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Predictors of anti-TNF treatment failure in anti-TNF-naive patients with active luminal Crohn's disease: a prospective, multicentre, cohort study

Authors :
Kennedy, Nicholas A
Heap, Graham A
Green, Harry D
Hamilton, Benjamin
Bewshea, Claire
Walker, Gareth J
Thomas, Amanda
Nice, Rachel
Perry, Mandy H
Bouri, Sonia
Chanchlani, Neil
Heerasing, Neel M
Hendy, Peter
Lin, Simeng
Gaya, Daniel R
Cummings, J R Fraser
Selinger, Christian P
Lees, Charlie W
Hart, Ailsa L
Parkes, Miles
Sebastian, Shaji
Mansfield, John C
Irving, Peter M
Lindsay, James
Russell, Richard K
McDonald, Timothy J
McGovern, Dermot
Goodhand, James R
Ahmad, Tariq
Patel, Vinod
Mazhar, Zia
Saich, Rebecca
Colleypriest, Ben
Tham, Tony C
Iqbal, Tariq H
Kaushik, Vishal
Murugesan, Senthil
Singh, Salil
Weaver, Sean
Preston, Cathryn
Butt, Assad
Smith, Melissa
Basude, Dharamveer
Beale, Amanda
Langlands, Sarah
Direkze, Natalie
Parkes, Miles
Torrente, Franco
De La Revella Negro, Juan
MacDonald, Chris Ewen
Evans, Stephen M
Gunasekera, Anton V J
Thakur, Alka
Elphick, David
Shenoy, Achuth
Nwokolo, Chuka U
Dhar, Anjan
Cole, Andrew T
Agrawal, Anurag
Bridger, Stephen
Doherty, Julie
Cooper, Sheldon C
de Silva, Shanika
Mowat, Craig
Mayhead, Phillip
Lees, Charlie
Jones, Gareth
Ahmad, Tariq
Hart, James W
Gaya, Daniel R
Russell, Richard K
Gervais, Lisa
Dunckley, Paul
Mahmood, Tariq
Banim, Paul J R
Sonwalkar, Sunil
Ghosh, Deb
Phillips, Rosemary H
Azaz, Amer
Sebastian, Shaji
Shenderey, Richard
Armstrong, Lawrence
Bell, Claire
Hariraj, Radhakrishnan
Matthews, Helen
Jafferbhoy, Hasnain
Selinger, Christian P
Zamvar, Veena
De Caestecker, John S
Willmott, Anne
Miller, Richard
Babu, Palani Sathish
Tzivinikos, Christos
Bloom, Stuart L
Chung-Faye, Guy
Croft, Nicholas M
Fell, John ME
Harbord, Marcus
Hart, Ailsa
Hope, Ben
Irving, Peter M
Lindsay, James O
Mawdsley, Joel E
McNair, Alistair
Monahan, Kevin J
Murray, Charles D
Orchard, Timothy
Paul, Thankam
Pollok, Richard
Shah, Neil
Bouri, Sonia
Johnson, Matt W
Modi, Anita
Kabiru, Kasamu Dawa
Baburajan, B K
Bhaduri, Bim
Fagbemi, Andrew Adebayo
Levison, Scott
Limdi, Jimmy K
Watts, Gill
Foley, Stephen
Ramadas, Arvind
MacFaul, George
Mansfield, John
Grellier, Leonie
Morris, Mary-Anne
Tremelling, Mark
Hawkey, Chris
Kirkham, Sian
Charlton, Charles PJ
Rodrigues, Astor
Simmons, Alison
Lewis, Stephen J
Snook, Jonathon
Tighe, Mark
Goggin, Patrick M
De Silva, Aminda N
Lal, Simon
Smith, Mark S
Panter, Simon
Cummings, J R Fraser
Dharmisari, Suranga
Carter, Martyn
Watts, David
Mahmood, Zahid
McLain, Bruce
Sen, Sandip
Pigott, Anna J
Hobday, David
Wesley, Emma
Johnston, Richard
Edwards, Cathryn
Beckly, John
Vani, Deven
Ramakrishnan, Subramaniam
Chaudhary, Rakesh
Trudgill, Nigel J
Cooney, Rachel
Bell, Andy
Prasad, Neeraj
Gordon, John N
Brookes, Matthew J
Li, Andy
Gore, Stephen
Source :
The Lancet Gastroenterology & Hepatology; May 2019, Vol. 4 Issue: 5 p341-353, 13p
Publication Year :
2019

Abstract

Anti-TNF drugs are effective treatments for the management of Crohn's disease but treatment failure is common. We aimed to identify clinical and pharmacokinetic factors that predict primary non-response at week 14 after starting treatment, non-remission at week 54, and adverse events leading to drug withdrawal.

Details

Language :
English
ISSN :
24681253
Volume :
4
Issue :
5
Database :
Supplemental Index
Journal :
The Lancet Gastroenterology & Hepatology
Publication Type :
Periodical
Accession number :
ejs48724801
Full Text :
https://doi.org/10.1016/S2468-1253(19)30012-3