Adalimumab and infliximab impair SARS-CoV-2 antibody responses: results from a therapeutic drug monitoring study in 11422 biologic-treated patients.
Neil ChanchlaniSimeng LinDesmond CheeBenjamin HamiltonRachel NiceArkir ZehraClaire BewsheaBessie CiprianoLauranne A A P DerikxAllan DunlopLouise GreatheadRachel L GriffithsHajir IbraheimPeter KelleherKlaartje B KokCharlie W LeesJonathan MacDonaldShaji SebastianPhilip J SmithTimothy J McDonaldPeter M IrvingNick PowellNicholas A KennedyJames R GoodhandTariq AhmadPublished in: Journal of Crohn's & colitis (2021)
Anti-TNF treatment is associated with lower SARS-CoV-2 nucleocapsid seroprevalence and antibody reactivity when compared to vedolizumab-treated patients. Higher seropositivity rates in patients with undetectable anti-TNF levels supports a causal relationship, although confounding factors, such as combination therapy with immunomodulator, may have influenced the results.