ACCESS & SUPPORT

ACCESS & SUPPORT

Janssen CarePath

YOUR ONE SOURCE FOR ACCESS, AFFORDABILITY, AND TREATMENT SUPPORT FOR YOUR PATIENTS
Access & support

Access support to help navigate payer processes

Janssen CarePath helps verify insurance coverage for your patients taking REMICADE® and provides reimbursement information

Online benefits investigation and prior authorization support at JanssenCarePathPortal.com

Learn more
Access & support

Affordability support to help your patients start and stay on the treatment you prescribe

Janssen CarePath can help you find out what affordability assistance may be available for your patients taking REMICADE®

Comprehensive Provider Portal to enroll eligible patients in the Janssen CarePath Savings Program and more at JanssenCarePathPortal.com

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Access & support

Treatment support to help your patients get informed and stay on REMICADE®

Janssen CarePath provides additional support to your patients, including patient education, web-based resources, and personalized reminders

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Access support

Call a Janssen CarePath Care Coordinator at 877-CarePath (877-227-3728), Monday-Friday, 8:00 AM to 8:00 PM ET
Multilingual phone support available


Access support to help navigate payer processes

Sign Up or Log In to the Provider Portal at JanssenCarePathPortal.com


Support for patients using commercial or private insurance to pay for medication

Janssen CarePath

Janssen CarePath Savings Program can help eligible patients save on their out-of-pocket medication costs for REMICADE®. Your eligible patients will pay $5 per infusion with a $20,000 maximum program benefit per calendar year. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Terms expire at the end of each calendar year and may change. There is no income requirement. Program does not cover the cost to give patients their treatment. See full eligibility requirements.

ONLINE ENROLLMENT AND TRACKING OF PATIENT SAVINGS PROGRAM BENEFITS BY YOU, THE PHARMACY, OR THE PATIENT
Providers can enroll and help manage patients’ Savings Program benefits with a Provider Portal Account at JanssenCarePathPortal.com.

Patients can manage Savings Program benefits and more on their Janssen CarePath Account at MyJanssenCarePath.com.

additional AFFORDABILITY SUPPORT FOR YOUR PATIENTS

Support for patients using government-funded healthcare programs or patients without insurance coverage

Janssen CarePath can provide information about other resources that may be able to help your patients with their out-of-pocket medication costs:

  • State Pharmaceutical Assistance Programs (SPAPs)
  • State Health Insurance Programs (SHIPs)
  • Medicare Savings Program
  • Medicare Part D Extra Help—Low-Income Subsidy
  • Independent Foundations*

Call a Janssen CarePath Care Coordinator at 877-CarePath (877-227-3728) or visit JanssenPrescriptionAssistance.com for more information on affordability programs that may be available.

*Independent co-pay assistance foundations have their own rules for eligibility. We have no control over these independent foundations and can only refer your patients to a foundation that supports their disease state. We do not endorse any particular foundation.

Getting started is easy at JanssenCarePathPortal.com

Provider Portal offers a customizable patient dashboard with real-time status updates

Janssen CarePath Provider Portal

We understand that navigating payer processes and finding cost support options may seem complicated at times. That's why we've created an enhanced Provider Portal experience.

Janssen CarePath
With a Provider Portal account you can:
  • Request benefits investigations and prior authorizations in real time
  • Review the status of benefits investigations
  • Initiate prior authorizations without benefits investigations
  • Enroll your eligible, commercially insured patients in the Janssen CarePath Savings Program
  • View and help manage patients’ Savings Program benefits as requested by enrolled patients
  • Receive notifications when new information is available, or action is required on the Portal
Create a Provider Portal account at JanssenCarePathPortal.com
  • Complete required information, include your practice locations, add administrators and staff to your site, and set communication preferences
Complete the Business Associate Agreement (BAA) for your practice (one time only)
  • The completed BAA allows you to use the Provider Portal without requiring individual patient authorization
    • You can execute the BAA within the Portal and receive immediate verification and access to the Portal, or
    • You can download the BAA at JanssenCarePath.com and upload the signed document via the Portal or fax to the number provided on the form
OR
Secure patient authorization (for each patient)
  • Invite each patient to create an online account at MyJanssenCarePath.com to secure patient authorization, or
  • You can download the Patient Authorization Form at JanssenCarePath.com and upload the signed document via the Portal or fax to the number provided on the form

Now you are ready to use the Provider Portal.

