Golimumab in unresponsive ulcerative colitis

Elisabeth Lippert, Martina Müller, Claudia Ott University Hospital Regensburg, Department of Internal Medicine I, Regensburg, Germany Abstract: Ulcerative colitis (UC) is a chronic inflammation mainly affecting the colon mucosa. It predominantly occurs in younger patients. Until recently,...

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Autores principales: Lippert E, Müller M, Ott C
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Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:450141bee2da4170ac657202e46185442021-12-02T06:55:00ZGolimumab in unresponsive ulcerative colitis1177-5475https://doaj.org/article/450141bee2da4170ac657202e46185442014-05-01T00:00:00Zhttp://www.dovepress.com/golimumab-in-unresponsive-ulcerative-colitis-a17024https://doaj.org/toc/1177-5475 Elisabeth Lippert, Martina Müller, Claudia Ott University Hospital Regensburg, Department of Internal Medicine I, Regensburg, Germany Abstract: Ulcerative colitis (UC) is a chronic inflammation mainly affecting the colon mucosa. It predominantly occurs in younger patients. Until recently, the main goals in the treatment of UC were to temper the symptoms, such as diarrhea, pain, and weight loss, by using mesalazine and steroids. With newer medications, such as immunomodulators (thiopurines) and the biologics providing blockade of tumor necrosis factor (TNF), the goals of the therapy in UC have changed to long-term remission and mucosal healing. The first available anti-TNF therapy in UC included infusion therapy with infliximab every few weeks. In 2012, subcutaneously administered adalimumab gained approval for the treatment of UC in Germany. In patients with a mild disease, therapy with mesalazine, orally or topically, can be sufficient. In patients with moderate to severe disease, therapy with azathioprine or anti-TNF is often required to reach disease control; however, this is only efficient in about two-thirds of patients. Some patients either show no response or a lost response while on treatment. So, further medical options are warranted in the treatment of UC. With golimumab, a new approach in the treatment of mild to moderate UC recently became available in Germany and is a promising new option in the therapy regimen for patients with UC. Keywords: anti-TNF, biological therapy, inflammatory bowel diseaseLippert EMüller MOtt CDove Medical PressarticleMedicine (General)R5-920ENBiologics: Targets & Therapy, Vol 2014, Iss default, Pp 207-210 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine (General)
R5-920
spellingShingle Medicine (General)
R5-920
Lippert E
Müller M
Ott C
Golimumab in unresponsive ulcerative colitis
description Elisabeth Lippert, Martina Müller, Claudia Ott University Hospital Regensburg, Department of Internal Medicine I, Regensburg, Germany Abstract: Ulcerative colitis (UC) is a chronic inflammation mainly affecting the colon mucosa. It predominantly occurs in younger patients. Until recently, the main goals in the treatment of UC were to temper the symptoms, such as diarrhea, pain, and weight loss, by using mesalazine and steroids. With newer medications, such as immunomodulators (thiopurines) and the biologics providing blockade of tumor necrosis factor (TNF), the goals of the therapy in UC have changed to long-term remission and mucosal healing. The first available anti-TNF therapy in UC included infusion therapy with infliximab every few weeks. In 2012, subcutaneously administered adalimumab gained approval for the treatment of UC in Germany. In patients with a mild disease, therapy with mesalazine, orally or topically, can be sufficient. In patients with moderate to severe disease, therapy with azathioprine or anti-TNF is often required to reach disease control; however, this is only efficient in about two-thirds of patients. Some patients either show no response or a lost response while on treatment. So, further medical options are warranted in the treatment of UC. With golimumab, a new approach in the treatment of mild to moderate UC recently became available in Germany and is a promising new option in the therapy regimen for patients with UC. Keywords: anti-TNF, biological therapy, inflammatory bowel disease
format article
author Lippert E
Müller M
Ott C
author_facet Lippert E
Müller M
Ott C
author_sort Lippert E
title Golimumab in unresponsive ulcerative colitis
title_short Golimumab in unresponsive ulcerative colitis
title_full Golimumab in unresponsive ulcerative colitis
title_fullStr Golimumab in unresponsive ulcerative colitis
title_full_unstemmed Golimumab in unresponsive ulcerative colitis
title_sort golimumab in unresponsive ulcerative colitis
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/450141bee2da4170ac657202e4618544
work_keys_str_mv AT lipperte golimumabinunresponsiveulcerativecolitis
AT muumlllerm golimumabinunresponsiveulcerativecolitis
AT ottc golimumabinunresponsiveulcerativecolitis
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