Real-world effectiveness and safety of ustekinumab and vedolizumab in elderly patients with Crohn's disease

Indian J Gastroenterol. 2023 Oct;42(5):718-723. doi: 10.1007/s12664-023-01391-3. Epub 2023 Jul 31.

Abstract

Studies report favorable efficacy and safety profiles of ustekinumab (UST) and vedolizumab (VDZ) in Crohn's disease (CD), but effectiveness and safety data in elderly patients with CD is lacking. We retrospectively analyzed 78 elderly patients (39 each UST and VDZ) and found that patients on UST and VDZ experienced similar rates of clinical response, remission and mucosal healing despite high proportion of prior biologic exposure. Both UST and VDZ appear to be effective and safe in this at-risk CD population. Further large studies are needed to validate our findings.

Keywords: Biologics; Crohn’s disease; Elderly; Inflammatory bowel diseases; Ustekinumab; Vedolizumab.

MeSH terms

  • Aged
  • Antibodies, Monoclonal, Humanized / adverse effects
  • Crohn Disease* / drug therapy
  • Humans
  • Remission Induction
  • Retrospective Studies
  • Treatment Outcome
  • Ustekinumab / adverse effects

Substances

  • Ustekinumab
  • vedolizumab
  • Antibodies, Monoclonal, Humanized