Positioning Therapies in the Management of Crohn's Disease

被引:28
作者
Nguyen, Nghia H. [1 ]
Singh, Siddharth [1 ,2 ]
Sandborn, William J. [1 ]
机构
[1] Univ Calif San Diego, Dept Med, Div Gastroenterol, La Jolla, CA 92093 USA
[2] Univ Calif San Diego, Dept Med, Div Biomed Informat, La Jolla, CA 92093 USA
基金
美国国家卫生研究院;
关键词
Crohn's; IBD; Therapies; Biologics; Treatment; INFLAMMATORY-BOWEL-DISEASE; PSORIASIS LONGITUDINAL ASSESSMENT; BIOLOGIC-NAIVE PATIENTS; COMBINATION THERAPY; INFLIXIMAB; RISK; ASSOCIATION; AZATHIOPRINE; ADALIMUMAB; SAFETY;
D O I
10.1016/j.cgh.2019.10.035
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
In the past decade, several new therapies with different mechanisms of action have been approved for the management of moderate to severe Crohn's disease. However, there is limited guidance on optimal positioning of agents as first- or second-line therapies because of the absence of head-to-head trials. Furthermore, given the lack of comparative studies, treatment guidelines have provided limited insight. In this review, we discuss data on key treatment attributes, comparative efficacy and safety, factors predictive of response to each agent, and propose an algorithm for positioning therapies for the management of patients with low-risk and high-risk Crohn's disease.
引用
收藏
页码:1268 / 1279
页数:12
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