immune system, may prove useful in decreasing bowel inflammation and aid in the closure of fistulae. Two multicenter, randomized, double-blinded, placebo-controlled trials were conducted to evaluate the safety and efficacy of inflixmab (Remicade [Centocor]), a chimeric monoclonal antibody form of anti-TNF alpha, hypothesized to provide a prolonged therapeutic effect in chronic inflammation. The 5 mg/kg dose regimen of infliximab was the lowest effective dose and produced a high degree of benefit lasting 8 weeks to 3 months. Infusion preparation, cost, and patient indications bear special considerations. Further investigation is needed in long-term safety and efficacy for chronic administration of infliximab. FAU - Mikula, C A AU - Mikula CA AD - Specialty Care Systems, Inc., Park Ridge, Illinois 60068, USA. LA - eng PT - Journal Article PT - Review PL - United States TA - Gastroenterol Nurs JT - Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates JID - 8915377 RN - 0 (Antibodies, Monoclonal) RN - 0 (Gastrointestinal Agents) RN - 0 (Tumor Necrosis Factor-alpha) RN - B72HH48FLU (Infliximab) MH - Antibodies, Monoclonal/immunology/pharmacology/*therapeutic use MH - Crohn Disease/immunology/*therapy MH - Drug Monitoring/methods/nursing MH - Gastrointestinal Agents/immunology/pharmacology/*therapeutic use MH - Humans MH - Infliximab MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha/*immunology RF - 10 EDAT- 2000/06/16 09:00 MHDA- 2000/08/06 11:00 CRDT- 2000/06/16 09:00 PHST- 2000/06/16 09:00 [pubmed] PHST- 2000/08/06 11:00 [medline] PHST- 2000/06/16 09:00 [entrez] AID - 10.1097/00001610-199911000-00004 [doi] PST - ppublish SO - Gastroenterol Nurs. 1999 Nov-Dec;22(6):245-8. doi: 10.1097/00001610-199911000-00004.