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Volume 348:2155-2156 May 22, 2003 Number 21
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Immunogenicity of Infliximab in Crohn's Disease

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 by Baert, F.
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To the Editor: Baert et al. (Feb. 13 issue)1 report the formation of antibodies to infliximab in 61 percent of patients with Crohn's disease treated episodically ("on demand") with infliximab. This rate is higher than the 10 to 15 percent incidence observed in previous trials in patients with Crohn's disease.2,3,4 In the A Crohn's Disease Clinical Trial Evaluating Infliximab in a New Long-Term Treatment Regimen (ACCENT) I study,5 the incidence of the formation of antibodies to infliximab was greatly reduced with the administration of an induction regimen at zero, two, and six weeks, followed by maintenance therapy every eight weeks . . . [Full Text of this Article]




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