Review Article

Off-Label Uses of Anti-TNF Therapy in Three Frequent Disorders: Behçet’s Disease, Sarcoidosis, and Noninfectious Uveitis

Table 1

Characteristics of the different anti-TNF agents.

InfliximabEtanerceptAdalimumabCertolizumab pegolGolimumab

TypeMonoclonal antibody against TNF- TNF soluble receptorMonoclonal antibody against TNF- Monoclonal antibody against TNF- Monoclonal antibody against TNF-

CompositionChimeric antibodyRecombinant fusion proteinRecombinant monoclonal antibodyMonoclonal antibodyMonoclonal antibody

OriginHuman and murineHumanHumanHumanHuman

Mechanism of actionBinding to soluble and cell-bound TNF- Binding to soluble TNF- and TNF- Binding to soluble and cell-bound TNF- Binding to soluble and cell-bound TNF- Binding to soluble and cell-bound TNF-

Dose3–5 mg/kg at weeks 0, 2, and 6; then, every 4–8 weeks25–50 mg once or twice a week40 mg every other week400 mg every other week (maintenance every 4 weeks can be considered) 50 mg once monthly

Administration routeIntravenousSubcutaneousSubcutaneousSubcutaneousSubcutaneous