TNF inhibitors used for rheumatoid arthritis associated with increased skin cancer risk

8 September 2011

Biological agents used to treat rheumatoid arthritis seem to be associated with an increased risk of skin cancer, a systematic review of published research in the Annals of the Rheumatic Diseases indicates.

Inflammatory arthritis has been linked to an increased risk of some cancers, such as lymphoma and lung cancer, but a lower risk of others, such as bowel and breast cancers. But it has been unclear to what extent tumour necrosis factor (TNF) inhibitors - drugs which act on the immune system - might affect risk.

TNF inhibitors include the monoclonal antibodies infliximab (Johnson & Johnson’s Remicade) and adalimumab (Abbott Labs’ Humira) and the protein etanercept (Enbrel from Amgen and Pfizer), which made up around 40% of the multi-billion dollar immunomodulators market in 2010 (The Pharma Letter August 23).

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