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Treatment options for refractory ulcerative colitis: Small molecules, big effects

dc.contributor.authorMarafini, Irene
dc.contributor.authorRoseira, Joana
dc.contributor.authorDuijvestein, Marjolijn
dc.date.accessioned2024-11-28T12:04:21Z
dc.date.available2024-11-28T12:04:21Z
dc.date.issued2024-05-07
dc.description.abstractAlthough the majority of patients with ulcerative colitis (UC) have a mild-to-moderate disease, approximately 10%–15% experience a severe disease course and require immunosuppressive therapies.1 A better understanding of the mechanisms sustaining the pathogenic process in inflammatory bowel diseases (IBD) has largely contributed to expand the therapeutic armamentarium for this group of patients. Alongside with conventional therapies, monoclonal antibodies against tumour necrosis factor-α, α4β7 integrin (vedolizumab), interleukin (IL)-12/IL-23 p40 subunit (ustekinumab), and small molecules inhibiting intracellular pathways downstream to cytokine receptors (tofacitinib, filogotinib and upadacitinib), have entered into the clinic for the treatment of UC.2 However, selecting the appropriate medical therapy for each patient at a given stage of the disease natural history is an increasingly complex task for clinicians, as no prediction for treatment effect can be made in the individual patient.eng
dc.identifier.doi10.1002/ueg2.12585
dc.identifier.eissn2050-6414
dc.identifier.issn2050-6406
dc.identifier.urihttp://hdl.handle.net/10400.1/26358
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWiley
dc.relation.hasversionhttps://onlinelibrary.wiley.com/doi/10.1002/ueg2.12585
dc.relation.ispartofUnited European Gastroenterology Journal
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titleTreatment options for refractory ulcerative colitis: Small molecules, big effectseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage540
oaire.citation.issue5
oaire.citation.startPage539
oaire.citation.titleUnited European Gastroenterology Journal
oaire.citation.volume12
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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