Evidence map›Paper›PMID 41930211›Full record

ReviewAntibody therapeutics2026

Analysis of the use of monoclonal antibodies in the treatment of Crohn's disease.

Alexander V Blagov, Marina D Sazonova, Anastasia I Ryzhkova, Vasily P Karagodin, Mikhail A Popov, Egor Yu Budnikov, Alessio L Ravani, Alexander N Orekhov, Margarita A Sazonova, Yuri V Arkhipenko

Abstract readReview
In one paragraph

Review in Antibody therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alexander V BlagovLaboratory of Angiopathology, Institute of General Pathology and Pathophysiology, Moscow 125315, Russia.ORCID https://orcid.org/0000-0003-1372-9477
Marina D SazonovaLaboratory of Angiopathology, Institute of General Pathology and Pathophysiology, Moscow 125315, Russia.
Anastasia I RyzhkovaLaboratory of Angiopathology, Institute of General Pathology and Pathophysiology, Moscow 125315, Russia.
Vasily P KaragodinPlekhanov Russian University of Economics, Moscow 117997, Russia.
Mikhail A PopovDepartment of Cardiac Surgery, Moscow Regional Research and Clinical Institute ("MONIKI"), Moscow 129110, Russia.ORCID https://orcid.org/0000-0002-0316-8410
Egor Yu BudnikovLaboratory of Angiopathology, Institute of General Pathology and Pathophysiology, Moscow 125315, Russia.
Alessio L RavaniInstitute for Atherosclerosis Research, 121609, Moscow, Russia.
Alexander N OrekhovInstitute for Atherosclerosis Research, 121609, Moscow, Russia.
Margarita A SazonovaLaboratory of Angiopathology, Institute of General Pathology and Pathophysiology, Moscow 125315, Russia.
Yuri V ArkhipenkoLaboratory of Angiopathology, Institute of General Pathology and Pathophysiology, Moscow 125315, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Crohn's disease (CD) is a chronic inflammatory bowel disease with increasing global prevalence, significantly impacting patients' quality of life and healthcare costs. The introduction of monoclonal antibodies has revolutionized CD management, offering targeted therapy against specific inflammatory pathways. This review systematically analyzes the current state of monoclonal antibody therapy, including anti-TNF-α agents (infliximab, adalimumab, certolizumab pegol), anti-integrin antibodies (vedolizumab), and anti-cytokine therapies (ustekinumab, risankizumab). Despite remarkable therapeutic advances, significant limitations persist, including primary non-response (20%-40%), secondary loss of response (13%-20% annually), immunogenicity, safety concerns, and substantial economic burden. We propose evidence-based strategies to address these challenges, including therapeutic drug monitoring, combination therapy, and personalized medicine approaches. Furthermore, we identify promising novel therapeutic targets such as IL-36, IL-17C, SMAD7, TL1A, complement components, and microbiome-related factors. Targeting two or more specific targets simultaneously appears to be a promising direction of research for the development of bi- and polyspecific monoclonal antibodies capable of interfering with multiple pathological pathways in CD. The integration of advanced antibody engineering, personalized medicine, and innovative delivery systems represents the future direction for overcoming current limitations. Achieving sustained remission for all patients through safe, effective, and accessible therapeutic interventions remains the ultimate goal in CD management.

Indexed as

anti-TNF-αCrohn’s diseaseinfliximabmonoclonal antibodiesustekinumab

Identifiers

PMID41930211
PMCPMC13042251

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.