Novel Non-biologic Targets for Inflammatory Bowel Disease
| Autor: | Bruce E. Sands, Tushar Shukla |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Ozanimod
medicine.medical_specialty Filgotinib Anti-Inflammatory Agents Inflammatory bowel disease 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Internal medicine Humans Medicine Enzyme Inhibitors Colitis Neurotransmitter Agents Tofacitinib business.industry Gastroenterology General Medicine Inflammatory Bowel Diseases medicine.disease Ulcerative colitis chemistry 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Electronic database Apremilast business medicine.drug |
| Zdroj: | Current Gastroenterology Reports. 21 |
| ISSN: | 1534-312X 1522-8037 |
| Popis: | The biologic era revolutionized the medical management of inflammatory bowel disease (IBD) and allowed for a paradigm shift away from a therapeutic strategy that traditionally relied on corticosteroids and immunomodulators. IBD treatment has now further evolved to encompass novel non-biologic agents. An electronic database search, spanning up to September 2018, was conducted using PubMed, Web of Science, Google Scholar, and Scopus. Abstracts were also reviewed from Digestive Diseases Week, European Crohn’s and Colitis Organization congress, Canadian Digestive Diseases Week, and United European Gastroenterology Week. The JAK1/3 inhibitor, tofacitinib, was shown to both induce and maintain clinical remission and mucosal healing in ulcerative colitis (UC). Also, the sphingosine-1-phosphate (SIP) S1P1/S1P5 receptor agonist ozanimod showed benefit with clinical remission and mucosal healing in UC. Anti-trafficking non-biologic therapies such as AJM300 and a phosphodiesterase (PDE) PDE4 inhibitor, apremilast, have shown benefit in terms of clinical response, clinical remission, and mucosal healing in UC. Upadacitinib and filgotinib have shown initial favorable outcomes in CD patients, with further ongoing trials. Non-biologic agents comprise a growing number of mechanisms of action with the promise of safe and effective oral therapy for patients with IBD. |
| Databáze: | OpenAIRE |
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