The Debate is Over: Continue Anti-Tumor Necrosis Factor Therapy Throughout Pregnancy

被引:8
作者
Mao, Eric J. [1 ]
Mahadevan, Uma [2 ]
机构
[1] Univ Calif Davis, Davis, CA 95616 USA
[2] Univ Calif San Francisco, San Francisco, CA 94143 USA
关键词
INFLAMMATORY-BOWEL-DISEASE; CROHNS-DISEASE; RISK-FACTOR;
D O I
10.1038/s41395-018-0254-x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Data in support of the safety of biologic use during pregnancy continues to grow. Utilizing a national French database with linkage between mothers and children, Luu et al. demonstrated that anti-tumor necrosis factor (anti-TNF) therapy exposure did not increase infection risk in children, though the mothers had higher rates of infection. Stopping therapy prior to 24 weeks gestation led to a higher rate of disease flares in the mother with no benefit to the infant compared to continued therapy.
引用
收藏
页码:1590 / 1591
页数:2
相关论文
共 12 条
[1]   Biologic Therapies and Risk of Infection and Malignancy in Patients With Inflammatory Bowel Disease: A Systematic Review and Network Meta-analysis [J].
Bonovas, Stefanos ;
Fiorino, Gionata ;
Allocca, Mariangela ;
Lytras, Theodore ;
Nikolopoulos, Georgios K. ;
Peyrin-Biroulet, Laurent ;
Danese, Silvio .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2016, 14 (10) :1385-+
[2]   Safety of Thiopurines and Anti-TNF-α Drugs During Pregnancy in Patients With Inflammatory Bowel Disease [J].
Casanova, M. J. ;
Chaparro, M. ;
Domenech, E. ;
Barreiro-de Acosta, M. ;
Bermejo, F. ;
Iglesias, E. ;
Gomollon, F. ;
Rodrigo, L. ;
Calvet, X. ;
Esteve, M. ;
Garcia-Planella, E. ;
Garcia-Lopez, S. ;
Taxonera, C. ;
Calvo, M. ;
Lopez, M. ;
Ginard, D. ;
Gomez-Garcia, M. ;
Garrido, E. ;
Perez-Calle, J. L. ;
Beltran, B. ;
Piqueras, M. ;
Saro, C. ;
Botella, B. ;
Duenas, C. ;
Ponferrada, A. ;
Manosa, M. ;
Garcia-Sanchez, V. ;
Mate, J. ;
Gisbert, J. P. .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2013, 108 (03) :433-440
[3]   The Effects of Active IBD During Pregnancy in the Era of Novel IBD Therapies [J].
de Lima-Karagiannis, Alison ;
Zelinkova-Detkova, Zuzana ;
van der Woude, Christien Janneke .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2016, 111 (09) :1305-1312
[4]   Maternal Inflammatory Bowel Disease During Pregnancy is Not a Risk Factor for Long-term Morbidity of the Offspring [J].
Freud, Amir ;
Beharier, Ofer ;
Walfisch, Asnat ;
Sergienko, Ruslan ;
Landau, Daniella ;
Sheiner, Eyal .
JOURNAL OF CROHNS & COLITIS, 2016, 10 (11) :1267-1272
[5]   Outcome of pregnancy and neonatal complications with anti-tumor necrosis factor-α use in females with immune mediated diseases; a systematic review and meta-analysis [J].
Komaki, Fukiko ;
Komaki, Yuga ;
Micic, Dejan ;
Ido, Akio ;
Sakuraba, Atsushi .
JOURNAL OF AUTOIMMUNITY, 2017, 76 :38-52
[6]   Pregnancy Outcomes Reported During the 13-Year TREAT Registry: A Descriptive Report [J].
Lichtenstein, Gary R. ;
Feagan, Brian G. ;
Mahadevan, Uma ;
Salzberg, Bruce A. ;
Langholff, Wayne ;
Morgan, G. James ;
Safdi, Michael ;
Nissinen, Riikka ;
Taillard, Francois ;
Sandborn, William J. ;
Cohen, Russell D. .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2018, 113 (11) :1678-1688
[7]   Continuous Anti-TNFα Use Throughout Pregnancy: Possible Complications For the Mother But Not for the Fetus. A Retrospective Cohort on the French National Health Insurance Database (EVASION) [J].
Luu, Maxime ;
Benzenine, Eric ;
Doret, Muriel ;
Michiels, Christophe ;
Barkun, Alan ;
Degand, Thibault ;
Quantin, Catherine ;
Bardou, Marc .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2018, 113 (11) :1669-1677
[8]  
Mahadevan U, 2012, GASTROENTEROLOGY, V142, pS149
[9]  
Morales M, 2000, HEPATO-GASTROENTEROL, V47, P1595
[10]   The Toronto Consensus Statements for the Management of Inflammatory Bowel Disease in Pregnancy [J].
Nguyen, Geoffrey C. ;
Seow, Cynthia H. ;
Maxwell, Cynthia ;
Huang, Vivian ;
Leung, Yvette ;
Jones, Jennifer ;
Leontiadis, Grigorios I. ;
Tse, Frances ;
Mahadevan, Uma ;
van der Woude, C. Janneke .
GASTROENTEROLOGY, 2016, 150 (03) :734-+