Inflammatory bowel diseases (diis) therapies biologics for the management of crohn's disease and ulcerative colitis
Year: 2025
Type: article
Study design: Systematic Review
Abstract: Inflammatory bowel diseases (IBDs), including Crohn's disease (CD) and ulcerative colitis (UC), are chronic diseases of the gastrointestinal tract characterized by recurrent inflammation, significant functional impact and impaired quality of life.The treatment of these diseases has undergone important advances in recent decades, especially with the introduction of biological therapies.This study aimed to carry out a systematic review of the literature on the efficacy and safety of biological therapies in the management of CD and CRU.The search was carried out in the PubMed, SciELO, LILACS, Embase and Web of Science databases, resulting in the inclusion of 37 studies published between 2013 and 2024.The results showed that anti-TNF agents (infliximab, adalimumab, among others) are the most widely used and widely studied, with consolidated efficacy in inducing and maintaining remission.However, therapeutic failures associated with immunogenicity are common.Vedolizumab and ustekinumab have emerged as effective options with a favorable safety profile.JAK inhibitors, such as tofacitinib, have shown good results in CR, although they require greater vigilance due to potential adverse effects.The discussion highlighted the importance of a personalized approach, guided by treat-to-target strategies and the use of biomarkers.It is concluded that biological therapies have revolutionized the treatment of IBD, but the appropriate choice requires careful clinical evaluation, continuous monitoring and equitable access to technologies.
Language: English
Topic: Inflammatory Bowel Disease
Subfield: Genetics
Domain: Life Sciences
Open Access status: hybrid
OpenAlex ID: W4410129086