Találati lista | Tudóstér

001-es BibID:	BIBFORM083118
Első szerző:	Bor Renáta
Cím:	Real-life efficacy of vedolizumab on endoscopic healing in inflammatory bowel disease : a nationwide Hungarian cohort study / Bor Renáta, Fábián Anna, Matuz Mária, Szepes Zoltán, Farkas Klaudia, Miheller Pál, Szamosi Tamás, Vincze Áron, Rutka Mariann, Szántó Kata, Bálint Anita, Nagy Ferenc, Milassin Ágnes, Tóth Tibor, Zsigmond Ferenc, Bajor Judit, Müllner Katalin, Lakner Lilla, Papp Mária, Salamon Ágnes, Horváth Gábor, Sarang Krisztina, Schäfer Eszter, Sarlós Patrícia, Palatka Károly, Molnár Tamás
Dátum:	2020
ISSN:	1471-2598
Megjegyzések:	ABSTRACT Background: GEMINI trials demonstrated the therapeutic efficacy of vedolizumab (VDZ) in Crohn's disease (CD) and ulcerative colitis (UC). Research design and methods: Aim of this study was to determine the real-life effectiveness of VDZ on endoscopic healing in the Hungarian nationwide cohort of inflammatory bowel disease (IBD) patients based on the changes on clinical and endoscopic scores. Every adult IBD patient in the country (121 UC and 83 CD) who completed the short-term VDZ therapy was enrolled, of which 72 UC and 52 CD patients could complete the long-term therapy. Results: The rates of endoscopic healing were substantially higher in UC compared with CD patients during the short- and long-term therapy (52.9% vs. 21.7%, p < 0.0001, and 51.4% vs. 21.2%, p = 0.015, respectively). In CD, the rate of endoscopic healing was lower at week 14 compared with week 22 (14.5% vs. 37.0%, p = 0.026). Prior anti-TNF-? therapy (88.73%) was not associated with a significant decrease in therapeutic response. The average disease duration was significantly lower in CD patients achieving endoscopic healing at week 52 (11.75 vs. 5.27 years, p = 0.007). Conclusions: VDZ therapy is an effective therapeutic option in anti-TNF-? refractory IBD. However, the endoscopic healing rate was substantially lower and showed a significant delay in CD compared with UC.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Crohn's disease ulcerative colitis VDZ vedolizumab IBD
Megjelenés:	Expert Opinion On Biological Therapy. - 20 : 2 (2020), p. 205-213. -
További szerzők:	Fábián Anna Matuz Mária Szepes Zoltán Farkas Klaudia Miheller Pál Szamosi Tamás Vincze Áron Rutka Mariann Szántó Kata Bálint Anita Nagy Ferenc (orvos Szeged) Milassin Ágnes Tóth Tibor Zsigmond Ferenc Bajor Judit Müllner Katalin (Budapest) Lakner Lilla Papp Mária (1975-) (belgyógyász, gasztroenterológus) Salamon Ágnes (orvos Szekszárd) Horváth Gábor (orvos Miskolc) Sarang Krisztina Schafer Eszter Sarlós Patrícia Palatka Károly (1961-) (belgyógyász, gasztroenterológus) Molnár Tamás (orvos Szeged)
Pályázati támogatás:	EFOP-3.6.2-16-2017-00006 EFOP 119809 OTKA 125377 OTKA 129266 OTKA
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Saját polcon:

001-es BibID:	BIBFORM028490
Első szerző:	Kiss Lajos Sándor
Cím:	Early clinical remission and normalisation of CRP are the strongest predictors of efficacy, mucosal healing and dose escalation during the first year of adalimumab therapy in Crohn's disease / Kiss, L. S., Szamosi, T., Molnar, T., Miheller, P., Lakatos, L., Vincze, A., Palatka, K., Barta, Z., Gasztonyi, B., Salamon, A., Horvath, G., Tóth, G. T., Farkas, K., Banai, J., Tulassay, Z., Nagy, F., Szenes, M., Veres, G., Lovasz, B. D., Vegh, Z., Golovics, P. A., Szathmari, M., Papp, M., Lakatos, P. L.
Dátum:	2011
ISSN:	0269-2813
Megjegyzések:	Adalimumab is a fully human monoclonal antibody targeting tumour necrosis factor with proven efficacy in the treatment of Crohn's disease (CD). AIM: To investigate the predictors of medium-term clinical efficacy and mucosal healing during adalimumab therapy, in patients with CD, in specialised centres approved for biological therapy in Hungary. METHODS: Data capture of the 201 CD patients was standardised and prospective (male/female: 112/89, median age: 33.0 years, duration: 8 years). Previous infliximab therapy had been administered in 48% of patients, concomitant steroids in 41%, azathioprine in 69% and combined therapy in 27% of patients. RESULTS: Overall clinical response and remission rates at 24 weeks were 78% and 52%, respectively; at 52 weeks were 69% and 44%, respectively. Endoscopic improvement and healing were achieved in 43% and 24% of patients. In a logistic regression model, clinical efficacy and CRP at week 12, need for combined immunosuppression at induction, shorter disease duration and smoking were identified as independent predictors for 12-month clinical outcome, whereas CRP at week 12, clinical remission at week 24, inflammatory parameters and nonsmoking were associated to endoscopic improvement/healing. Intensification to weekly dosing was needed in 16% of patients. Parallel azathioprine therapy and clinical remission at week 12 were inversely associated with dose escalation. CONCLUSIONS: Clinical efficacy and normalised CRP at week 12 (early deep clinical remission) are associated with medium-term clinical efficacy and mucosal healing during adalimumab therapy, whereas need for combined immunosuppression at induction and smoking status are predictors for non-response. Parallel azathioprine therapy may decrease the probability for dose escalation.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban egyetemen (Magyarországon) készült közlemény
Megjelenés:	Alimentary Pharmacology & Therapeutics. - 34 : 8 (2011), p. 911-922. -
További szerzők:	Szamosi Tamás Molnár Tamás (orvos Szeged) Miheller Pál Lakatos László (Veszprém) Vincze A. (orvos Pécs) Palatka Károly (1961-) (belgyógyász, gasztroenterológus) Barta Zsolt (1964-) (belgyógyász, gasztroenterológus) Gasztonyi Beáta Salamon A. (orvos Zalaegerszeg) Horváth Gábor (orvos Miskolc) Tóth Gábor Tamás Farkas Katalin Banai János Tulassay Zsolt (1944-) (belgyógyász, gasztroenterológus) Nagy Ferenc (orvos Szeged) Szenes Mária Veres Gábor (1969-2020) (csecsemő- és gyermekgyógyász, gasztroenterológus) Lovász Barbara Dorottya Végh Zsuzsanna Golovics Petra Anna Szathmári Miklós Papp Mária (1975-) (belgyógyász, gasztroenterológus) Lakatos Péter (Semmelweis Egyetem)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Saját polcon: