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Golimumab

 

 

Golimumab is a human monoclonal antibody which is used as an immunosuppressive medication

 

 

Trade name Simponi targets tumor necrosis factor alpha (TNF-alpha), a pro-inflammatory molecule: a TNF inhibitor. 

 

 

Golimumab reduces C-reactive protein (CRP) levels, interleukin (IL)-6, intercellaular adhesion molecules (ICAM)-1, matrix metalloproteinase (MMP)-3, and vascular endothelial growth factor (VEGF) demonstrates effective modulation of inflammatory markers and bone metabolism.

 

 

Pregnancy category US: N (Not classified yet)

 

 

It binds to both soluble and transmembrane forms of TNFα. 

 

 

It is used as  a treatment for rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and ulcerative colitis.

 

 

Aadministered subcutaneous injection or by intravenous injection.

 

 

Approved as a once monthly subcutaneous treatment for adults with moderately to severely active rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

 

 

In a large, double-blind randomized controlled trials in patients with rheumatoid arthritis golimumab in combination with methotrexate was more effective than methotrexate alone.

 

 

Among children and young adults with newly diagnosed type 1  diabetes results were better for endogenous insulin production and less exogenous insulin use than placebo.

 

 

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