ArticleTherapeutic advances in gastroenterology2025
Intravenous ustekinumab maintenance in Crohn's disease: a single-center retrospective cohort study.
Article in Therapeutic advances in gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Despite the established efficacy of ustekinumab (UST) in Crohn's disease (CD), real-world studies reveal suboptimal treatment persistence and limited endoscopic healing. Current optimization paradigms remain constrained by suboptimal durability and escalating therapeutic demands. Objectives: To evaluate the clinical utility and safety of intravenous (IV) ustekinumab maintenance therapy in CD. Design: This was a single-center retrospective cohort study. Methods: This study included CD patients receiving ⩾2 IV-UST maintenance infusions between June 2020 and October 2023 ( Results: At 24 weeks, 88.1% (185/210) achieved steroid-free remission with C-reactive protein (CRP) normalization in 90.0% (44/88). Median Harvey-Bradshaw Index decreased from 4 (interquartile range (IQR) 2-5) to 2 (IQR 1-3; Conclusion: IV-UST maintenance demonstrates high rates of corticosteroid-free clinical remission and endoscopic healing with manageable safety in CD.
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