Open AccessBudesonide MMX in the Treatment of Ulcerative Colitis: Current Perspectives on Efficacy and Safety
Author(s) -
Giovanni Maconi,
Deborah Camatta,
Rosanna Cannatelli,
Francesca Ferretti,
Anna Carvalhas Gabrielli,
Sandro Ardizzone
Publication year - 2021
Publication title -
therapeutics and clinical risk management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.719
H-Index - 55
eISSN - 1178-203X
pISSN - 1176-6336
DOI - 10.2147/tcrm.s263835
Subject(s) - mmx , medicine , ulcerative colitis , budesonide , rescue therapy , gastroenterology , colitis , corticosteroid , disease , computer science , operating system
Budesonide MMX is a low bioavailability corticosteroid oral once-daily formulation, which has a controlled rate of release throughout the colon, thanks to the multimatrix (MMX) formulation. It has been available for a decade in the USA and Europe for the induction of remission in patients with active, mild to moderate ulcerative colitis, particularly for those not responsive to mesalamine. The efficacy of budesonide MMX in this setting has been assessed by registrative randomized controlled trials showing a higher rate of clinical and endoscopic remission at 8 weeks compared with placebo, mostly in patients with proctosigmoiditis and left-side colitis. Since it is available in our therapeutic armamentarium, a few studies have confirmed the effectiveness of budesonide MMX also in real-life, highlighting the high rate of clinical response and remission and the high safety profile. In the present review, we summarise clinical trials and real-life results of budesonide MMX, assessing its use and predictors of response and non-response in real-life.