Anti-TNF therapy has made a major impact on the treatment of inflammatory a
rthritides and Crohn's disease. It leads to prompt and prolonged clinical r
esponse, even in patients refractory to conventional therapy. Moreover, the
progression of joint damage noted in patients with rheumatoid arthritis tr
eated with methotrexate was prevented by an anti-TNF-alpha antibody, sugges
ting a genuine disease-modifying potential of TNF-alpha blockade.