IL12/23 Blockade for Refractory Immune-Mediated Colitis: 2-Center Experience

Anusha Shirwaikar Thomas; Seung Eun Lee; Malek Shatila; Enrico N. De Toni; Helga Paula Török; Najib Ben Khaled; Nicholas Powell; Ryan Weight; David M. Faleck; Yinghong Wang

doi:10.14309/ajg.0000000000002332

IL12/23 Blockade for Refractory Immune-Mediated Colitis: 2-Center Experience

Anusha Shirwaikar Thomas, Seung Eun Lee, Malek Shatila, Enrico N. De Toni, Helga Paula Török, Najib Ben Khaled, Nicholas Powell, Ryan Weight, David M. Faleck, Yinghong Wang

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

INTRODUCTION:Immune checkpoint inhibitor-mediated colitis (IMC) is commonly managed with steroids and biologics. We evaluated the efficacy of ustekinumab (UST) in treating IMC refractory to steroids plus infliximab and/or vedolizumab.RESULTS:Nineteen patients were treated with UST for IMC refractory to steroids plus infliximab (57.9%) and/or vedolizumab (94.7%). Most of them had grade ≥3 diarrhea (84.2%), and colitis with ulceration was present in 42.1%. Thirteen patients (68.4%) attained clinical remission with UST, and mean fecal calprotectin levels dropped significantly after treatment (629 ± 101.5 mcg/mg to 92.0 ± 21.7 mcg/mg, P = 0.0004).DISCUSSION:UST is a promising therapy for the treatment of refractory IMC.

Original language	English (US)
Pages (from-to)	1679-1683
Number of pages	5
Journal	American Journal of Gastroenterology
Volume	118
Issue number	9
DOIs	https://doi.org/10.14309/ajg.0000000000002332
State	Published - Sep 1 2023
Externally published	Yes

Keywords

cancer
immune checkpoint inhibitor
immune-mediated colitis
refractory
toxicity
ustekinumab

ASJC Scopus subject areas

Hepatology
Gastroenterology

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title = "IL12/23 Blockade for Refractory Immune-Mediated Colitis: 2-Center Experience",

abstract = "INTRODUCTION:Immune checkpoint inhibitor-mediated colitis (IMC) is commonly managed with steroids and biologics. We evaluated the efficacy of ustekinumab (UST) in treating IMC refractory to steroids plus infliximab and/or vedolizumab.RESULTS:Nineteen patients were treated with UST for IMC refractory to steroids plus infliximab (57.9%) and/or vedolizumab (94.7%). Most of them had grade ≥3 diarrhea (84.2%), and colitis with ulceration was present in 42.1%. Thirteen patients (68.4%) attained clinical remission with UST, and mean fecal calprotectin levels dropped significantly after treatment (629 ± 101.5 mcg/mg to 92.0 ± 21.7 mcg/mg, P = 0.0004).DISCUSSION:UST is a promising therapy for the treatment of refractory IMC.",

keywords = "cancer, immune checkpoint inhibitor, immune-mediated colitis, refractory, toxicity, ustekinumab",

author = "{Shirwaikar Thomas}, Anusha and Lee, {Seung Eun} and Malek Shatila and {De Toni}, {Enrico N.} and T{\"o}r{\"o}k, {Helga Paula} and {Ben Khaled}, Najib and Nicholas Powell and Ryan Weight and Faleck, {David M.} and Yinghong Wang",

year = "2023",

month = sep,

day = "1",

doi = "10.14309/ajg.0000000000002332",

language = "English (US)",

volume = "118",

pages = "1679--1683",

journal = "American Journal of Gastroenterology",

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TY - JOUR

T1 - IL12/23 Blockade for Refractory Immune-Mediated Colitis

T2 - 2-Center Experience

AU - Shirwaikar Thomas, Anusha

AU - Lee, Seung Eun

AU - Shatila, Malek

AU - De Toni, Enrico N.

AU - Török, Helga Paula

AU - Ben Khaled, Najib

AU - Powell, Nicholas

AU - Weight, Ryan

AU - Faleck, David M.

AU - Wang, Yinghong

PY - 2023/9/1

Y1 - 2023/9/1

N2 - INTRODUCTION:Immune checkpoint inhibitor-mediated colitis (IMC) is commonly managed with steroids and biologics. We evaluated the efficacy of ustekinumab (UST) in treating IMC refractory to steroids plus infliximab and/or vedolizumab.RESULTS:Nineteen patients were treated with UST for IMC refractory to steroids plus infliximab (57.9%) and/or vedolizumab (94.7%). Most of them had grade ≥3 diarrhea (84.2%), and colitis with ulceration was present in 42.1%. Thirteen patients (68.4%) attained clinical remission with UST, and mean fecal calprotectin levels dropped significantly after treatment (629 ± 101.5 mcg/mg to 92.0 ± 21.7 mcg/mg, P = 0.0004).DISCUSSION:UST is a promising therapy for the treatment of refractory IMC.

AB - INTRODUCTION:Immune checkpoint inhibitor-mediated colitis (IMC) is commonly managed with steroids and biologics. We evaluated the efficacy of ustekinumab (UST) in treating IMC refractory to steroids plus infliximab and/or vedolizumab.RESULTS:Nineteen patients were treated with UST for IMC refractory to steroids plus infliximab (57.9%) and/or vedolizumab (94.7%). Most of them had grade ≥3 diarrhea (84.2%), and colitis with ulceration was present in 42.1%. Thirteen patients (68.4%) attained clinical remission with UST, and mean fecal calprotectin levels dropped significantly after treatment (629 ± 101.5 mcg/mg to 92.0 ± 21.7 mcg/mg, P = 0.0004).DISCUSSION:UST is a promising therapy for the treatment of refractory IMC.

KW - cancer

KW - immune checkpoint inhibitor

KW - immune-mediated colitis

KW - refractory

KW - toxicity

KW - ustekinumab

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IL12/23 Blockade for Refractory Immune-Mediated Colitis: 2-Center Experience

Abstract

Keywords

ASJC Scopus subject areas

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