Efficacy and Safety of Upadacitinib in the Treatment of Chronic Pouchitis, Cuffitis, and Crohn's Disease of the Pouch

被引:10
作者
Lan, Nan [1 ]
Shen, Bo [2 ]
机构
[1] Columbia Univ, New York Presbyterian Hosp, Irving Med Ctr, Div Digest & Liver Dis, New York, NY USA
[2] Columbia Univ, New York Presbyterian Hosp, Ctr Inflammatory Bowel Dis, Irving Med Ctr, New York, NY 10027 USA
关键词
Crohn's disease; cuffitis; pouchitis; upadacitinib; MANAGEMENT;
D O I
10.14309/crj.0000000000001245
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Upadacitinib has shown efficacy in the treatment of moderate-to-severe ulcerative colitis and Crohn's disease (CD). The use of upadacitinib in the treatment of chronic antibiotics-refractory pouchitis (CARP), as well as CD of the pouch, has not been previously reported. We treated a series of 6 patients with CARP or CD of the pouch with a minimal 6 weeks of upadacitinib. The patients showed minimal or no significant improvement in clinical and endoscopic presentations. Our findings warrant further study to validate the efficacy and safety of upadacitinib in the treatment of CARP or CD of the pouch.
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页数:4
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共 12 条
[1]   Treatment of Chronic Inflammatory Pouch Conditions With Tofacitinib: A Case Series From 2 Tertiary IBD Centers in the United States [J].
Akiyama, Shintaro ;
Cohen, Nathaniel A. ;
Kayal, Maia ;
Dubinsky, Marla C. ;
Colombel, Jean-Frederic ;
Rubin, David T. .
INFLAMMATORY BOWEL DISEASES, 2023, :1504-1507
[2]   Measurement of Disease Activity of Pouchitis [J].
Chis, Roxana S. ;
Silverberg, Mark S. .
DISEASES OF THE COLON & RECTUM, 2022, 65 :S50-S56
[3]   Management of Pouchitis and Other Common Complications of the Pouch [J].
Dalal, Robin L. ;
Shen, Bo ;
Schwartz, David A. .
INFLAMMATORY BOWEL DISEASES, 2018, 24 (05) :989-996
[4]   Upadacitinib Is Effective and Safe in Both Ulcerative Colitis and Crohn's Disease: Prospective Real-World Experience [J].
Friedberg, Scott ;
Choi, David ;
Hunold, Thomas ;
Choi, Natalie K. ;
Garcia, Nicole M. ;
Picker, Emma A. ;
Cohen, Nathaniel A. ;
Cohen, Russell D. ;
Dalal, Sushila R. ;
Pekow, Joel ;
Sakuraba, Atsushi ;
Cleveland, Noa Krugliak ;
Rubin, David T. .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2023, 21 (07) :1913-+
[5]   Ustekinumab Is Effective for the Treatment of Chronic Antibiotic-Refractory Pouchitis [J].
Ollech, Jacob E. ;
Rubin, David T. ;
Glick, Laura ;
Weisshof, Roni ;
El Jurdi, Katia ;
Israel, Amanda ;
Cleveland, Noa Krugliak ;
Hyman, Neil ;
Sakuraba, Atsushi ;
Pekow, Joel ;
Cohen, Russell D. ;
Dalal, Sushila R. .
DIGESTIVE DISEASES AND SCIENCES, 2019, 64 (12) :3596-3601
[6]   Efficacy and Safety of Advanced Therapies for Moderately to Severely Active Ulcerative Colitis at Induction and Maintenance: An Indirect Treatment Comparison Using Bayesian Network Meta-analysis [J].
Panaccione, Remo ;
Collins, Eric B. ;
Melmed, Gil Y. ;
Vermeire, Severine ;
Danese, Silvio ;
Higgins, Peter D. R. ;
Kwon, Christina S. ;
Zhou, Wen ;
Ilo, Dapo ;
Sharma, Dolly ;
Gonzalez, Yuri Sanchez ;
Wang, Si-Tien .
CROHNS & COLITIS 360, 2023, 5 (02)
[7]   Difficult-to-treat inflammatory bowel disease: results from an international consensus meeting [J].
Parigi, Tommaso Lorenzo ;
D'Amico, Ferdinando ;
Abreu, Maria ;
Dignass, Axel ;
Dotan, Iris ;
Magro, Fernando ;
Griffiths, Anne M. ;
Jairath, Vipul ;
Iacucci, Marietta ;
Mantzaris, Gerassimos J. ;
O'Morain, Colm ;
Reinisch, Walter ;
Sachar, David B. ;
Turner, Dan ;
Yamamoto, Takayuki ;
Rubin, David ;
Peyrin-Biroulet, Laurent ;
Ghosh, Subrata ;
Danese, Silvio .
LANCET GASTROENTEROLOGY & HEPATOLOGY, 2023, 8 (09) :853-859
[8]   Management of Acute and Chronic Pouchitis [J].
Tome, June ;
Raffals, Laura E. ;
Pardi, Darrell S. .
DISEASES OF THE COLON & RECTUM, 2022, 65 :S69-S76
[9]   Vedolizumab for the Treatment of Chronic Pouchitis [J].
Travis, Simon ;
Silverberg, Mark S. ;
Danese, Silvio ;
Gionchetti, Paolo ;
Loewenberg, Mark ;
Jairath, Vipul ;
Feagan, Brian G. ;
Bressler, Brian ;
Ferrante, Marc ;
Hart, Ailsa ;
Lindner, Dirk ;
Escher, Armella ;
Jones, Stephen ;
Shen, Bo ;
EARNEST Study Grp .
NEW ENGLAND JOURNAL OF MEDICINE, 2023, 388 (13) :1191-1200
[10]   Long-term failure after restorative proctocolectomy for ulcerative colitis [J].
Tulchinsky, H ;
Hawley, PR ;
Nicholls, J .
ANNALS OF SURGERY, 2003, 238 (02) :229-234