Subcutaneous Ustekinumab Provides Clinical Benefit for Two-Thirds of Patients With Crohn’s Disease Refractory to Anti–Tumor Necrosis Factor Agents  Pauline.

Slides:



Advertisements
Similar presentations
Risk of Neoplasia After Colectomy in Patients With Inflammatory Bowel Disease: A Systematic Review and Meta-analysis Lauranne A.A.P. Derikx, Loes H.C.
Advertisements

Increased Risk of Acute Myeloid Leukemias and Myelodysplastic Syndromes in Patients Who Received Thiopurine Treatment for Inflammatory Bowel Disease 
Abnormal Liver Tests and Fatty Liver on Ultrasound
Guillaume Bouguen, Barrett G. Levesque, Brian G
Saurabh Dawra, Vishal Sharma, Usha Dutta 
Volume 145, Issue 4, Pages e2 (October 2013)
Vaccination and Risk for Developing Inflammatory Bowel Disease: A Meta-Analysis of Case–Control and Cohort Studies  Guillaume Pineton de Chambrun, Luc.
Systematic Review of Tumor Necrosis Factor Antagonists in Extraintestinal Manifestations in Inflammatory Bowel Disease  Laurent Peyrin-Biroulet, Gert.
Severe Skin Lesions Cause Patients With Inflammatory Bowel Disease to Discontinue Anti–Tumor Necrosis Factor Therapy  Jean–François Rahier, Sébastien.
Survival of Patients With Superficial Esophageal Adenocarcinoma After Endoscopic Treatment vs Surgery  Saowanee Ngamruengphong, Herbert C. Wolfsen, Michael.
Gauree Gupta, Ebbing Lautenbach, James D. Lewis 
Celiac Disease and Persistent Symptoms
A Shocking Cystory Clinical Gastroenterology and Hepatology
Right Upper Quadrant Pain and a Normal Abdominal Ultrasound
Prevalence of Irritable Bowel Syndrome–type Symptoms in Patients With Celiac Disease: A Meta-analysis  Anita Sainsbury, David S. Sanders, Alexander C.
Laurent Peyrin-Biroulet, Julián Panés, William J
Mucosal Healing in Patients With Celiac Disease and Outcomes of Pregnancy: A Nationwide Population-Based Study  Benjamin Lebwohl, Olof Stephansson, Peter.
Wireless Capsule Endoscopy Fragmentation in a Patient With Crohn's Disease  Marcia Henriques de Magalhães Costa, Andre da Luz Moreira, Cyrla Zaltman  Clinical.
Association Between Plasma Concentrations of Certolizumab Pegol and Endoscopic Outcomes of Patients With Crohn's Disease  Jean–Frédéric Colombel, William.
Judy A. Trieu, Mohammad Bilal, Ali Hashmi 
Leigh Ann White, Joseph Menzin, Jonathan R
Andree Koop, Michael J. Bartel, Dawn Francis 
Issue Highlights Clinical Gastroenterology and Hepatology
Association of Trough Serum Infliximab to Clinical Outcome After Scheduled Maintenance Treatment for Crohn’s Disease  Elana A. Maser, Renata Villela,
Endoscopy 20 Years Into the Future
Atif Saleem, David H. Bruining, Todd H. Baron 
Effects of Concomitant Immunomodulator Therapy on Efficacy and Safety of Anti–Tumor Necrosis Factor Therapy for Crohn’s Disease: A Meta-analysis of Placebo-controlled.
Associations Among Mucosal and Transmural Healing and Fecal Level of Calprotectin in Children With Crohn’s Disease  Inbar Weinstein-Nakar, Gili Focht,
Activity-Based Costing and Management in a Hospital-Based GI Unit
Michael Hjelkrem, Joel Stengel, Mark Liu, David P. Jones, Stephen A
Alan J. Wigg, Rosemary McCormick, Rachel Wundke, Richard J. Woodman 
Amie L. Harvey, Tommy Yen, Anand Kunda 
AGA Clinical Practice Update on Functional Gastrointestinal Symptoms in Patients With Inflammatory Bowel Disease: Expert Review  Jean-Frederic Colombel,
Low Serum Vitamin D During Remission Increases Risk of Clinical Relapse in Patients With Ulcerative Colitis  John Gubatan, Shuji Mitsuhashi, Talia Zenlea,
Abnormal Liver Tests and Fatty Liver on Ultrasound
Saccharomyces boulardii Does Not Prevent Relapse of Crohn's Disease
Bara Erhayiem, Rajpal Dhingsa, Christopher J
Endoscopic Ultrasound–Guided Cholecystoduodenostomy for Acute Cholecystitis in a Patient With Thrombocytopenia and End-Stage Liver Disease Awaiting Transplantation 
David H. Bruining, William J. Sandborn 
Najat Mourra, Nikias Colignon  Clinical Gastroenterology and Hepatology 
Adding Triamcinolone to Endoscopic Ultrasound–Guided Celiac Plexus Blockade Does Not Reduce Pain in Patients With Chronic Pancreatitis  Tyler Stevens,
Cholelithiasis in a Patient With History of Cholecystectomy
Long-term Outcome of Perianal Fistulizing Crohn's Disease Treated With Infliximab  Guillaume Bouguen, Laurent Siproudhis, Emmanuel Gizard, Timothée Wallenhorst,
Mucosal Healing Is Associated With Improved Long-term Outcomes of Patients With Ulcerative Colitis: A Systematic Review and Meta-analysis  Shailja C.
Volume 150, Issue 2, Pages e4 (February 2016)
Association Between Pharmacokinetics of Adalimumab and Mucosal Healing in Patients With Inflammatory Bowel Diseases  Xavier Roblin, Hubert Marotte, Melanie.
Risk of Cerebrovascular Accidents and Ischemic Heart Disease in Patients With Inflammatory Bowel Disease: A Systematic Review and Meta-analysis  Siddharth.
Issue Highlights Clinical Gastroenterology and Hepatology
An Accelerated Infliximab Induction Regimen Reduces the Need for Early Colectomy in Patients With Acute Severe Ulcerative Colitis  David J. Gibson, Zaid.
Initiating Azathioprine for Crohn's Disease
A Double-Blind Placebo-Controlled Study of Intravenous Clodronate for Prevention of Steroid-Induced Bone Loss in Inflammatory Bowel Disease  Vered Abitbol,
Endoscopic Ultrasound and Endoscopic Mucosal Resection Features of a Non–Protein Losing Form of Ménétrier's Disease  Ferga C. Gleeson, Thomas F. Mangan,
Nicolas Williet, William J. Sandborn, Laurent Peyrin–Biroulet 
Walter Reinisch, Jean-Frederic Colombel, William J
A 27-Year-Old Woman With Constipation: Diagnosis and Treatment
Christopher Hung, Desmond Leddin 
Coagulation in Liver Disease: A Guide for the Clinician
Endoscopic Assessment and Treating to Target Increase the Likelihood of Mucosal Healing in Patients With Crohn’s Disease  Guillaume Bouguen, Barrett G.
Risk of Pancreatitis in Patients With Celiac Disease: Is Autoimmune Pancreatitis a Biologically Plausible Mechanism?  John S. Leeds, David S. Sanders 
Issue Highlights Clinical Gastroenterology and Hepatology
Erick Alayo, Bashar Attar, Benjamin Go 
Coloduodenal Fistula in Crohn’s Disease
Rintaro Hashimoto, Akimichi Chonan 
Adverse Outcomes: Why Bad Things Happen to Good People
Medical Therapy for Refractory Pediatric Crohn’s Disease
M. Babitha Reddy, David M. Poppers, Cora Uram–Tuculescu 
Many Patients Who Undergo Surgery for Colorectal Cancer Receive Surveillance Colonoscopies Earlier Than Recommended by Guidelines  Amanpal Singh, Yong–Fang.
Rintaro Hashimoto, Akimichi Chonan 
Klaus Mönkemüller, Helmut Neumann, Lucia C. Fry 
Thiopurines and Risk of Colorectal Neoplasia in Patients With Inflammatory Bowel Disease: A Meta-analysis  Tine Jess, Anthony Lopez, Mikael Andersson,
Presentation transcript:

