Exacerbation of Crohn's Disease Following Exposure to Anti-OX40 Monoclonal Antibody Therapy.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY
ACG Case Reports Journal Pub Date : 2025-08-13 eCollection Date: 2025-08-01 DOI:10.14309/crj.0000000000001810
Scott MacKay, Suliman Alhaidari, Jared Cooper, Brendan Halloran, Michal Gozdzik
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引用次数: 0

Abstract

A 26-year-old man with Crohn's Disease (CD) presented to hospital with a CD flare after exposure to an anti-OX40 therapy (rocatinlimab) for eczema. This flare was characterized by upper gastrointestinal tract involvement and necrobiotic pulmonary nodules, a rare pulmonary manifestation of CD. Murine models have demonstrated mixed effects of anti-OX40 and anti-OX40 ligand therapies on colitis, and anti-OX40 therapy has been trialed in ulcerative colitis without significant clinical response seen. The impact of anti-OX40 therapies in patients with CD remains unclear, though this case suggests that caution may be required when using anti-OX40 therapies in this population.

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暴露于抗ox40单克隆抗体治疗后克罗恩病加重
一名患有克罗恩病(CD)的26岁男子在接受抗ox40治疗(罗卡替利单抗)治疗湿疹后出现CD耀斑。这种病变的特征是上胃肠道受累和坏死性肺结节,这是CD的一种罕见的肺部表现。小鼠模型显示抗ox40和抗ox40配体治疗结肠炎的混合效果,抗ox40治疗已在溃疡性结肠炎中进行了试验,但未见明显的临床反应。抗ox40治疗对乳糜泻患者的影响尚不清楚,尽管本病例提示在该人群中使用抗ox40治疗时可能需要谨慎。
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来源期刊
ACG Case Reports Journal
ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-
自引率
14.30%
发文量
170
审稿时长
12 weeks
期刊介绍: ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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