Patient insurance benefits investigation and other Janssen CarePath program offerings are provided by third-party service providers for Janssen CarePath, under contract with Johnson & Johnson Health Care Systems Inc. on behalf of Janssen Pharmaceuticals, Inc., Janssen Biotech, Inc., and Janssen Products, LP (Janssen). Janssen CarePath is not available to patients participating in the Patient Assistance Program offered by Johnson & Johnson Patient Assistance Foundation. The availability of information and assistance may vary based on the Janssen medication, geography and other program differences. Janssen CarePath assists healthcare providers (HCPs) in the determination of whether treatment could be covered by the applicable third-party payer based on coverage guidelines provided by the payer, and patient information provided by the HCP under appropriate authorization following the provider’s exclusive determination of medical necessity. This information and assistance are made available as a convenience to patients, and there is no requirement that patients or HCPs use any Janssen product in exchange for this information or assistance. Janssen assumes no responsibility for and does not guarantee the quality, scope, or availability of the information and assistance provided. The third-party service providers, not Janssen, are responsible for the information and assistance provided under this program. Each HCP and patient is responsible for verifying or confirming any information provided. All claims and other submissions to payers should be in compliance with all applicable requirements.

IS YOUR PATIENT BEING ASKED TO SWITCH?

We can run a benefits investigation to understand the current insurance coverage status for the patient. If REMICADE® is no longer covered by the patient’s health plan, the plan could require additional information to move forward. You will likely have to submit a letter of medical necessity to the health plan. We can provide you with a sample letter template or you could find it on the REMICADE® pages of the Janssen CarePath website. If you have any questions on how to use these letters to file claims and appeals for your patients, please reach out to Janssen CarePath at 877-CarePath (877-227-3728).

Please note that no infliximab biosimilar has been designated as interchangeable with REMICADE®.1-4

To learn more about biosimilars, see the Q&A below.

Download Resources

BIOSIMILARS Q&A

Your patients may come to you with questions about available biologics and biosimilars. Below is some general information that can help you respond to patient questions.

Infusion support

Infusion center locator
Infuse logo

Utilize the search capabilities of 2infuse.com to help you locate an infusion center convenient to your patient’s home or office. Searchable by city or ZIP code, this helpful site provides detailed search results organized by driving distance. This website also includes valuable information about the infusion center such as business hours, insurance plans accepted, and medications infused.

FIND AN INFUSION CENTER

References: 1. US Food and Drug Administration. Biosimilar and interchangeable products. https://www.fda.gov/drugs/biosimilars/biosimilar-and-interchangeable-products. Reviewed October 23, 2017. Accessed July 22, 2019. 2. FDA approves Inflectra, a biosimilar to Remicade [news release]. Silver Spring, MD: US Food and Drug Administration; April 5, 2016. https://www.fda.gov/news-events/press-announcements/fda-approves-inflectra-biosimilar-remicade. Accessed August 2, 2019. 3. Biologics License Application approval for Renflexis [approval letter]. Silver Spring, MD; US Food and Drug Administration; April 21, 2017. https://www.accessdata.fda.gov/drugsatfda_docs/appletter/2017/761054Orig1s000ltr.pdf. Accessed August 2, 2019. 4. Biologics License Application (BLA) clinical review for Renflexis. Silver Spring, MD; US Food and Drug Administration; March 21, 2016.

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TargAn study design

Targan et al conducted a multicenter, randomized, double-blind trial in 108 patients with moderately to severely active CD (baseline CDAI 220 and 400) unresponsive to conventional therapy. Patients were randomized to receive a single infusion of placebo (n=25) or REMICADE® 5 mg/kg IV (n=27), 10 mg/kg IV (n=28), or 20 mg/kg IV (n=28). The primary endpoint was clinical response at Week 4.5

Note: The recommended dose of REMICADE® is 5 mg/kg given as an IV induction regimen at 0, 2, and 6 weeks followed by a maintenance regimen of 5 mg/kg IV every 8 weeks thereafter for the treatment of adults with moderately to severely active Crohn’s disease.1

ACCENT I STUDY DESIGN

ACCENT I is a 1-year, multicenter, randomized, double-blind trial of REMICADE® in 545 patients with moderately to severely active CD (CDAI 220 and 400). All patients received an initial dose of REMICADE® 5 mg/kg IV. Patients were then randomized based on clinical response at Week 2 to 1 of 3 treatment groups through Week 541,6:

