Joint Formulary & PAD

Infliximab - Axial spondyloarthritis

I agree that in using this database I understand that this platform only provides guidance on local prescribing policy and that all prescribing decisions are ultimately the responsibility of the clinician.

Status 1

Red
Formulations :
  • Intravenous infusion
  • Subcutaneous injection (sc)
Associated Icons :
Restrictions / Comments :
Important
For use in ankylosing spondylitis only

PAD Profile

ChemicalSubstance :
Infliximab
Indication :
Axial spondyloarthritis
Group Name :
Keywords :
Biologic, anti-TNF, biosimilar, cytokine modulator, monoclonal antibody, TNF-alpha, axial spondyloarthritis, AS, ankylosing spondylitis
Brand Names Include :
Remicade, Remsima, Inflectra, Flixabi, Zessly
Important Information :
Latest Additions Date From :
Latest Additions Date To :
Supporting Documents :
2

Other Drugs

Below are listed other drugs that are used to treat Axial spondyloarthritis.

Committee Recommendations (4)

The Surrey Heartlands Integrated Care System Area Prescribing Committee has agreed the reviewed and updated axial spondyloarthritis pathway.

Treatment pathway is available on separate guidelines page.

The Surrey Heartlands Integrated Care System Area Prescribing Committee recommends the use of infliximab subcutaneous injection or infliximab intravenous infusion. Clinicians & patients will be able to choose the most appropriate product for them at the point of prescribing.

The Medicines and Healthcare Products Regulatory Agency (MHRA) recommends to prescribe biological products by brand name to ensure that substitution of a biosimilar product does not occur when the medicine is dispensed by the pharmacist. Https://www/gov/uk/drug-safety-update/biosimilar-products

Primary care prescriber should ensure that patient medication records include any medicine for which prescribing remains the responsibility of secondary or tertiary care. This will ensure that GP records, which are accessed by other healthcare providers, are a true and accurate reflection of the patient's medication.

The PCN agreed the attached Spondyloarthritis biologic treatment pathway in line with TA383 which was published by NICE in February 2016. The PCN previously (May 2015) supported the branded prescribing of biosimilar Infliximab(Inflectra OR Remsima) to be used in all new patients for all indications where they have licensing authorisation in the UK. Switching to Inflectra or Remsima has been discussed locally with acute trusts and specialists.