Management of inflammatory bowel disease beyond tumor necrosis factor inhibitors: novel biologics and small-molecule drugs

The incidence and prevalence of inflammatory bowel disease (IBD), comprising Crohn’s disease and ulcerative colitis, have increased in Asia and developing countries. In the past two decades, anti-tumor necrosis factor (TNF) agents have revolutionized the treatment of IBD, in part by decreasing the r...

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Main Authors: Soo-Young Na, You Sun Kim
Format: Article
Language:English
Published: The Korean Association of Internal Medicine 2022-09-01
Series:The Korean Journal of Internal Medicine
Subjects:
Online Access:http://kjim.org/upload/pdf/kjim-2022-152.pdf
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author Soo-Young Na
You Sun Kim
author_facet Soo-Young Na
You Sun Kim
author_sort Soo-Young Na
collection DOAJ
description The incidence and prevalence of inflammatory bowel disease (IBD), comprising Crohn’s disease and ulcerative colitis, have increased in Asia and developing countries. In the past two decades, anti-tumor necrosis factor (TNF) agents have revolutionized the treatment of IBD, in part by decreasing the rates of complications and surgery. Although anti-TNF agents have changed the course of IBD, there are unmet needs in terms of primary and secondary non-responses and side effects such as infections and malignancies. Novel biologics and small-molecule drugs have been developed for IBD, and the medical treatment options have improved. These drugs include sphingosine-1-phosphate receptor modulators and anti-integrins to block immune cell migration, and cytokine and Janus kinase inhibitors to block immune cell communications. In this review, we discuss the approved novel biologics and small-molecule drugs, including several of those in the late stages of development, for the treatment of IBD.
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spelling doaj.art-7a060b05f4434130990895b12422f17d2022-12-22T03:20:36ZengThe Korean Association of Internal MedicineThe Korean Journal of Internal Medicine1226-33032005-66482022-09-0137590691910.3904/kjim.2022.152170715Management of inflammatory bowel disease beyond tumor necrosis factor inhibitors: novel biologics and small-molecule drugsSoo-Young Na0You Sun Kim1 Department of Internal Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, KoreaThe incidence and prevalence of inflammatory bowel disease (IBD), comprising Crohn’s disease and ulcerative colitis, have increased in Asia and developing countries. In the past two decades, anti-tumor necrosis factor (TNF) agents have revolutionized the treatment of IBD, in part by decreasing the rates of complications and surgery. Although anti-TNF agents have changed the course of IBD, there are unmet needs in terms of primary and secondary non-responses and side effects such as infections and malignancies. Novel biologics and small-molecule drugs have been developed for IBD, and the medical treatment options have improved. These drugs include sphingosine-1-phosphate receptor modulators and anti-integrins to block immune cell migration, and cytokine and Janus kinase inhibitors to block immune cell communications. In this review, we discuss the approved novel biologics and small-molecule drugs, including several of those in the late stages of development, for the treatment of IBD.http://kjim.org/upload/pdf/kjim-2022-152.pdfbiological productssmall molecule drugsinflammatory bowel diseasescrohn diseasecolitisulcerative
spellingShingle Soo-Young Na
You Sun Kim
Management of inflammatory bowel disease beyond tumor necrosis factor inhibitors: novel biologics and small-molecule drugs
The Korean Journal of Internal Medicine
biological products
small molecule drugs
inflammatory bowel diseases
crohn disease
colitis
ulcerative
title Management of inflammatory bowel disease beyond tumor necrosis factor inhibitors: novel biologics and small-molecule drugs
title_full Management of inflammatory bowel disease beyond tumor necrosis factor inhibitors: novel biologics and small-molecule drugs
title_fullStr Management of inflammatory bowel disease beyond tumor necrosis factor inhibitors: novel biologics and small-molecule drugs
title_full_unstemmed Management of inflammatory bowel disease beyond tumor necrosis factor inhibitors: novel biologics and small-molecule drugs
title_short Management of inflammatory bowel disease beyond tumor necrosis factor inhibitors: novel biologics and small-molecule drugs
title_sort management of inflammatory bowel disease beyond tumor necrosis factor inhibitors novel biologics and small molecule drugs
topic biological products
small molecule drugs
inflammatory bowel diseases
crohn disease
colitis
ulcerative
url http://kjim.org/upload/pdf/kjim-2022-152.pdf
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