  • The placebo maintenance group received placebo infusion at Weeks 2, 6, and every 8 weeks thereafter
  • The 5 mg/kg IV maintenance group received REMICADE® 5 mg/kg IV at Weeks 2, 6, and every 8 weeks thereafter
  • The REMICADE® 10 mg/kg IV maintenance group received REMICADE® 5 mg/kg IV at Weeks 2 and 6, followed by REMICADE® 10 mg/kg IV every 8 weeks thereafter

The coprimary endpoints of the trial were the proportion of patients responding at Week 2 who were in remission at Week 30 and time to loss of response through Week 54.1,6

Note: The recommended dose of REMICADE® is 5 mg/kg given as an IV induction regimen at 0, 2, and 6 weeks followed by a maintenance regimen of 5 mg/kg IV every 8 weeks thereafter for the treatment of adults with moderately to severely active Crohn’s disease.1

SONIC STUDY DESIGN6,9

Results from SONIC, a multicenter, randomized, double-blind, controlled, phase IIIb trial of 508 patients with moderately to severely active CD (baseline CDAI ≥220 and ≤450). At baseline, mean CDAI score for all patients was 287; median duration of CD ranged from 2.2 to 2.4 years. Patients were randomly assigned to 1 of 3 treatment groups through Week 30. In the primary study phase, patients received REMICADE® 5 mg/kg or placebo infusions at Weeks 0, 2, 6, 14, and 22; patients also received AZA capsules at a dose of 2.5 mg/kg/day or placebo capsules daily through Week 30. Patients completing treatment through Week 30 (main study) were eligible to enter the study extension if, in the opinion of the investigator, the patient could benefit from continued treatment. Patients eligible for participation in the extension (N=280) continued to receive their initial treatment through Week 50. The Week-50 analysis included patients who did not enter the study extension. These patients were assumed nonresponders and not to be in steroid-free remission at Week 50. The primary endpoint of the study was the proportion of patients in corticosteroid-free remission at Week 26. Secondary endpoints included mucosal healing at Week 26 and corticosteroid-free remission at Week 50. Monitoring for adverse events was performed through Week 54.

REACH study design

REACH (A Randomized, multicenter, open-label study to Evaluate the safety and efficacy of Anti-TNF-α Chimeric monoclonal antibody in pediatric subjects with moderate to severe Crohn's disease) was a controlled trial that evaluated the safety and efficacy of REMICADE® in 112 pediatric patients aged 6 to 17 years with moderately to severely active CD. All patients received induction dosing of 5 mg/kg IV REMICADE® at Weeks 0, 2, and 6. At Week 10, 103 patients were randomized to a maintenance regimen of REMICADE® 5 mg/kg IV given either every 8 weeks or every 12 weeks. Induction of clinical response, the primary endpoint, was evaluated 10 weeks after the 3-dose induction regimen (Weeks 0, 2, and 6). At Week 54, clinical response, clinical remission, and change from baseline in average daily corticosteroid use were evaluated as secondary efficacy endpoints.5

Note: REMICADE® 5 mg/kg IV every 12 weeks is not an approved maintenance dose for REMICADE®.1

ACT 1 study design

The safety and efficacy of REMICADE® were evaluated in the Active Ulcerative Colitis Trial (ACT 1) (N=364), a randomized, double-blind, placebo-controlled, multicenter trial conducted in patients with moderately to severely active ulcerative colitis who had an inadequate response or were intolerant to conventional therapy. Patients presented with a Mayo score between 6 and 12, and an endoscopy subscore of 2. Prior failed or intolerable therapies in ACT 1 included oral corticosteroids, 6-mercaptopurine (6-MP), or azathioprine (AZA). Patients were randomized to the following treatment groups: REMICADE® 5 mg/kg IV (n=121), REMICADE® 10 mg/kg IV (n=122), or placebo (n=121). Infusions were administered at Weeks 0, 2, and 6, and every 8 weeks thereafter through Week 46.5

Final efficacy evaluations were completed 8 weeks following the last infusion. Concomitant treatment with stable doses of aminosalicylates, corticosteroids, and/or immunomodulators was permitted throughout the study. Of patients receiving steroids at baseline, tapering was allowed beginning at Week 8. The primary efficacy endpoint was clinical response at Week 8; secondary endpoints included clinical remission and mucosal healing.5

