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This is a combination of two separate TNF inhibitors. Certolizumab pegol is a PEGylated Fab' fragment of a humanized TNF-alpha inhibitor monoclonal antibody that binds and neutralizes both soluble and membrane-bound TNF-alpha. Etanercept is a TNF receptor fusion protein that binds TNF. The combination is generally not recommended in clinical practice due to increased risk of infections.
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