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Remicade

Infliximab

An anti-TNF infusion biologic for inflammatory bowel disease and arthritis.

Generic name
Infliximab
Brand name
Remicade
Route
Intravenous
Marketed by
Janssen (Johnson & Johnson)
FDA pharmacologic class
Tumor Necrosis Factor Blocker; Tumor Necrosis Factor Receptor Blocking Activity
First FDA approval
24 Aug 1998

Where Infliximab is approved

All regulators →

Of the three regulators tracked here, the first to approve Infliximab was the US, on 24 Aug 1998. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
24 Aug 1998
Remicade
BLA103772 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
13 Aug 1999
Remicade
EMA product page
First centralised authorisation
CACanada (Health Canada)
6 Jun 2001
Remicade
Notice of Compliance 2337
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Infliximab

All medicines →
ENNHS England
£3k
7 items dispensed, Aug 2025 to Jul 2026
+250% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$232.4m
113,956 prescriptions in 2025 · Remicade, Inflectra, Infliximab
+5% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Infliximab works

All drug targets →
  • TNF-alpha inhibitor Inhibitor
    Target: TNF tumor necrosis factor
    ChEMBL only
Diseases it has been tested for in clinical trials, by furthest phase
  • Behcet diseasePhase 3
  • COVID-19Phase 3
  • FeverPhase 3
  • Hemolytic anemiaPhase 3
  • Kawasaki diseasePhase 3
  • Low back painPhase 3
  • SciaticaPhase 3
  • AsthmaPhase 3
  • Chronic bronchitisPhase 3
  • Chronic graft versus host diseasePhase 3
66 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL1201581, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 5004, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Infliximab

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 13 technology appraisals of Infliximab. 9 are current, and 9 of these recommend it for at least some patients. 4 older appraisals were replaced or withdrawn.

AppraisalNICE recommendationPublishedStatus
Adalimumab, etanercept, infliximab and abatacept for treating moderate rheumatoid arthritis after conventional DMARDs have failed
NICE TA715
Optimised Not recommended14 Jul 2021Current
TNF-alpha inhibitors for treating active ankylosing spondylitis and non-radiographic axial spondyloarthritis
NICE TA383
Recommended1 Feb 2016Current
Adalimumab, etanercept, infliximab, certolizumab pegol, golimumab, tocilizumab and abatacept for rheumatoid arthritis not previously treated with DMARDs or after conventional DMARDs only have failed
NICE TA375
Optimised26 Jan 2016Current
Infliximab, adalimumab and golimumab for treating moderately to severely active ulcerative colitis after the failure of conventional therapy
NICE TA329
Recommended25 Feb 2015Current
Adalimumab, etanercept, infliximab, rituximab and abatacept for the treatment of rheumatoid arthritis after the failure of a TNF inhibitor
NICE TA195
Optimised Recommended25 Aug 2010Current
Etanercept, infliximab and adalimumab for the treatment of psoriatic arthritis
NICE TA199
Recommended25 Aug 2010Current
Infliximab and adalimumab for the treatment of Crohn's disease
NICE TA187
Recommended19 May 2010Current
Infliximab for acute exacerbations of ulcerative colitis
NICE TA163
Recommended17 Dec 2008Current

See all 9 appraisals →

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Infliximab

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 7 products on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Remicade, Flixabi (biosimilar), Remsima (biosimilar), Zessly (biosimilar)
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Infliximab

ATC code
L04AB02
ChEMBL
CHEMBL1201581
DrugBank
DB00065
CAS number
170277-31-3
FDA UNII
B72HH48FLU
Wikidata
Q415264
Wikipedia
Infliximab

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Remicade is used for

REMICADE is a tumor necrosis factor (TNF) blocker indicated for: Crohn's Disease : reducing signs and symptoms and inducing and maintaining clinical remission in adult patients with moderately to severely active disease who have had an inadequate response to conventional therapy. ( 1.1 ) reducing the number of draining enterocutaneous and rectovaginal fistulas and maintaining fistula closure in adult patients with fistulizing disease. ( 1.1 ) Pediatric Crohn's Disease : reducing signs and symptoms and inducing and maintaining clinical remission in pediatric patients 6 years of age and older with moderately to severely active disease who have had an inadequate response to conventional therapy. ( 1.2 ) Ulcerative Colitis : reducing signs and symptoms, inducing and maintaining clinical remission and mucosal healing, and eliminating corticosteroid use in adult patients with moderately to se…

How it works

12.1 Mechanism of Action Infliximab neutralizes the biological activity of TNFα by binding with high affinity to the soluble and transmembrane forms of TNFα and inhibits binding of TNFα with its receptors. Infliximab does not neutralize TNFβ (lymphotoxin-α), a related cytokine that utilizes the same receptors as TNFα. Biological activities attributed to TNFα include: induction of pro-inflammatory cytokines such as interleukins (IL) 1 and 6, enhancement of leukocyte migration by increasing endothelial layer permeability and expression of adhesion molecules by endothelial cells and leukocytes, activation of neutrophil and eosinophil functional activity, induction of acute phase reactants and …

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 9 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.