Efficacy and safety of reducing duration of infliximab infusion.

Abstract:

OBJECTIVE:To evaluate the safety and efficacy of reducing the duration of infliximab infusion for rheumatoid arthritis (RA) treatment. METHODS:The first 6 infliximab infusions were each administered over a 2-h period. If no adverse reaction was observed, infusion times were shortened to 1 h starting with the seventh infusion with further shortening to 30 min starting with the thirteenth infusion. Subjects were divided into two groups: shortened infusion time group, in which infusion times were shortened as above; and constant infusion time group, in which infusion time was 2 h. Incidence of infusion reactions and improvement in disease activity score for 28 joints (DAS-28) erythrocyte sedimentation rate (ESR) for total infusions were compared for the seventh to twelfth and thirteenth to eighteenth infusions. RESULTS:The incidences of infusion reactions after the seventh to twelfth and thirteenth to eighteenth infusions in the shortened infusion time group were 0.53% and 0.58%, respectively. In the constant infusion time group, these were 0.70% and 0.67%, respectively. Furthermore, shortening the infusion duration did not affect the DAS-28 (ESR) improvement rate. CONCLUSIONS:We established that this stage-wise shortening of infusion duration, first to 1 h and then to 30 min, did not compromise the safety or efficacy of treatment.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Fukuyo S,Saito K,Yamaoka K,Sawamukai N,Hirata S,Nawata M,Iwata S,Tanaka Y

doi

10.3109/14397595.2013.843747

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

275-80

issue

2

eissn

1439-7595

issn

1439-7609

journal_volume

24

pub_type

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