An Update on Current Pharmacotherapeutic Options for the Treatment of Ulcerative Colitis

The main goals of Ulcerative Colitis (UC) treatment are to both induce and maintain the clinical and endoscopic remission of disease, reduce the incidence of complications such as dysplasia and colorectal carcinoma and improve quality of life. Although a curative medical treatment for UC has not yet...

Full description

Bibliographic Details
Main Authors: Francesca Ferretti, Rosanna Cannatelli, Maria Camilla Monico, Giovanni Maconi, Sandro Ardizzone
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/9/2302
_version_ 1797504297644064768
author Francesca Ferretti
Rosanna Cannatelli
Maria Camilla Monico
Giovanni Maconi
Sandro Ardizzone
author_facet Francesca Ferretti
Rosanna Cannatelli
Maria Camilla Monico
Giovanni Maconi
Sandro Ardizzone
author_sort Francesca Ferretti
collection DOAJ
description The main goals of Ulcerative Colitis (UC) treatment are to both induce and maintain the clinical and endoscopic remission of disease, reduce the incidence of complications such as dysplasia and colorectal carcinoma and improve quality of life. Although a curative medical treatment for UC has not yet been found, new therapeutic strategies addressing specific pathogenetic mechanisms of disease are emerging. Notwithstanding these novel therapies, non-biological conventional drugs remain a mainstay of treatment. The aim of this review is to summarize current therapeutic strategies used as treatment for ulcerative colitis and to briefly focus on emerging therapeutic strategies, including novel biologic therapies and small molecules. To date, multiple therapeutic approaches can be adopted in UC and the range of available compounds is constantly increasing. In this era, the realization of well-designed comparative clinical trials, as well as the definition of specific therapeutic models, would be strongly suggested in order to achieve personalized management for UC patients.
first_indexed 2024-03-10T04:02:38Z
format Article
id doaj.art-a3aacdbba43e4dbcbf648c1ddf0c4ec6
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-10T04:02:38Z
publishDate 2022-04-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-a3aacdbba43e4dbcbf648c1ddf0c4ec62023-11-23T08:30:23ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01119230210.3390/jcm11092302An Update on Current Pharmacotherapeutic Options for the Treatment of Ulcerative ColitisFrancesca Ferretti0Rosanna Cannatelli1Maria Camilla Monico2Giovanni Maconi3Sandro Ardizzone4Gastroenterology Unit, ASST Fatebenefratelli-Sacco, Department of Biomedical and Clinical Sciences, “Luigi Sacco” University Hospital, 20157 Milan, ItalyGastroenterology Unit, ASST Fatebenefratelli-Sacco, Department of Biomedical and Clinical Sciences, “Luigi Sacco” University Hospital, 20157 Milan, ItalyGastroenterology Unit, ASST Fatebenefratelli-Sacco, Department of Biomedical and Clinical Sciences, “Luigi Sacco” University Hospital, 20157 Milan, ItalyGastroenterology Unit, ASST Fatebenefratelli-Sacco, Department of Biomedical and Clinical Sciences, “Luigi Sacco” University Hospital, 20157 Milan, ItalyGastroenterology Unit, ASST Fatebenefratelli-Sacco, Department of Biomedical and Clinical Sciences, “Luigi Sacco” University Hospital, 20157 Milan, ItalyThe main goals of Ulcerative Colitis (UC) treatment are to both induce and maintain the clinical and endoscopic remission of disease, reduce the incidence of complications such as dysplasia and colorectal carcinoma and improve quality of life. Although a curative medical treatment for UC has not yet been found, new therapeutic strategies addressing specific pathogenetic mechanisms of disease are emerging. Notwithstanding these novel therapies, non-biological conventional drugs remain a mainstay of treatment. The aim of this review is to summarize current therapeutic strategies used as treatment for ulcerative colitis and to briefly focus on emerging therapeutic strategies, including novel biologic therapies and small molecules. To date, multiple therapeutic approaches can be adopted in UC and the range of available compounds is constantly increasing. In this era, the realization of well-designed comparative clinical trials, as well as the definition of specific therapeutic models, would be strongly suggested in order to achieve personalized management for UC patients.https://www.mdpi.com/2077-0383/11/9/23025-aminosalicylic acidazathioprinebiologic therapycorticosteroidsinflammatory bowel diseasesmall molecule
spellingShingle Francesca Ferretti
Rosanna Cannatelli
Maria Camilla Monico
Giovanni Maconi
Sandro Ardizzone
An Update on Current Pharmacotherapeutic Options for the Treatment of Ulcerative Colitis
Journal of Clinical Medicine
5-aminosalicylic acid
azathioprine
biologic therapy
corticosteroids
inflammatory bowel disease
small molecule
title An Update on Current Pharmacotherapeutic Options for the Treatment of Ulcerative Colitis
title_full An Update on Current Pharmacotherapeutic Options for the Treatment of Ulcerative Colitis
title_fullStr An Update on Current Pharmacotherapeutic Options for the Treatment of Ulcerative Colitis
title_full_unstemmed An Update on Current Pharmacotherapeutic Options for the Treatment of Ulcerative Colitis
title_short An Update on Current Pharmacotherapeutic Options for the Treatment of Ulcerative Colitis
title_sort update on current pharmacotherapeutic options for the treatment of ulcerative colitis
topic 5-aminosalicylic acid
azathioprine
biologic therapy
corticosteroids
inflammatory bowel disease
small molecule
url https://www.mdpi.com/2077-0383/11/9/2302
work_keys_str_mv AT francescaferretti anupdateoncurrentpharmacotherapeuticoptionsforthetreatmentofulcerativecolitis
AT rosannacannatelli anupdateoncurrentpharmacotherapeuticoptionsforthetreatmentofulcerativecolitis
AT mariacamillamonico anupdateoncurrentpharmacotherapeuticoptionsforthetreatmentofulcerativecolitis
AT giovannimaconi anupdateoncurrentpharmacotherapeuticoptionsforthetreatmentofulcerativecolitis
AT sandroardizzone anupdateoncurrentpharmacotherapeuticoptionsforthetreatmentofulcerativecolitis
AT francescaferretti updateoncurrentpharmacotherapeuticoptionsforthetreatmentofulcerativecolitis
AT rosannacannatelli updateoncurrentpharmacotherapeuticoptionsforthetreatmentofulcerativecolitis
AT mariacamillamonico updateoncurrentpharmacotherapeuticoptionsforthetreatmentofulcerativecolitis
AT giovannimaconi updateoncurrentpharmacotherapeuticoptionsforthetreatmentofulcerativecolitis
AT sandroardizzone updateoncurrentpharmacotherapeuticoptionsforthetreatmentofulcerativecolitis