Dupilumab for adult and adolescent patients with primary eosinophilic colitis.

IF 3 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Twan Sia, Leeon Bacchus, Aparna Kumar, Lina Fikri, Rachel Solecki, Ramin Herath, Yeelin Bacchus, Audrey Apollon, Margaret Werd, Aseelah Ashraf, Elaine Wu, Dan Bahar, John Leung
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引用次数: 0

Abstract

Introduction: Eosinophilic colitis (EoC) currently has limited options to induce histologic and clinical remission. Dupilumab is a human monoclonal antibody against the interleukin-4 receptor ɑ subunit effective in eosinophilic esophagitis (EoE) and other non-EoE eosinophilic gastrointestinal disorders (non-EoE EGIDs).

Methods: We conducted a retrospective chart review to assess the histoclinical response of patients with EoC treated with dupilumab.

Results: Of 4 included patients, all 4 improved histologically, with 3 patients attaining histologic remission. All patients' symptom scores significantly improved, and 1 patient was asymptomatic on dupilumab.

Discussion: This retrospective case series provides preliminary evidence that dupilumab may be an effective treatment option for EoC.

Dupilumab用于成人和青少年原发性嗜酸性结肠炎患者。
嗜酸性结肠炎(EoC)目前有有限的选择来诱导组织学和临床缓解。Dupilumab是一种针对白细胞介素-4受体亚基的人单克隆抗体,对嗜酸性食管炎(EoE)和其他非EoE嗜酸性胃肠道疾病(non-EoE EGIDs)有效。方法:我们进行了回顾性图表回顾,以评估dupilumab治疗EoC患者的组织临床反应。结果:4例患者组织学均改善,3例患者组织学缓解。所有患者的症状评分均显著改善,1例患者使用杜匹单抗后无症状。讨论:本回顾性病例系列提供了dupilumab可能是EoC有效治疗选择的初步证据。
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来源期刊
Clinical and Translational Gastroenterology
Clinical and Translational Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
7.00
自引率
0.00%
发文量
114
审稿时长
16 weeks
期刊介绍: Clinical and Translational Gastroenterology (CTG), published on behalf of the American College of Gastroenterology (ACG), is a peer-reviewed open access online journal dedicated to innovative clinical work in the field of gastroenterology and hepatology. CTG hopes to fulfill an unmet need for clinicians and scientists by welcoming novel cohort studies, early-phase clinical trials, qualitative and quantitative epidemiologic research, hypothesis-generating research, studies of novel mechanisms and methodologies including public health interventions, and integration of approaches across organs and disciplines. CTG also welcomes hypothesis-generating small studies, methods papers, and translational research with clear applications to human physiology or disease. Colon and small bowel Endoscopy and novel diagnostics Esophagus Functional GI disorders Immunology of the GI tract Microbiology of the GI tract Inflammatory bowel disease Pancreas and biliary tract Liver Pathology Pediatrics Preventative medicine Nutrition/obesity Stomach.
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