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Nipocalimab + certolizumab is a combination of two monoclonal antibodies investigated as a therapy for moderately to severely active rheumatoid arthritis (RA) in adults who have had an inadequate response to prior advanced therapies. **Nipocalimab** is a fully human, effectorless IgG1 monoclonal antibody that targets and blocks neonatal Fc receptor (FcRn), decreasing the recycling of IgG and consequently lowering circulating IgG, including autoantibodies involved in autoimmune diseases. **Certolizumab** is a PEGylated Fc-free anti-TNF-alpha monoclonal antibody fragment that neutralizes both soluble and membrane-bound tumor necrosis factor alpha (TNF-alpha), a pro-inflammatory cytokine implicated in RA pathogenesis. The combination therapy aims to reduce RA disease activity through complementary mechanisms: depletion of pathogenic IgG autoantibodies by nipocalimab and suppression of inflammation via TNF-alpha blockade by certolizumab. As of the most recent data, this combination is in Phase 2 evaluation for RA with no established marketing approval[1][3][7].
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