WEBbook of Biologic Therapies | Clinical Immunology Society

Adalimumab

Summary

Adalimumab is a recombinant human IgG1κ monoclonal antibody which binds specifically to TNFα, thereby blocking interaction of TNFα with the p55 and p75 surface TNF receptors. Adalimumab binds to both soluble and cell-surface bound forms of TNFα.

TNFα is a central mediator of inflammation and is known to be dysregulated in a range of autoimmune diseases. TNFα blockers are thought to provide effective immunosuppression through a variety of mechanisms: neutralization of soluble and/or membrane-bound TNFα, direct cellular toxicity via complement-mediated lysis and/or antibody-dependent cytotoxicity, and induction of apoptosis or other downregulatory effects.

Adalimumab was first licensed for use in rheumatoid arthritis in 2001, and most recently was approved for use in juvenile idiopathic arthritis. Additional indications for adalimumab include Crohn's disease, plaque psoriasis, psoriatic arthritis, and ankylosing spondylitis.

Brand Name

Humira

Other Names

Trudexa

Molecular Target

TNFα (Tumor Necrosis Factor-alpha)

Molecular Structure

human IgG1κ, recombinant

Licensed Indication, Major Target Diseases

rheumatoid arthritis
juvenile idiopathic arthritis
psoriatic arthritis
ankylosing spondylitis
Crohn's disease
plaque psoriasis

Manufacturer/Distributor

Abbott

References

 Source  Link  Revision Date
 Access Date
Humira Prescribing Information
http://www.humirapro.com/  2008-February  2008-June-05
Wong M, Ziring D, et al. TNFalpha blockade in human diseases: mechanisms and future directions. Clin Immunol. 2008 Feb;126(2):121-36
http://www.pubmedcentral.nih.gov/art...medid=17916444

2008-June-05





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