Infliximab (Remicade, Inflectra, Renflexis, Ixifi)

Immunotherapy · Approved since 1998

US FDA Approved EU EMA Approved ES Hospital use other indication IV 7 Clinical Trials
TNF-α

Description

Infliximab is a chimeric monoclonal antibody that targets tumor necrosis factor-alpha (TNF- ) and is primarily used in colorectal cancer patients to manage inflammatory bowel disease (IBD) complications, particularly Crohn's disease and ulcerative colitis that may be associated with or predispose to colorectal malignancies. In the CRC setting, infliximab serves as supportive care to control severe inflammatory conditions that can complicate cancer treatment or occur as treatment-related toxicities. The drug is also used to manage immune-related adverse events in cancer patients receiving certain immunotherapies.

Mechanism of Action

Infliximab binds with high affinity to both soluble and transmembrane forms of TNF- , neutralizing the biological activity of this pro-inflammatory cytokine. By blocking TNF-? signaling, the drug reduces inflammation, decreases immune cell activation, and suppresses the inflammatory cascade that contributes to tissue damage in inflammatory bowel conditions.

Molecular Targets

Side Effects

Increased infection risk Infusion reactions Headache Nausea Upper respiratory tract infections Sinusitis Rash Cough

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT03819296 Phase 1
Recruiting
Role of Gut Microbiome and Fecal Transplant on Medication-Induced GI Complications in Patients With Cancer
United States
NCT04646187 Phase 4
Enrolling by invitation
De-escalation of Anti-TNF Therapy in Inflammatory Bowel Disease
Belgium, Netherlands, Spain
NCT04305145 Phase 2
Active, not recruiting
Infliximab for Treatment of Immune Checkpoint Inhibitor Colitis
United States
NCT04407247 Phase 1
Active, not recruiting
Infliximab or Vedolizumab in Treating Immune Checkpoint Inhibitor-Related Colitis in Patients With Genitourinary Cancer or Melanoma
United States
NCT03765450 Not Applicable
Active, not recruiting
Pharmacokinetics of IFX and TNF Concentrations in Serum, Stool, and Colonic Mucosa in Acute Severe Ulcerative Colitis
United States, Canada
NCT02136069 Phase 3
Archived
A Study Comparing the Efficacy and Safety of Etrolizumab to Infliximab in Participants With Moderate to Severe Ulcerative Colitis Who Are Naïve to Tumor Necrosis Factor (TNF) Inhibitors
Austria, Belgium, Canada, Czechia, France, Germany, Hungary, Israel, Italy, Neth
View all 7 clinical trials →