Note: The recommended dose of REMICADE® is 5 mg/kg given as an IV induction regimen at 0, 2 and 6 weeks followed by a maintenance regimen of 5 mg/kg IV every 8 weeks thereafter for the treatment of adult patients with moderately to severely active ulcerative colitis.1

ACT 2 study design

The safety and efficacy of REMICADE® were evaluated in ACT 2 (N=364) (ACT=Active Ulcerative Colitis Trial), a randomized, double-blind, placebo-controlled, multicenter trial conducted in patients with moderately to severely active ulcerative colitis who had an inadequate response or were intolerant to conventional therapy. Patients presented with a Mayo score between 6 and 12, and an endoscopy subscore of 2. Prior failed or intolerable therapies in ACT 2 included oral corticosteroids, 6-mercaptopurine (6-MP), or azathioprine (AZA) and/or aminosalicylates. Patients were randomized to the following treatment groups: REMICADE® 5 mg/kg IV (n=121), REMICADE® 10 mg/kg IV (n=120), or placebo (n=123). Infusions were administered at Weeks 0, 2, and 6, and every 8 weeks thereafter through Week 22.5

Final efficacy evaluations were completed 8 weeks following the last infusion. Concomitant treatment with stable doses of aminosalicylates, corticosteroids, and/or immunomodulators was permitted throughout the study. Of patients receiving steroids at baseline, tapering was allowed beginning at Week 8. The primary efficacy endpoint was clinical response at Week 8; secondary endpoints included clinical remission and mucosal healing.5

Note: The recommended dose of REMICADE® is 5 mg/kg given as an IV induction regimen at 0, 2 and 6 weeks followed by a maintenance regimen of 5 mg/kg IV every 8 weeks thereafter for the treatment of adult patients with moderately to severely active ulcerative colitis.1

Pediatric Ulcerative Colitis Trial study design

The REMICADE® Pediatric Ulcerative Colitis (UC) trial was a multicenter, phase 3, randomized, open-label, parallel-group trial to evaluate the safety and efficacy of REMICADE® in pediatric patients aged 6 to 17 years with moderately to severely active UC (N=60; Mayo score of 6 to 12; endoscopic subscore 2) and an inadequate response to conventional therapies. The primary objectives of the study were to evaluate clinical response after a 3-dose induction regimen of REMICADE® 5 mg/kg IV and the safety of REMICADE® during induction and maintenance regimens. Secondary objectives included the evaluation of 2 REMICADE® maintenance dosing regimens (every 8 weeks and every 12 weeks) in maintaining remission, as measured on the Pediatric Ulcerative Colitis Activity Index (PUCAI); the efficacy of a 3-dose regimen of REMICADE® in the induction of clinical remission, as measured by the Mayo score; and the induction of remission, as measured on the PUCAI.1,5

All patients received induction dosing of REMICADE® 5 mg/kg IV at Weeks 0, 2, and 6. Patients who did not respond to REMICADE® at Week 8 received no further REMICADE® and returned for safety follow-up. At Week 8, 45 patients were randomized to a maintenance regimen of REMICADE® 5 mg/kg IV given either every 8 weeks through Week 46 or every 12 weeks through Week 42.1,5

Note: REMICADE® 5 mg/kg IV every 12 weeks is not an FDA-approved maintenance dosing regimen for REMICADE® in the treatment of pediatric patients with moderately to severely active UC.1

express study design1,5

EXPRESS evaluated 378 patients with moderate to severe plaque psoriasis. These patients had 10% body surface area (BSA) involvement, a Psoriasis Area and Severity Index (PASI) score of 12, and were candidates for systemic or phototherapy. Patients were randomized to placebo or REMICADE® (infliximab) at a dose of 5 mg/kg IV at Weeks 0, 2, and 6 (induction therapy), followed by maintenance therapy (5 mg/kg IV) every 8 weeks. At Week 24, the placebo group crossed over to REMICADE® induction (5 mg/kg IV), followed by maintenance therapy (5 mg/kg IV) every 8 weeks. Patients randomized to REMICADE® continued to receive REMICADE® 5 mg/kg IV every 8 weeks through Week 46. The primary endpoint was the proportion of patients achieving 75% improvement in PASI from baseline to Week 10.

