Biological agents for moderately to severely active ulcerative colitis: a systematic review and network meta-analysis.

Author: BonovasStefanos, DaneseSilvio, FiorinoGionata, LucenteforteErsilia, MojaLorenzo, Peyrin-BirouletLaurent, VirgiliGianni

Paper Details 
Original Abstract of the Article :
BACKGROUND: Biological agents are emerging treatment options for the management of ulcerative colitis (UC). PURPOSE: To assess the comparative efficacy and harm of biological agents in adult patients with moderately to severely active UC who are naive to biological agents. DATA SOURCES: MEDLINE, E...See full text at original site
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引用元:
https://doi.org/10.7326/M13-2403

データ提供:米国国立医学図書館(NLM)

Biological Agents for Ulcerative Colitis: A Comprehensive Assessment

Ulcerative colitis (UC) is a debilitating inflammatory bowel disease that affects millions of people worldwide. Finding effective treatments for UC is a critical priority, and in recent years, biological agents have emerged as promising options. This systematic review and network meta-analysis delves into the comparative efficacy and safety of various biological agents for treating moderately to severely active UC in adults. Researchers meticulously analyzed data from randomized controlled trials, comparing different biological agents to placebo and to each other. The results of this comprehensive analysis highlight the effectiveness of biological agents in inducing clinical responses, remissions, and mucosal healing in UC patients. However, the lack of head-to-head trials between different biological agents limits the ability to definitively determine the optimal treatment strategy.

Infliximab: A Promising Biological Agent for Ulcerative Colitis

The meta-analysis suggests that infliximab may be more effective than adalimumab in inducing clinical response and mucosal healing. While these findings are encouraging, it is important to note that the analysis was based on indirect comparisons rather than head-to-head trials. More research is needed to confirm these findings and establish the relative efficacy of different biological agents.

Navigating the Landscape of Ulcerative Colitis Treatment

The findings of this study highlight the potential of biological agents in managing ulcerative colitis. However, it is crucial to recognize that the optimal treatment strategy will vary depending on the individual patient's characteristics and disease severity. The researchers emphasize the need for further research, particularly head-to-head trials, to definitively establish the best therapeutic options for patients with UC. This will help guide clinicians in selecting the most effective treatment for each patient, ultimately leading to better outcomes and improved quality of life.

Dr. Camel's Conclusion

The search for effective UC treatments is like a camel traversing a vast desert, seeking a safe and reliable path to healing. Biological agents represent a promising oasis in this journey, but more research is needed to map the terrain and determine the best route to take. Ultimately, the goal is to find the most effective and safe treatment for each individual patient, helping them navigate the challenging path of living with UC.

Date :
  1. Date Completed 2014-07-10
  2. Date Revised 2022-04-10
Further Info :

Pubmed ID

24842416

DOI: Digital Object Identifier

10.7326/M13-2403

SNS
PICO Info
in preparation
Languages

English

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