Dose de-escalation to adalimumab 40 mg every three weeks in patients with inflammatory bowel disease-A multicenter, retrospective, observational study

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TitreDose de-escalation to adalimumab 40 mg every three weeks in patients with inflammatory bowel disease-A multicenter, retrospective, observational study
Type de publicationJournal Article
Year of Publication2019
AuteursPouillon L, Lamoureux A, de Chambrun GPineton, Vuitton L, Pariente B, Zallot C, Dufour G, Fumery M, Baumann C, Amiot A, Nancey S, Rousseau H, Peyrin-Biroulet L
JournalDIGESTIVE AND LIVER DISEASE
Volume51
Pagination236-241
Date PublishedFEB
Type of ArticleArticle
ISSN1590-8658
Mots-clésAdalimumab, Crohn's disease, De-escalation, Inflammatory bowel disease, Ulcerative Colitis
Résumé

{Background: Data about the outcomes after adalimumab dose de-escalation in inflammatory bowel disease (IBD) are scarce. Objectives: To assess the outcomes after adalimumab dose de-escalation, and to identify potential factors associated with failure. Methods: Retrospective, observational study including all IBD patients who had undergone adalimumab dose de-escalation to 40 mg every three weeks across seven GETAID centers, between June 2011 and September 2017. Failure of adalimumab dose de-escalation was defined as the need for treatment re escalation, discontinuation of adalimumab, or clinical, biochemical and/or morphologic disease relapse. Results: Fifty-six patients were identified (n = 46 Crohn's disease

DOI10.1016/j.dld.2018.10.022