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THERAPEUTIC CONCENTRATION OF INFLIXIMAB IN THE BLOOD SERUM OF CROHN’S DISEASE PATIENTS RECEIVING ANTICYTOKINE THERAPY

Abstract

The therapeutic effect of infliximab (INFL) in Crohn’s disease (CD) patients receiving anticytokine therapy depends on the concentration of the medication in the blood serum. When INFL concentration in the blood serum is high (more than 20 μg/ml) the clinical and endoscopic remission of CD is observed in the patients. Upon the second administration INFL is not accumulated in the organism. After the induction course of INFL the level of the medication in the blood serum increases (more than 45 μg/ml), further its serological concentration gradually decreases approaching the values below the minimum. The transplantation of mesenchymal stromal cells of the bone marrow contributed to the increase of INFL level in the blood serum and to the recovery of sensitivity to INFL.

About the Authors

V. E. Sagynbaeva
State funded medical institution “City clinical hospital № 15 named after O. M. Filatov” Department of healthcare of Moscow
Russian Federation


L. B. Lazebnik
State funded institution of higher professional education “Moscow State Medical and Dental University of A. I. Evdokimov”
Russian Federation


E. V. Golovanova
State funded institution of higher professional education “Moscow State Medical and Dental University of A. I. Evdokimov”
Russian Federation


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Review

For citations:


Sagynbaeva V.E., Lazebnik L.B., Golovanova E.V. THERAPEUTIC CONCENTRATION OF INFLIXIMAB IN THE BLOOD SERUM OF CROHN’S DISEASE PATIENTS RECEIVING ANTICYTOKINE THERAPY. Experimental and Clinical Gastroenterology. 2017;(5):24-28. (In Russ.)

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ISSN 1682-8658 (Print)