Prepared by Daniel H. Present, MD
Clinical Professor of Medicine
The Mount Sinai School of Medicine
Scientific Advisory Committee Member and Chairman,
Board of Trustees
Foundation for Clinical Research in
Inflammatory Bowel Disease
May 19, 2006 - Several recent reports have noted that there is an increased incidence of infections and neoplasms in patients taking anti-TNF therapy, Remicade (Infliximab) and HUMIRA (Adalimumab). Much of this information has been well known to the investigators who have performed research with these biologicals, as well as to practicing physicians. Some parts of the new articles also are being disputed as to possible methodological errors.
Nevertheless, all medications have potential side effects and the treating physician must weigh the observed excellent efficacy of these anti-TNFs versus the possible toxicity. Patients should spend time with their doctors and discuss the pros and cons of these therapies, as well as all therapies being administered for their inflammatory bowel disease.