express II STUDY DESIGN1,6

EXPRESS II evaluated 835 patients with moderate to severe plaque psoriasis. These patients had 10% body surface area (BSA) involvement, a Psoriasis Area and Severity Index (PASI) score of 12, and were candidates for systemic therapy or phototherapy. Patients were randomized to placebo or REMICADE® (infliximab) at doses of 3 mg/kg IV or 5 mg/kg IV at Weeks 0, 2, and 6 (induction therapy). At Week 14, patients in the REMICADE® arms continued on their original dose but were randomized to either an every 8 week scheduled maintenance therapy or an as needed (PRN) maintenance therapy through Week 46. Patients randomized to the PRN maintenance therapy group received their original REMICADE® dose when baseline improvement in PASI was <75% and received placebo if PASI improvement was 75%. Maintenance visits occurred monthly. At Week 16, the placebo group crossed over to REMICADE® induction therapy (5 mg/kg IV), followed by a maintenance therapy every 8 weeks. The primary endpoint was proportion of patients achieving PASI 75 at Week 10.

spirit STUDY DESIGN1,7

SPIRIT evaluated 249 patients with plaque psoriasis. These patients had 10% body surface area (BSA) involvement, a Psoriasis Area and Severity Index (PASI) score of 12, and had previously received either psoralen plus ultraviolet A treatment (PUVA) or other systemic therapy for their psoriasis. Patients were randomized to either placebo or REMICADE® (infliximab) at doses of 3 mg/kg IV or 5 mg/kg IV at Weeks 0, 2, and 6 (induction therapy). At Week 26, patients with a static physician’s global assessment (sPGA) score of moderate or worse (3 on a scale of 0 to 5) received an additional dose of the randomized treatment. The primary endpoint was the proportion of patients achieving 75% improvement in PASI from baseline at Week 10.

ASSERT study design5,6

ASSERT (Ankylosing Spondylitis Study for the Evaluation of Recombinant Infliximab Therapy), a 24-week, multicenter, double-blind, placebo-controlled, randomized, phase 3 study in 279 adult patients with active ankylosing spondylitis according to the modified New York criteria for 3 months, with Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) 4, and spinal pain assessment score 4 on a Visual Analog Scale (VAS), each on a scale of 0-10. The primary endpoint was the proportion of patients with a 20% improvement response according to the criteria of the ASAS International Working Group. Patients were randomized to 1 of 2 treatment groups in a 3:8 ratio: placebo (n=78) or REMICADE® 5 mg/kg (n=201) infused at Weeks 0, 2, 6, 12, and 18. Concurrent stable treatment with nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and tramadol was permitted during the study. Patients were not permitted to be on any disease-modifying antirheumatic drugs (DMARDs) or systemic corticosteroids.

IMPACT 2 study design5,6

IMPACT 2 (Induction and Maintenance Psoriatic Arthritis Clinical Trial 2): a randomized, double-blind, placebo-controlled, multicenter, phase 3, parallel-group study of REMICADE® in 200 adult patients with active PsA for at least 6 months who had an inadequate response to disease-modifying antirheumatic drugs (DMARDs) or nonsteroidal anti-inflammatory drugs (NSAIDs). Patients had active articular disease (5 swollen and tender joints each), psoriatic target skin lesion (≥2 cm in diameter), and either C-reactive protein (CRP) 1.5 mg/dL or morning stiffness lasting 45 minutes. Stable methotrexate (MTX) doses of 25 mg/week at study entry and stable oral corticosteroid doses equivalent to 10 mg/day of prednisone were permitted. During the 24-week, double-blind phase, patients received either REMICADE® 5 mg/kg IV (n=100) or placebo (n=100) at Weeks 0, 2, 6, 14, and 22. At Week 16, placebo patients with <10% improvement in swollen and tender joint counts were switched to active treatment and received REMICADE® 5 mg/kg IV at Weeks 16, 18, 22, 30, 38, and 46. At Week 24, all patients receiving placebo crossed over to active treatment and received REMICADE® 5 mg/kg IV (n=91) at Weeks 24, 26, 30, 38, and 46. Primary endpoints included the proportion of patients with ACR20 response at Week 14 and the change from baseline in total modified van der Heijde-Sharp (vdH-S) score at Week 24. Improvement in Psoriasis Area and Severity Index (PASI) was evaluated in psoriatic arthritis patients with baseline body surface area (BSA) 3% (n=87, placebo; n=83, REMICADE®).

start study design3

START (Safety Trial for Rheumatoid Arthritis with REMICADE® Therapy): a 54-week, randomized, multicenter, double-blind, 3-arm, parallel-group, phase 3 study of the safety of REMICADE® in combination with methotrexate (MTX) in adult patients with moderately to severely active RA. Moderately to severely active RA was defined as 6 swollen (out of 66 total) and 6 tender joints (out of 68 total) for 3 months prior to screening. Patients were receiving MTX for 3 months before randomization and at a stable dose (25 mg/week) for 4 weeks before randomization. Patients could continue receiving other conventional disease-modifying antirheumatic drugs (DMARDs) as long as doses had been stable for 4 weeks. Doses of nonsteroidal anti-inflammatory drugs (NSAIDs) and oral corticosteroids must have been stable for ≥4 weeks prior to screening.

