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Mirikizumab, a drug currently approved by the Food and Drug Administration (FDA) for the treatment of ulcerative colitis, also sends Crohn's disease into clinical remission, new findings suggest.
“The trial’s findings demonstrate that tulisokibart, a tumor necrosis factor-like TLA IA monoclonal antibody, may produce beneficial clinical remission in moderate ulcerative colitis patients ...
Vedolizumab eventually completed a number of phase III clinical trials [24] [25] for Crohn's Disease and Ulcerative Colitis (GEMINI I, [26] GEMINI II, [27] and GEMINI III [28]) that demonstrate that vedolizumab is an effective and well tolerated drug.
Abivax focuses on the treatment of inflammatory bowel diseases, namely ulcerative colitis (UC) and Crohn’s disease (CD). Its lead drug candidate, obefazimod, is an oral, first-in-class, small molecule that has demonstrated safety and tolerability as well as profound anti-inflammatory activity in preclinical as well as clinical trials in UC.
Mirikizumab was developed by Eli Lilly and Company. [10]The approval was based on the LUCENT 1 clinical study which evaluated the safety and efficacy of mirikizumab in participants with moderately to severely active ulcerative colitis (UC) who have had an inadequate response to, loss of response, or intolerant to conventional or biologic therapy for UC.
Touchstone is a double-blind, placebo controlled phase II clinical for the treatment of ulcerative colitis. [ 24 ] [ 25 ] 197 patients, ages 18–75, with moderate to severe ulcerative colitis (Mayo Score 6–10) were recruited and assigned either placebo, 0.5 mg or 1 mg of oral ozanimod followed by 1 week of dose escalation.
Ulcerative colitis was thought to be a Th2 disease, and infliximab would be of limited use. However, patients with ulcerative colitis have begun to be treated with infliximab on the basis of two large clinical trials conducted in 2005 by Paul Rutgeerts and William Sandborn.
However, basic science research showed that many cytokines were elevated in both Crohn's disease and ulcerative colitis. [19] Crohn's disease cytokines are of the type 1 (Th1) cytokines, which include TNF-α, interleukin-2, and interferon γ. [20] Ulcerative colitis was less conclusively linked to the production of Th2 cytokines. [21]
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