Literature DB >> 22395225

Efficacy of adalimumab rescue therapy in patients with chronic refractory pouchitis previously treated with infliximab: a case series.

Manuel Barreiro-de Acosta1, Orlando García-Bosch, Jordi Gordillo, Miriam Mañosa, Luis Menchén, Raquel Souto, Ignacio Marin-Jimenez.   

Abstract

AIM: In refractory pouchitis, infliximab (IFX) has been used as rescue therapy; however, there is no clinical evidence for the use of adalimumab (ADA). The aim of this study was to report the efficacy of ADA in patients with refractory pouchitis previously treated with IFX.
METHODS: A retrospective, open-label, case series was designed. Patients with chronic refractory pouchitis treated with ADA were included. All patients were previously treated with IFX. The short-term and mid-term efficacy of ADA was evaluated.
RESULTS: Eight patients with chronic refractory pouchitis treated with ADA were included. After 8 weeks, 13% of the patients achieved remission and 62% showed a clinical response. At week 26, 13% achieved remission and 38% showed a clinical response. At week 52, 50% of the patients avoided a permanent ileostomy but only 25 achieved remission.
CONCLUSION: ADA treatment was found to be an alternative for patients with chronic refractory pouchitis previously treated with IFX.

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Year:  2012        PMID: 22395225     DOI: 10.1097/MEG.0b013e3283525a7b

Source DB:  PubMed          Journal:  Eur J Gastroenterol Hepatol        ISSN: 0954-691X            Impact factor:   2.566


  13 in total

1.  Outcome of biological therapies in chronic antibiotic-refractory pouchitis: A retrospective single-centre experience.

Authors:  Bram Verstockt; Charlotte Claeys; Gert De Hertogh; Gert Van Assche; Albert Wolthuis; André D'Hoore; Séverine Vermeire; Marc Ferrante
Journal:  United European Gastroenterol J       Date:  2019-08-20       Impact factor: 4.623

2.  Update on the pathogenesis and management of pouchitis.

Authors:  Saleem Chowdhry; Jeffry A Katz
Journal:  Curr Infect Dis Rep       Date:  2014-12       Impact factor: 3.725

Review 3.  Use of Biologics in Pouchitis: A Systematic Review.

Authors:  Hans H Herfarth; Millie D Long; Kim L Isaacs
Journal:  J Clin Gastroenterol       Date:  2015-09       Impact factor: 3.062

Review 4.  Infliximab for the treatment of pouchitis.

Authors:  Maddalena Zippi; Claudio Cassieri; Eleonora Veronica Avallone; Roberta Pica
Journal:  World J Clin Cases       Date:  2013-09-16       Impact factor: 1.337

Review 5.  Pouchitis: Treatment dilemmas at different stages of the disease.

Authors:  Manuel Barreiro-de Acosta; Iria Bastón-Rey; Cristina Calviño-Suárez; J Enrique Domínguez-Muñoz
Journal:  United European Gastroenterol J       Date:  2020-01-13       Impact factor: 4.623

6.  Single-Cell Transcriptional Survey of Ileal-Anal Pouch Immune Cells From Ulcerative Colitis Patients.

Authors:  Joseph C Devlin; Jordan Axelrad; Ashley M Hine; Shannon Chang; Suparna Sarkar; Jian-Da Lin; Kelly V Ruggles; David Hudesman; Ken Cadwell; P'ng Loke
Journal:  Gastroenterology       Date:  2021-02-05       Impact factor: 22.682

7.  Real-Life Treatment Paradigms Show Adalimumab Is Cost-Effective for the Management of Ulcerative Colitis.

Authors:  Candace L Beilman; Nguyen Xuan Thanh; Victoria Ung; Christopher Ma; Karen Wong; Karen I Kroeker; Thomas Lee; Haili Wang; Arto Ohinmaa; Phil Jacobs; Brendan P Halloran; Richard N Fedorak
Journal:  Can J Gastroenterol Hepatol       Date:  2016-10-03

8.  Case Report and Literature Review Illustrating the Clinical, Endoscopic, Radiologic, and Histopathologic Findings with Prepouch Ileitis after IPAA and Restorative Proctocolectomy for Refractory Ulcerative Colitis.

Authors:  Christienne Shams; Seifeldin Hakim; Mitual Amin; Mitchell S Cappell
Journal:  Case Rep Gastrointest Med       Date:  2018-07-30

Review 9.  Developments in the treatment of moderate to severe ulcerative colitis: focus on adalimumab.

Authors:  Hugh J Freeman
Journal:  Ther Clin Risk Manag       Date:  2013-11-07       Impact factor: 2.423

Review 10.  Chronic Antibiotic-Refractory Pouchitis: Management Challenges.

Authors:  An Outtier; Marc Ferrante
Journal:  Clin Exp Gastroenterol       Date:  2021-06-14
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