Showing posts with label nonresponders (Humira). Show all posts
Showing posts with label nonresponders (Humira). Show all posts

4.6.11

Who are Humira nonresponders?

"Loss of Response and Need for Adalimumab Dose Intensification in Crohn's Disease: A Systematic Review" in J Am Gastroenterol (2011)
"Predictors for loss of response or dose escalation were male gender, current/former smoker status, family history of inflammatory bowel disease, isolated colonic disease, extra-intestinal manifestations, 80/40 mg induction therapy, longer disease duration, greater baseline Crohn's Disease Activity Index, concomitant corticosteroid use, no deep remission at week 12, low serum trough concentrations of adalimumab, previous infliximab non-response and being previously treated with an anti-tumor necrosis factor agent. Overall, around one fifth of adult patients require dose intensification and experience a loss of response after initiation of adalimumab therapy. Adalimumab dose escalation permits response to be regained in the majority of patients."