Back to Search
Start Over
The effectiveness of ustekinumab and vedolizumab as third-line biologic therapy in patients with Crohn's disease.
- Source :
-
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver [Dig Liver Dis] 2023 Apr; Vol. 55 (4), pp. 471-477. Date of Electronic Publication: 2022 Sep 17. - Publication Year :
- 2023
-
Abstract
- Background: The effectiveness of Ustekinumab (UST) and Vedolizumab (VDZ) in patients with Crohn's disease (CD) as third-line biologic therapies is unclear.<br />Aims: We performed a multicentre, real-world assessment of the effectiveness of UST and VDZ among highly-refractory patients with CD.<br />Methods: Data of consecutive patients with CD treated with UST and VDZ as third-line biologic therapy until December 2021 were extracted from the cohort of the Sicilian Network for Inflammatory Bowel Disease (SN-IBD).<br />Results: 143 patients (UST: n = 113; VDZ: n = 30) were included. At the end of induction, the rates of clinical response (CR) were 61.9% for UST and 60.0% for VDZ (p = 1.00), with steroid-free clinical remission (SFCR) achieved in 38.1% of patients in the UST group and 43.3% of patients in the VDZ group (p = 0.75). After 52 weeks of observation, the rates of CR were 65.9% for UST and 71.4% for VDZ (p = 0.77), while the rates of SFCR were 51.8% for UST and 57.1% for VDZ (p = 0.78). At multiple Cox proportional hazard regression model, age (HR 0.98; p = 0.04) and need for systemic steroids at baseline (HR 3.29; p = 0.003) were found to be independent predictors of treatment discontinuation.<br />Conclusions: Both VDZ and UST showed high effectiveness as third-line biologic therapy in CD, without significant differences between them.<br /> (Copyright © 2022. Published by Elsevier Ltd.)
Details
- Language :
- English
- ISSN :
- 1878-3562
- Volume :
- 55
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
- Publication Type :
- Academic Journal
- Accession number :
- 36127230
- Full Text :
- https://doi.org/10.1016/j.dld.2022.08.028