Long-Term Efficacy and Safety of Certolizumab Pegol in an Unselected Crohn's Disease Population: The FACTS III Survey

Long-term data of certolizumab pegol (CZP) in Crohn's disease (CD) from pivotal registry trials are limited. We therefore aimed to evaluate the long-term efficacy of CZP in clinical practice in Switzerland. In the First Approved Certolizumab Therapeutic Experience in Switzerland-III phase IV mu...

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Published inDigestive diseases (Basel) Vol. 35; no. 5; p. 423
Main Authors Vavricka, Stephan R, Spasojevic, Milos, Rogler, Gerhard, Schoepfer, Alain M, Seibold, Frank, Borovicka, Jan, Frei, Pascal, Zeitz, Jonas, Greuter, Thomas, Manser, Christine, Scharl, Michael, Misselwitz, Benjamin, Straumann, Alex, Michetti, Pierre, Biedermann, Luc
Format Journal Article
LanguageEnglish
Published Switzerland 01.01.2017
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Abstract Long-term data of certolizumab pegol (CZP) in Crohn's disease (CD) from pivotal registry trials are limited. We therefore aimed to evaluate the long-term efficacy of CZP in clinical practice in Switzerland. In the First Approved Certolizumab Therapeutic Experience in Switzerland-III phase IV multicenter cohort, patients receiving CZP were prospectively included all over Switzerland in (non-) academic hospitals and private practice. We included 104 CD patients (52 male; only 22.1% anti-tumor necrosis factor (TNF) naïve, CZP as third anti-TNF agent in 46.2%) with follow-up time between 6 weeks up to 5 years. During treatment with CZP, we observed a significant decrease of the Harvey Bradshaw Index from a median of 7 at baseline (interquartile range 4-11) to 4, 5, 4, 3, 3, and 2 at weeks 6, 26, 52, 78, 104, and 156, respectively. While anti-TNF naïve patients showed a significantly better response at the end of induction, during CZP maintenance therapy response was similar as compared to anti-TNF experienced patients as well as between patients with a short (0-5 years) vs. long duration of disease (>5 years). CZP is an effective long-term treatment option, including CD patients with long disease duration and prior treatment with 1 or 2 anti-TNF agents.
AbstractList Long-term data of certolizumab pegol (CZP) in Crohn's disease (CD) from pivotal registry trials are limited. We therefore aimed to evaluate the long-term efficacy of CZP in clinical practice in Switzerland. In the First Approved Certolizumab Therapeutic Experience in Switzerland-III phase IV multicenter cohort, patients receiving CZP were prospectively included all over Switzerland in (non-) academic hospitals and private practice. We included 104 CD patients (52 male; only 22.1% anti-tumor necrosis factor (TNF) naïve, CZP as third anti-TNF agent in 46.2%) with follow-up time between 6 weeks up to 5 years. During treatment with CZP, we observed a significant decrease of the Harvey Bradshaw Index from a median of 7 at baseline (interquartile range 4-11) to 4, 5, 4, 3, 3, and 2 at weeks 6, 26, 52, 78, 104, and 156, respectively. While anti-TNF naïve patients showed a significantly better response at the end of induction, during CZP maintenance therapy response was similar as compared to anti-TNF experienced patients as well as between patients with a short (0-5 years) vs. long duration of disease (>5 years). CZP is an effective long-term treatment option, including CD patients with long disease duration and prior treatment with 1 or 2 anti-TNF agents.
Author Misselwitz, Benjamin
Straumann, Alex
Rogler, Gerhard
Greuter, Thomas
Seibold, Frank
Scharl, Michael
Zeitz, Jonas
Frei, Pascal
Spasojevic, Milos
Michetti, Pierre
Borovicka, Jan
Manser, Christine
Vavricka, Stephan R
Schoepfer, Alain M
Biedermann, Luc
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Real-life cohort
Long-term efficacy
Certolizumab
Crohn’s disease
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Snippet Long-term data of certolizumab pegol (CZP) in Crohn's disease (CD) from pivotal registry trials are limited. We therefore aimed to evaluate the long-term...
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StartPage 423
SubjectTerms Adult
Certolizumab Pegol - adverse effects
Certolizumab Pegol - therapeutic use
Cohort Studies
Crohn Disease - drug therapy
Disease Progression
Female
Follow-Up Studies
Humans
Male
Middle Aged
Registries
Surveys and Questionnaires
Time Factors
Treatment Outcome
Tumor Necrosis Factor-alpha - antagonists & inhibitors
Title Long-Term Efficacy and Safety of Certolizumab Pegol in an Unselected Crohn's Disease Population: The FACTS III Survey
URI https://www.ncbi.nlm.nih.gov/pubmed/28595194
Volume 35
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