PMID- 26523483 OWN - NLM STAT- MEDLINE DCOM- 20160829 LR - 20161126 IS - 1744-8409 (Electronic) IS - 1744-666X (Linking) VI - 12 IP - 1 DP - 2016 TI - Golimumab for the treatment of axial spondyloarthritis. PG - 9-18 LID - 10.1586/1744666X.2016.1106941 [doi] AB - Axial spondyloarthritis (axSpA) is a chronic, immune-mediated inflammatory disease of the axial skeleton that includes ankylosing spondylitis (AS) and non-radiographic axial spondyloarthritis (nr-axSpA). Patients with AS experience chronic pain due to sacroiliac joint and spinal inflammation, and may develop spinal ankylosing with syndesmophyte formation. Tumor necrosis factor alpha inhibitors (TNFi) have shown promise in the management of AS and axSpA by targeting the underlying inflammatory process, and providing symptomatic relief. Whether they alter the progression of the disease is uncertain. Golimumab is a fully human IgG1 monoclonal antibody that targets and downregulates the pro-inflammatory cytokine TNF-alpha. The use of golimumab has been shown to reduce the signs and symptoms of axSpA as well as improve patient function and quality reported outcomes. This review focuses on the biological rationale and the results of clinical trials with golimumab for the treatment of axSpA. FAU - Gelfer, Gita AU - Gelfer G AD - a Division of Arthritis & Rheumatic Diseases (OP09) , Oregon Health & Science University , Portland , OR 97239 , USA. FAU - Perry, Lisa AU - Perry L AD - a Division of Arthritis & Rheumatic Diseases (OP09) , Oregon Health & Science University , Portland , OR 97239 , USA. FAU - Deodhar, Atul AU - Deodhar A AD - a Division of Arthritis & Rheumatic Diseases (OP09) , Oregon Health & Science University , Portland , OR 97239 , USA. LA - eng PT - Journal Article PT - Review DEP - 20151102 PL - England TA - Expert Rev Clin Immunol JT - Expert review of clinical immunology JID - 101271248 RN - 0 (Antibodies, Monoclonal) RN - 0 (Tumor Necrosis Factor-alpha) RN - 91X1KLU43E (golimumab) SB - IM MH - Animals MH - Antibodies, Monoclonal/*therapeutic use MH - Clinical Trials as Topic MH - Humans MH - *Immunotherapy MH - Spondylitis, Ankylosing/immunology/*therapy MH - Tumor Necrosis Factor-alpha/immunology OTO - NOTNLM OT - Ankylosing spondylitis OT - TNF inhibitors OT - anti-tumor necrosis factor OT - axial spondyloarthritis OT - golimumab OT - non-radiographic axial spondyloarthritis EDAT- 2015/11/03 06:00 MHDA- 2016/08/30 06:00 CRDT- 2015/11/03 06:00 PHST- 2015/11/03 06:00 [entrez] PHST- 2015/11/03 06:00 [pubmed] PHST- 2016/08/30 06:00 [medline] AID - 10.1586/1744666X.2016.1106941 [doi] PST - ppublish SO - Expert Rev Clin Immunol. 2016;12(1):9-18. doi: 10.1586/1744666X.2016.1106941. Epub 2015 Nov 2.