Subcutaneous Ustekinumab Provides Clinical Benefit for Two-Thirds of Patients With Crohn’s Disease Refractory to Anti–Tumor Necrosis Factor Agents  Pauline Wils, Yoram Bouhnik, Pierre Michetti, Bernard Flourie, Hedia Brixi, Anne Bourrier, Matthieu Allez, Bernard Duclos, Jean-Charles Grimaud, Anthony Buisson, Aurélien Amiot, Mathurin Fumery, Xavier Roblin, Laurent Peyrin-Biroulet, Jérôme Filippi, Guillaume Bouguen, Vered Abitbol, Benoit Coffin, Marion Simon, David Laharie, Benjamin Pariente  Clinical Gastroenterology and Hepatology  Volume 14, Issue 2, Pages 242-250.e2 (February 2016) DOI: 10.1016/j.cgh.2015.09.018 Copyright © 2016 AGA Institute Terms and Conditions

Figure 1 Flowchart of patients in the study. (A) Disposition of all included patients receiving subcutaneous ustekinumab. (B) Disposition of all included patients with a clinical response assessment to ustekinumab at 3 months. Clinical Gastroenterology and Hepatology 2016 14, 242-250.e2DOI: (10.1016/j.cgh.2015.09.018) Copyright © 2016 AGA Institute Terms and Conditions

Figure 2 (A) Proportions of patients with a CRP decrease or CRP normalization among the 58 patients with clinical benefit to ustekinumab and having 2 CRP evaluations at time of ustekinumab introduction and at 3 months. (B) Proportions of patients with an endoscopic response or a mucosal healing at 3 months among the 22 patients with clinical benefit to ustekinumab and having 2 endoscopic evaluations at time of ustekinumab introduction and at 3 months. Numbers of patients are indicated below the histograms. Clinical Gastroenterology and Hepatology 2016 14, 242-250.e2DOI: (10.1016/j.cgh.2015.09.018) Copyright © 2016 AGA Institute Terms and Conditions

Figure 3 Kaplan-Meier survival curve of failure-free response to ustekinumab among the 79 initial responders at 3 months. The median follow-up duration was 9.8 months (interquartile range, 5.3–14.5 months). Clinical Gastroenterology and Hepatology 2016 14, 242-250.e2DOI: (10.1016/j.cgh.2015.09.018) Copyright © 2016 AGA Institute Terms and Conditions

Supplementary Figure 1 Steroid discontinuation and reduction in patients with CD with ustekinumab clinical benefit at 3 months. Clinical Gastroenterology and Hepatology 2016 14, 242-250.e2DOI: (10.1016/j.cgh.2015.09.018) Copyright © 2016 AGA Institute Terms and Conditions