Therapeutic Drug Monitoring Guides the Management of Crohn’s Patients with Secondary Loss of Response to Adalimumab
Author(s) -
Sophie Restellini,
CheYung Chao,
Péter L. Lakatos,
Achuthan Aruljothy,
Haya Aziz,
Omar Kherad,
Alain Bitton,
Gary Wild,
Waqqas Afif,
Talat Bessissow
Publication year - 2018
Publication title -
inflammatory bowel diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.932
H-Index - 146
eISSN - 1536-4844
pISSN - 1078-0998
DOI - 10.1093/ibd/izy044
Subject(s) - adalimumab , medicine , therapeutic drug monitoring , drug , crohn's disease , intensive care medicine , pharmacology , tumor necrosis factor alpha , disease
Managing loss of response (LOR) in Crohn's disase (CD) patients remains challenging. Compelling evidence supports therapeutic drug monitoring (TDM) to guide management in patients on infliximab, but data for other biologics are less robust. We aimed to asses if empiric dose escalation led to improved clinical outcome in addition to TDM-guided optimization in CD patients with LOR to adalimumab (ADA).
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