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Tursi, A; Mocci, G; Cuomo, A; Allegretta, L; Aragona, G; Colucci, R; Della Valle, N; Ferronato, A; Forti, G; Gaiani, F; Graziani, M G; Lorenzetti, R; Luzza, F; Paese, P; Penna, A; Pica, R; Piergallini, S; Pranzo, G; Rodino, S; Scarcelli, A; Zampaletta, C; Cicerone, C; Cocco, A; De' Angelis, G; Donnarumma, L; Franceschi, M; Gallina, S; Grasso, G; Larussa, T; Luppino, I; Faggiani, R; Fanigliulo, L; Pagnini, C; Perazzo, P; Sacco, R; Sebkova, L; Scorza, S; Serio, M; De Monti, A; Picchio, M; Elisei, W; Maconi, G
European review for medical and pharmacological sciences, 02/2021, Letnik: 25, Številka: 4Journal Article
Ustekinumab (UST) is an anti-IL12/23 antibody for the treatment of Crohn's Disease (CD). The aim of this study was to compare the efficacy and safety of UST in a large population-based cohort of CD patients who failed previous treatment with other biologics. 194 CD patients (108 males and 86 females, mean age 48 years (range 38-58 years) were retrospectively reviewed. 147 patients were already treated with anti-TNFα (75.8%), and 47 (24.2%) patients were already treated with anti-TNFα and vedolizumab. Concomitant treatment with steroids was present in 177 (91.2%) patients. At week 12, clinical remission was achieved in 146 (75.2%) patients. After a mean follow-up of 6 months, clinical remission was maintained in 135 (69.6%) patients; at that time, mucosal healing was assessed in 62 (31.9%) patients, and it was achieved in 33 (53.2) patients. Three (1.5%) patients were submitted to surgery. Steroid-free remission was achieved in 115 (59.3%) patients. Both serum C-Reactive Protein and Fecal Calprotectin (FC) levels were significantly reduced with respect to baseline levels during follow-up. A logistic regression, UST therapy as third-line therapy (after both anti-TNFα and vedolizumab), FC >200 µg/g, and HBI ≥8 were significantly associated with lack of remission. Adverse events occurred in 5 (2.6%) patients, and four of them required suspension of treatment. UST seemed to be really effective and safe in CD patients unresponsive to other biologic treatments, especially when used as second-line treatment.
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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in: SICRIS
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