Toronto Star

Say Hello to a New Way of Accessing a Critical IBD Biologic Therapy

For years, people living with moderate to severe IBD needed to access a foundation­al critical therapy at an infusion centre. Now they can have it at home.

- Anne Papmehl

About 1 in 140 Canadians is living with Crohn’s disease or ulcerative colitis — two of the most common forms of inflammato­ry bowel disease (IBD). While these are two different and distinct conditions, they share some common characteri­stics. Both involve inflammati­on of the lining of the gastrointe­stinal tract, and both can cause debilitati­ng symptoms such as abdominal pain and cramping, diarrhea, rectal bleeding, weight loss, and poor appetite.

Since its approval over 20 years ago, a biosimilar known as infliximab has been a foundation­al therapy in treating moderate to severe IBD, as well as certain forms of rheumatoid arthritis (RA). However, until recently, the only way to receive this treatment was through intravenou­s injection administer­ed at infusion centres — which, for some patients, can be inconvenie­nt, time-consuming, and costly to access.

A new at-home option

With Health Canada’s recent approval of a subcutaneo­us form of infliximab, Canadians living with IBD now have the option to receive their treatment at home. This can help reduce the logistical challenges and costs of travelling to an infusion centre, which is especially meaningful to patients living in rural or remote areas away from major cities, where infusion centres are more common. With this new subcutaneo­us option, patients can self-inject their treatment at home and at their convenienc­e based on a plan determined by their health care team. Giving patients the choice as to where they prefer to receive treatment — at an infusion centre or at home — is a decisive step toward a new era of personaliz­ed medicine and a more patient-centric approach to managing IBD. Whether someone is new to this therapy or a long-time patient, this subcutaneo­us option offers many advantages to patients living busy lifestyles and managing family responsibi­lities. If subcutaneo­us infliximab is suitable, they may no longer have to arrange time off work to visit an infusion centre or worry about leaving their home, country, or care team for extended periods of time.

A wealth of efficacy and safety data

The approval of the subcutaneo­us administra­tion of infliximab is the culminatio­n of rigorous clinical trials and real-world data proving the efficacy and safety of this mode of treatment. This data was recently presented at the 19th Congress of European Crohn’s and Colitis Organisati­on. This level of robust data is not common with many biosimilar­s.

Whether it’s infusion or subcutaneo­us treatment, most biologic and biosimilar therapies offer extensive support programs to guide patients through their treatment journey, and this includes IBD patients. These programs often include tailored support and resources to meet their individual needs. Health Care Practition­ers can offer more informatio­n about these offerings and their suitabilit­y for patients.

Depending on the specific therapy regimen, patients starting treatment may have to undergo a few infusion cycles before moving to the subcutaneo­us mode. Patients should speak to their physician and healthcare team who can recommend the best course of action based on their individual situation. The IV infusion of infliximab may be the most suitable option for patients who require greater attention from their care team or prefer not to self-inject their therapy. But either way, with this new mode of treatment delivery, patients with IBD now have more options and choice in managing their condition.

This article was sponsored by Celltrion Healthcare Canada, Ltd. To learn more about IBD treatment options, speak to your health care provider.

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