Subcutaneous infliximab CT-P13 as second-line treatment after failure of anti-TNF therapy in patients with Crohn’s disease
Authors:
M. Kolář 1
; M. Lukáš 1
; D. Ďuricová 1
; K. Vlková 1
; A. Gojdičová 2
; T. Hlavatý 2
; Karin Černá 3
Authors‘ workplace:
Klinické a výzkumné centrum pro idiopatické střevní záněty ISCARE a. s. a 1. LF UK, Praha
1; Gastroenterologické centrum Bezručova, Bratislava
2; Alergologie a klinická imunologie, Gennet, Praha
3
Published in:
Gastroent Hepatol 2026; 80(1): 30-35
Category:
IDB: Original Article
doi:
https://doi.org/10.48095/ccgh202630
Overview
This pilot, prospective, observational two-center study evaluated the efficacy and safety of subcutaneous infliximab CT-P13 S.C. as a second-line treatment in patients with moderate-to-severe Crohn’s disease who had experienced treatment failure with previous intravenous infliximab or adalimumab therapy. Sustained therapeutic response after switching administration methods was observed in 70% of patients, while plasma infliximab concentrations during subcutaneous administration reached more than three-fold higher levels compared with baseline. Half of the patients who exhibited signs of disease activity at the time of treatment transition achieved complete clinical remission. Treatment was discontinued prematurely in 30% of patients due to lack of efficacy or adverse events.
Keywords:
biological therapy – Crohn‘s disease – infl iximab CT-P13 S.C.
Sources
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2. Smith PJ, Critchley L, Storey D et al. Efficacy and safety of elective switching from intravenous to subcutaneous infliximab [CT-P13]: a multicentre cohort study. J Crohns Colitis 2022; 16 (9): 1436–1446. doi: 10.1093/ecco-jcc/ jjac053.
3. Reissigová J, Černá K, Lukáš M et al. „Switch“ z biosimilárního infliximabu CT-P13 na biosimilární infliximab SB-2 v dlouhodobé udržovací terapii IBD pacientů: prospektivní observační studie. Gastroent Hepatol 2023; 77 (4): 336–341. doi: 10.48095/ccgh2023336.
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8. Černá K. Kulatý stůl: subkutánní infliximab v léčbě IBD a terapeutické monitorování hladiny léčiva v klinické praxi. Gastroent Hepatol 2023; 77 (2): 147–153. doi: 10.48095/ccgh 2023147.
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Doručeno/Submitted: 9. 2. 2026
Přijato/Accepted: 13. 2. 2026
Korespondenční autor
prof. MUDr. Milan Lukáš, CSc., AGAF
Klinické a výzkumné centrum pro střevní záněty
ISCARE a. s. a 1. LF UK, Praha
Českomoravská 19
190 00 Praha 9
milan.lukas@email.cz
Labels
Paediatric gastroenterology Gastroenterology and hepatology SurgeryArticle was published in
Gastroenterology and Hepatology
2026 Issue 1
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