Tofacitinib en el tratamiento de la colitis ulcerosa: casos clínicos

Biological therapy dramatically changed the management of Ulcerative Colitis (UC). However, a significant number of these patients fail to respond or have secondary loss of response to this strategy. In this clinical situation, the options include intensification of anti-TNF therapy, the use of a se...

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Autores principales: Quera,Rodrigo, Flores,Lilian, Núñez,Paulina, Ibáñez,Patricio
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000701039
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spelling oai:scielo:S0034-988720200007010392020-10-09Tofacitinib en el tratamiento de la colitis ulcerosa: casos clínicosQuera,RodrigoFlores,LilianNúñez,PaulinaIbáñez,Patricio Ulcerative colitis Inflammatory Bowel Diseases Janus Kinases Therapeutics Biological therapy dramatically changed the management of Ulcerative Colitis (UC). However, a significant number of these patients fail to respond or have secondary loss of response to this strategy. In this clinical situation, the options include intensification of anti-TNF therapy, the use of a second anti-TNF or being switched to another drug class. Among the later, tofacitinib, an oral small molecule directed against the JAK/STAT pathway, is safe and effective in inducing and maintaining remission in patients with moderate-severe UC. We report two patients with UC refractory to conventional treatment and biological therapy, who responded successfully to the use of tofacitinib.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.7 20202020-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000701039es10.4067/S0034-98872020000701039
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Ulcerative colitis
Inflammatory Bowel Diseases
Janus Kinases
Therapeutics
spellingShingle Ulcerative colitis
Inflammatory Bowel Diseases
Janus Kinases
Therapeutics
Quera,Rodrigo
Flores,Lilian
Núñez,Paulina
Ibáñez,Patricio
Tofacitinib en el tratamiento de la colitis ulcerosa: casos clínicos
description Biological therapy dramatically changed the management of Ulcerative Colitis (UC). However, a significant number of these patients fail to respond or have secondary loss of response to this strategy. In this clinical situation, the options include intensification of anti-TNF therapy, the use of a second anti-TNF or being switched to another drug class. Among the later, tofacitinib, an oral small molecule directed against the JAK/STAT pathway, is safe and effective in inducing and maintaining remission in patients with moderate-severe UC. We report two patients with UC refractory to conventional treatment and biological therapy, who responded successfully to the use of tofacitinib.
author Quera,Rodrigo
Flores,Lilian
Núñez,Paulina
Ibáñez,Patricio
author_facet Quera,Rodrigo
Flores,Lilian
Núñez,Paulina
Ibáñez,Patricio
author_sort Quera,Rodrigo
title Tofacitinib en el tratamiento de la colitis ulcerosa: casos clínicos
title_short Tofacitinib en el tratamiento de la colitis ulcerosa: casos clínicos
title_full Tofacitinib en el tratamiento de la colitis ulcerosa: casos clínicos
title_fullStr Tofacitinib en el tratamiento de la colitis ulcerosa: casos clínicos
title_full_unstemmed Tofacitinib en el tratamiento de la colitis ulcerosa: casos clínicos
title_sort tofacitinib en el tratamiento de la colitis ulcerosa: casos clínicos
publisher Sociedad Médica de Santiago
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000701039
work_keys_str_mv AT querarodrigo tofacitinibeneltratamientodelacolitisulcerosacasosclinicos
AT floreslilian tofacitinibeneltratamientodelacolitisulcerosacasosclinicos
AT nunezpaulina tofacitinibeneltratamientodelacolitisulcerosacasosclinicos
AT ibanezpatricio tofacitinibeneltratamientodelacolitisulcerosacasosclinicos
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