Current Role of Monoclonal Antibody Therapy in Pediatric IBD: A Special Focus on Therapeutic Drug Monitoring and Treat-to-Target Strategies.
Merle ClaßenAndré HoerningPublished in: Children (Basel, Switzerland) (2023)
In the last two decades, biologicals have become essential in treating children and adolescents with inflammatory bowel disease. TNF-α inhibitors (infliximab, adalimumab and golimumab) are preferentially used. Recent studies suggest that early application of TNF-α inhibitors is beneficial to inducing disease remission and preventing complications such as development of penetrating ulcers and fistulas. However, treatment failure occurs in about one third of pediatric patients. Particularly, children and adolescents differ in drug clearance, emphasizing the importance of pharmacokinetic drug monitoring in the pediatric setting. Here, current data on the choice and effectiveness of biologicals and therapeutic drug monitoring strategies are reviewed.
Keyphrases
- ulcerative colitis
- monoclonal antibody
- rheumatoid arthritis
- randomized controlled trial
- disease activity
- ankylosing spondylitis
- systematic review
- stem cells
- emergency department
- bone marrow
- electronic health record
- big data
- replacement therapy
- case control
- juvenile idiopathic arthritis
- systemic lupus erythematosus