Choosing the Right Therapy at the Right Time for Pediatric Inflammatory Bowel Disease: Does Sequence Matter

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Abstract

Despite the enlarging therapeutic armamentarium, IBD is still plagued by a therapeutic ceiling. Precision medicine, with the selection of the "rights," may present a solution, and this review will discuss the critical process of pairing the right patient with right therapy at the right time. Firstly, the review will discuss the shift to and evidence behind early effective therapy. Then, it delves into promising future strategies of patient profiling to identify a patients' biological pathway(s) and prognosis. Finally, the review lays out practical considerations that drive treatment selection, particularly the impact of the therapeutic sequence.

Original languageEnglish
Pages (from-to)517-534
Number of pages18
JournalGastroenterology Clinics of North America
Volume52
Issue number3
DOIs
StatePublished - Sep 2023

Keywords

  • Biologic therapies
  • Crohn's disease
  • Early effective therapy
  • IBD
  • Pediatric
  • Precision medicine
  • Ulcerative colitis

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