Certolizumab

Brand names: Cimzia

A TNF inhibitor with a structure that crosses the placenta very little.

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Certolizumab
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How it works · Blocking TNF
Immune cells release TNF

TNF is a chemical messenger. Overactive immune cells release it to call in more inflammation.

What it’s used for

Rheumatoid arthritis, psoriatic arthritis, axial spondyloarthritis, Crohn’s disease and psoriasis.

How it works

A modified antibody fragment that binds TNF.

How it’s taken

An injection under the skin every 2 or 4 weeks.

Side effects

Injection-site reactions and a higher risk of infection, including TB reactivation.

Monitoring

TB and hepatitis B screening, then periodic labs.

Good to know

Often preferred for women who need TNF therapy during pregnancy and breastfeeding.

At a glance

Class

Biologics

Brand names

Cimzia

Reviewed by Farhan Tahir, MD, FACR

Questions about your own care?

Book an in-person or telehealth consultation with Dr. Tahir.

For education only. Don’t start, stop or change a medicine without talking to your care team.