Risks and benefits of combining immunosuppressives and biological agents in inflammatory bowel disease: is the synergy worth the risk?
- PMID: 17698862
- PMCID: PMC1954967
- DOI: 10.1136/gut.2006.115980
Risks and benefits of combining immunosuppressives and biological agents in inflammatory bowel disease: is the synergy worth the risk?
Abstract
Since the introduction of infliximab to treat Crohn's disease, combination therapy with immunosuppressants has reduced immunogenicity, without impacting efficacy. The availability of novel anti-TNF agents and potential combined toxicities question the risk/benefit of combination therapies.
Comment on
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Effectiveness of concomitant immunosuppressive therapy in suppressing the formation of antibodies to infliximab in Crohn's disease.Gut. 2007 Sep;56(9):1226-31. doi: 10.1136/gut.2006.099978. Epub 2007 Jan 17. Gut. 2007. PMID: 17229796 Free PMC article.
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References
-
- Hanauer S, Lukas M, Macintosh D.et al A randomized, double‐blind, placebo‐controlled trial of the human anti‐TNF‐alpha monoclonal antibody adalimumab for the induction of remission in patients with moderate to severely active Crohn's disease [abstract]. Gastroenterology 2004127332
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