The primary objective was to assess the relative risk of serious infection within 22 weeks of initiating therapy with REMICADE® + MTX in subjects matching clinical practice demographics (including severity of disease, background DMARD use, and concomitant disease). Secondary objectives measured the safety and efficacy of dose-escalation regimens in patients with an incomplete response to the initial dose of REMICADE® 3 mg/kg every 8 weeks and the safety of REMICADE® + MTX after 1 year.

Patients (N=1084) were randomized in a 1:1:1 ratio to 1 of 3 treatment groups: placebo infusions through Week 14, followed by REMICADE® 3 mg/kg infusions every 8 weeks through Week 46 (Group 1, n=363); REMICADE® 3 mg/kg infusions every 8 weeks through Week 46, with dose escalation from Week 22 to 46 by 1.5 mg/kg increments, if the patient had an inadequate response (Group 2, n=360); and REMICADE® 10 mg/kg infusions every 8 weeks through Week 46 (Group 3, n=361). At Week 26, Group 2 and Group 3 patients received a placebo infusion in order to maintain treatment blind. The median dose of MTX was 15 mg/week.

attract study design1,5

ATTRACT (Anti-TNF Trial in Rheumatoid Arthritis with Concomitant Therapy): a 2-year, multicenter, double-blind, placebo-controlled, randomized, phase 3 study of REMICADE® with methotrexate (MTX) in 428 patients with moderately to severely active MTX-refractory established RA (MTX use 3 months). Moderately to severely active RA was defined as 6 swollen joints (out of 66 total) and 6 tender joints (out of 68 total) and 2 of the following:

  1. ≥45 minutes of morning stiffness
  2. Erythrocyte sedimentation rate (ESR) 28 mm/h
  3. C-reactive protein (CRP) 20 mg/L despite treatment with stable doses of MTX (12.5 mg/wk of MTX)

Primary endpoints: reduction of signs and symptoms at 30 weeks, inhibition of structural damage at 54 weeks, and improvement in physical function at 102 weeks. Nearly 50% of patients had advanced disease. Nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids (10 mg/day) permitted at stable doses; no other disease-modifying antirheumatic drugs (DMARDs) allowed. There were 4 REMICADE® groups: 3 mg/kg IV q8 weeks + MTX (n=86), 3 mg/kg IV q4 weeks + MTX (n=86), 10 mg/kg IV q8 weeks + MTX (n=87), and 10 mg/kg IV q4 weeks + MTX (n=81); patients randomized to placebo + MTX (n=88).

Aspire study design1,5

ASPIRE (Active-controlled Study of Patients Receiving Infliximab for the Treatment of Rheumatoid Arthritis of Early Onset): a 54-week, multicenter, double-blind, active treatment-controlled, randomized, phase 3 study of REMICADE® with methotrexate (MTX) in 1004 MTX-naïve adult patients with moderately to severely active early RA (3 months and 3 years from date of diagnosis). Moderately to severely active RA was defined as 10 swollen joints (out of 66 total) and 12 tender joints (out of 68 total) and 1 of the following:

  1. Rheumatoid factor (RF)-positive
  2. Radiographic evidence of erosive RA
  3. C-reactive protein (CRP) levels 2 mg/dL

Concurrent stable treatment with corticosteroids (equivalent to ≤10 mg prednisone per day) and usual doses of nonsteroidal anti-inflammatory drugs (NSAIDs) were permitted. The coprimary endpoints were reduction of signs and symptoms, inhibition of structural damage, and improvement in physical function from baseline to Week 54. Patients were randomized into 1 of 3 treatment groups in a 5:5:4 ratio: REMICADE® 3 mg/kg IV + MTX (n=359), REMICADE® 6 mg/kg IV + MTX (n=363), and placebo + MTX (n=282). REMICADE® or placebo was infused at Weeks 0, 2, and 6, and every 8 weeks thereafter. MTX was started at 7.5 mg/week and gradually increased to 20 mg/week by Week 8. All patients were to maintain a target MTX dose of 20 mg/week for the duration of the trial, whenever possible.

