TY - JOUR
T1 - Ustekinumab and Anti-Interleukin-23 Agents in Crohn's Disease
AU - Deepak, Parakkal
AU - Sandborn, William J.
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2017/9
Y1 - 2017/9
N2 - This article reviews the available data regarding the efficacy of ustekinumab across published randomized clinical trials and open-label experience from tertiary medical centers, safety data, including in pregnancy, and its use in patients who have failed tumor necrosis factor (TNF) antagonists as well as patients who have not failed TNF antagonists. We have proposed an algorithm for positioning the use of ustekinumab among other agents (TNF antagonists, vedolizumab) in moderate-severe Crohn's disease. The article also enumerates drugs that are specific interleukin-23 blockers, including brazikumab (MEDI2070), risankizumab, LY3074828, tildrakizumab, and guselkumab, and the current status of their clinical trials.
AB - This article reviews the available data regarding the efficacy of ustekinumab across published randomized clinical trials and open-label experience from tertiary medical centers, safety data, including in pregnancy, and its use in patients who have failed tumor necrosis factor (TNF) antagonists as well as patients who have not failed TNF antagonists. We have proposed an algorithm for positioning the use of ustekinumab among other agents (TNF antagonists, vedolizumab) in moderate-severe Crohn's disease. The article also enumerates drugs that are specific interleukin-23 blockers, including brazikumab (MEDI2070), risankizumab, LY3074828, tildrakizumab, and guselkumab, and the current status of their clinical trials.
KW - Crohn's disease
KW - Inflammatory bowel disease
KW - Interleukin-12
KW - Interleukin-12/23 monoclonal antibody
KW - Interleukin-23
KW - Ustekinumab
UR - http://www.scopus.com/inward/record.url?scp=85028683195&partnerID=8YFLogxK
U2 - 10.1016/j.gtc.2017.05.013
DO - 10.1016/j.gtc.2017.05.013
M3 - Review article
C2 - 28838418
AN - SCOPUS:85028683195
SN - 0889-8553
VL - 46
SP - 603
EP - 626
JO - Gastroenterology Clinics of North America
JF - Gastroenterology Clinics of North America
IS - 3
ER -