Artikel ; Online: Optimization of biologics to reduce treatment failure in inflammatory bowel diseases.
Current opinion in pharmacology
2020 Band 54, Seite(n) 51–58
Abstract: Moderate to severe inflammatory bowel disease patients can fail to respond to conventional therapy and/or to biologic treatment. In the era of TNFα antagonists and other non-anti-TNF biologic drugs, it is important to review the literature on biologic ... ...
Abstract | Moderate to severe inflammatory bowel disease patients can fail to respond to conventional therapy and/or to biologic treatment. In the era of TNFα antagonists and other non-anti-TNF biologic drugs, it is important to review the literature on biologic treatment failure, which could be defined as primary non-response, secondary loss of response and intolerance. Therapeutic drug monitoring (TDM), that is, drug trough level and antidrug antibodies, should enable to determine the mechanisms of treatment failure and to optimize drug efficacy. There is a consensus on reactive TDM at the time of loss of response. Proactive TDM could be of interest during induction and/or maintenance, but randomized controlled trials are required. |
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Mesh-Begriff(e) | Antibodies, Monoclonal, Humanized/therapeutic use ; Biological Products/therapeutic use ; Drug Monitoring ; Drug Resistance ; Gastrointestinal Agents/therapeutic use ; Humans ; Inflammatory Bowel Diseases/drug therapy ; Treatment Failure ; Tumor Necrosis Factor-alpha/antagonists & inhibitors ; Ustekinumab/therapeutic use |
Chemische Substanzen | Antibodies, Monoclonal, Humanized ; Biological Products ; Gastrointestinal Agents ; Tumor Necrosis Factor-alpha ; vedolizumab (9RV78Q2002) ; Ustekinumab (FU77B4U5Z0) |
Sprache | Englisch |
Erscheinungsdatum | 2020-09-15 |
Erscheinungsland | England |
Dokumenttyp | Journal Article ; Review |
ZDB-ID | 2037057-X |
ISSN | 1471-4973 ; 1471-4892 |
ISSN (online) | 1471-4973 |
ISSN | 1471-4892 |
DOI | 10.1016/j.coph.2020.07.012 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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