Pharmaceutics (May 2024)

Trends in Targeted Therapy Usage in Inflammatory Bowel Disease: TRENDY Study of ENEIDA

  • Celia Gómez-Labrador,
  • Elena Ricart,
  • Marisa Iborra,
  • Eva Iglesias,
  • María Dolores Martín-Arranz,
  • Luisa de Castro,
  • Ruth De Francisco,
  • Francisco Javier García-Alonso,
  • Ana Sanahuja,
  • Carla J. Gargallo-Puyuelo,
  • Francisco Mesonero,
  • María José Casanova,
  • Míriam Mañosa,
  • Montserrat Rivero,
  • Marta Calvo,
  • Mónica Sierra-Ausin,
  • Carlos González-Muñoza,
  • Xavier Calvet,
  • Santiago García-López,
  • Jordi Guardiola,
  • Lara Arias García,
  • Lucía Márquez-Mosquera,
  • Ana Gutiérrez,
  • Yamile Zabana,
  • Mercè Navarro-Llavat,
  • Rufo Lorente Poyatos,
  • Marta Piqueras,
  • Leyanira Torrealba,
  • Fernando Bermejo,
  • Ángel Ponferrada-Díaz,
  • José L. Pérez-Calle,
  • Manuel Barreiro-de Acosta,
  • Coral Tejido,
  • José Luis Cabriada,
  • Ignacio Marín-Jiménez,
  • Óscar Roncero,
  • Yolanda Ber,
  • Luis Fernández-Salazar,
  • Blau Camps Aler,
  • Alfredo J. Lucendo,
  • Jordina Llaó,
  • Luis Bujanda,
  • Carmen Muñoz Villafranca,
  • Eugeni Domènech,
  • María Chaparro,
  • Javier P. Gisbert

DOI
https://doi.org/10.3390/pharmaceutics16050629
Journal volume & issue
Vol. 16, no. 5
p. 629

Abstract

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Markers that allow for the selection of tailored treatments for individual patients with inflammatory bowel diseases (IBD) are yet to be identified. Our aim was to describe trends in real-life treatment usage. For this purpose, patients from the ENEIDA registry who received their first targeted IBD treatment (biologics or tofacitinib) between 2015 and 2021 were included. A subsequent analysis with Machine Learning models was performed. The study included 10,009 patients [71% with Crohn’s disease (CD) and 29% with ulcerative colitis (UC)]. In CD, anti-TNF (predominantly adalimumab) were the main agents in the 1st line of treatment (LoT), although their use declined over time. In UC, anti-TNF (mainly infliximab) use was predominant in 1st LoT, remaining stable over time. Ustekinumab and vedolizumab were the most prescribed drugs in 2nd and 3rd LoT in CD and UC, respectively. Overall, the use of biosimilars increased over time. Machine Learning failed to identify a model capable of predicting treatment patterns. In conclusion, drug positioning is different in CD and UC. Anti-TNF were the most used drugs in IBD 1st LoT, being adalimumab predominant in CD and infliximab in UC. Ustekinumab and vedolizumab have gained importance in CD and UC, respectively. The approval of biosimilars had a significant impact on treatment.

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