Biosimilar Infliximab Subcutaneous Delivery Quiz
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Questions and Answers

Which enzyme is responsible for the conversion of methotrexate to inhibit DNA synthesis?

  • Dihydrofolate reductase (correct)
  • Hypoxanthine–guanine phosphoribosyl transferase (HGPRT)
  • Xanthine oxidase
  • Thiopurine methyltransferase (TPMT)
  • What is the primary mode of action of Cyclosporine?

  • Inhibition of folic acid reductase
  • Inhibition of purine nucleotide synthesis
  • Inhibition of T-lymphocytes and T-helper cells (correct)
  • Activation of TNFα
  • What is the purpose of the pH-dependent coating used in Asacol, Asacol HD, Delzicol, and Lialda?

  • To enhance the absorption of the medication
  • To release the medication in response to stomach pH
  • To release the medication in response to intestinal pH (correct)
  • To prevent the medication from releasing in the stomach
  • Which drug is a chimeric IgG1 monoclonal antibody that binds TNF-α?

    <p>Infliximab</p> Signup and view all the answers

    What is a unique feature of Apriso's formulation that aids in its delayed and extended delivery to the colon?

    <p>Polymer matrix combined with enteric coating</p> Signup and view all the answers

    What is the mechanism of action of Infliximab?

    <p>Induces T-cell apoptosis</p> Signup and view all the answers

    Which medication is described as a dimer of two 5-ASA molecules, acting as a prodrug for mesalamine?

    <p>Olsalazine</p> Signup and view all the answers

    Which enzyme does methotrexate inhibit in the metabolism of folic acid?

    <p>Dihydrofolate reductase</p> Signup and view all the answers

    In the treatment of IBD, glucocorticoid enemas are primarily beneficial for patients with disease limited to which area?

    <p>Rectum and left colon</p> Signup and view all the answers

    What is the main function of TNFα-inhibitors like Infliximab?

    <p>Suppress inflammation</p> Signup and view all the answers

    What makes Budesonide (ENTOCORT ER) an effective treatment for ileocecal Crohn's disease?

    <p>Minimizes systemic side effects due to specific delivery and metabolism</p> Signup and view all the answers

    What is the primary role of corticosteroids in the treatment of IBD?

    <p>Suppressing acute inflammation</p> Signup and view all the answers

    What is a possible side effect of the biosimilar version of infliximab?

    <p>Yellow skin or eyes</p> Signup and view all the answers

    Which symptom is not listed as a possible side effect of the new drug delivered subcutaneously?

    <p>Increased energy levels</p> Signup and view all the answers

    What type of antibody is adalimumab in relation to TNF-α?

    <p>Fully humanized antibody</p> Signup and view all the answers

    Which side effect involves difficulty in breathing?

    <p>Swelling in the face</p> Signup and view all the answers

    What is a distinctive feature of Adalimumab compared to infliximab?

    <p>Contains murine sequences</p> Signup and view all the answers

    Which symptom is not associated with the possible side effects of the biosimilar version of infliximab?

    <p>Increased appetite</p> Signup and view all the answers

    What are some possible adverse effects of Natalizumab?

    <p>Red or painful skin</p> Signup and view all the answers

    How does Etrasimod work in treating Ulcerative Colitis?

    <p>Binds to S1P-receptor to prevent lymphocytes from leaving lymphoid organs</p> Signup and view all the answers

    What is the mechanism of action of Mirikizumab in treating Ulcerative Colitis?

    <p>Binds to the p19 subunit of IL-23</p> Signup and view all the answers

    How is Etrasimod metabolized in the body?

    <p>Metabolized by CYP2C8, CYP3A4, CYP2C9</p> Signup and view all the answers

    What percentage of radioactive doses of Etrasimod are identified in feces upon excretion?

    <p>82%</p> Signup and view all the answers

    What is Certolizumab pegol designed to inhibit?

    <p>Both soluble and membrane-bound TNF-α</p> Signup and view all the answers

    What receptor does Vedolizumab block in vitro?

    <p>a4b7 integrin</p> Signup and view all the answers

    Which organ system does Vedolizumab affect by blocking lymphocyte entry?

    <p>Digestive system</p> Signup and view all the answers

    What is a possible adverse effect of Vedolizumab related to vision?

    <p>Blurred vision</p> Signup and view all the answers

    Which biologic agent targets the cellular adhesion molecule α4-integrin?

    <p>Natalizumab</p> Signup and view all the answers

    What risk is associated with the use of Natalizumab as an immunomodulator?

    <p>Development of PML</p> Signup and view all the answers

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