Cure8

Why This Matters

If true, using infliximab drug-level modeling plus routine blood tests could help predict who has mucosal healing without immediate endoscopy, potentially reducing invasive procedures and improving monitoring for people on IFX.

Who Should Pay Attention

Patients on infliximab or other anti-TNF therapy, gastroenterologists and IBD clinicians, clinical pharmacologists and researchers studying therapeutic-drug-monitoring and biomarkers for IBD.

Study Snapshot

Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract

What To Know

This study analyzed real-world data to see whether infliximab pharmacokinetics (specifically estimated drug clearance) and routine blood biomarkers can predict mucosal healing (MH) in people with inflammatory bowel disease.

The authors used population PK modeling (NONMEM) to estimate individual IFX clearance, correlated those parameters with endoscopic findings, and ran logistic regression and ROC analyses to identify predictors.

Key findings reported were that higher IFX clearance was associated with lower probability of achieving MH, and that leukocyte and platelet counts showed discriminatory ability; a combined model with IFX clearance and platelet count performed best in multivariable analysis.

The authors suggest that TDM-derived parameters together with simple blood tests could help reduce reliance on repeated endoscopies. This brief is grounded in the article abstract provided; Cure8 did not review the full paper beyond the source text supplied here.

Keep In Mind

This report is a single-center, retrospective real‑world study that used model-based estimates of IFX clearance rather than prospective randomized data. Findings should be confirmed in larger, multicenter or prospective studies before changing clinical practice.

Therapeutic-drug-monitoring methods and model implementations can vary between centers, which affects generalizability.

Source Details

Review the original publication for the complete reporting, methods, and context.

Read Original Source
Research paper Evidence type derived from source or registry metadata.
PublicationPharmaceutics
AuthorsAna Homšek, Marija Jovanović, Srđan Marković +5 more
InstitutionUniversity of Belgrade
Study typeArticle
Indexed viaOpenAlex
Source typeResearch paper
PublishedSep 11, 2026, 12:00 AM
Content availableJournal abstract

This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.

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