DOSING FOR ADULTS WITH MODERATELY TO SEVERELY ACTIVE CROHN’S DISEASE

Infusions every 8 weeks after 3 induction doses. REMICADE® is administered by intravenous (IV) infusion over a period of not less than 2 hours.1

Dosing

Induction dosing

5 mg/kg IV given at 0, 2, and 6 weeks
as an induction regimen

Icon

Maintenance dosing

5 mg/kg IV given every 8 weeks thereafter
as a maintenance regimen


If response is lost, consider treatment with 10 mg/kg IV1


Patients who do not respond by Week 14 are unlikely to respond, and consideration should be given to discontinuing REMICADE® in these patients1

DOSING FOR ADULTS WITH MODERATELY TO SEVERELY ACTIVE ULCERATIVE COLITIS

Infusions every 8 weeks after 3 induction doses. REMICADE® is administered by intravenous (IV) infusion over a period of not less than 2 hours.1

Icon

Induction dosing

5 mg/kg IV given at 0, 2, and 6 weeks
as an induction regimen

Icon

Maintenance dosing

5 mg/kg IV given every 8 weeks thereafter
as a maintenance regimen

DOSING FOR PEDIATRIC PATIENTS WITH MODERATELY TO SEVERELY ACTIVE ULCERATIVE COLITIS

Infusions every 8 weeks after 3 induction doses. REMICADE® is administered by intravenous (IV) infusion over a period of not less than 2 hours.1

icon

Induction dosing

5 mg/kg IV given at 0, 2, and 6 weeks
as an induction regimen

icon

Maintenance dosing

5 mg/kg IV given every 8 weeks thereafter
as a maintenance regimen

DOSING FOR PEDIATRIC PATIENTS WITH MODERATELY TO SEVERELY ACTIVE CROHN’S DISEASE

Infusions every 8 weeks after 3 induction doses. REMICADE® is administered by intravenous (IV) infusion over a period of not less than 2 hours.1

icon

Induction dosing

5 mg/kg IV given at 0, 2, and 6 weeks
as an induction regimen

icon

Maintenance dosing

5 mg/kg IV given every 8 weeks thereafter
as a maintenance regimen

DOSING FOR CHRONIC SEVERE PLAQUE PSORIASIS

Infusions every 8 weeks after 3 induction doses. REMICADE® is administered by intravenous (IV) infusion over a period of not less than 2 hours.1

icon

Induction dosing

5 mg/kg IV given at 0, 2, and 6 weeks
as an induction regimen

icon

Maintenance dosing

5 mg/kg IV given every 8 weeks thereafter
as a maintenance regimen

DOSING FOR MODERATELY TO SEVERELY ACTIVE RHEUMATOID ARTHRITIS

Infusions every 8 weeks after 3 induction doses. REMICADE® is administered by intravenous (IV) infusion over a period of not less than 2 hours.1

icon

Induction dosing

3 mg/kg IV given at 0, 2, and 6 weeks
as an induction regimen

icon

Maintenance dosing

3 mg/kg IV given every 8 weeks thereafter
as a maintenance regimen

REMICADE® should be given in combination with methotrexate.

For patients who have an incomplete response, consideration may be given to adjusting the dose up to 10 mg/kg IV or treating as often as every 4 weeks, bearing in mind that risk of serious infections is increased at higher doses.

DOSING FOR ACTIVE PSORIATIC ARTHRITIS

Infusions every 8 weeks after 3 induction doses. REMICADE® is administered by intravenous (IV) infusion over a period of not less than 2 hours.1

icon

Induction dosing

5 mg/kg IV given at 0, 2, and 6 weeks
as an induction regimen

icon

Maintenance dosing

5 mg/kg IV given every 8 weeks thereafter
as a maintenance regimen

REMICADE® can be used with or without methotrexate in active PsA.

DOSING FOR ACTIVE ANKYLOSING SPONDYLITIS

Infusions every 6 weeks after 3 induction doses. REMICADE® is administered by intravenous (IV) infusion over a period of not less than 2 hours.1

icon

Induction dosing

5 mg/kg IV given at 0, 2, and 6 weeks
as an induction regimen

icon

Maintenance dosing

5 mg/kg IV given every 6 weeks thereafter
as a maintenance regimen