Comparative Effectiveness of Upadacitinib Versus Ustekinumab in Ulcerative Colitis Patients With Prior Tumor Necrosis Factor Inhibitor Exposure

In patients with ulcerative colitis and prior anti-TNF exposure, upadacitinib was associated with lower oral corticosteroid use than ustekinumab over 1 year, with no significant differences in rates of colectomy, ED visits or hospitalizations. These findings suggest a potanial higher effectiveness of upadacitinib compared with ustekinumab and may help inform treatment selection in this population.

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Publication Details

Journal
Journal of Clinical Gastroenterology
Published
2026-03-16
DOI
https://doi.org/10.1097/mcg.0000000000002354
Primary Topic
Inflammatory Bowel Disease
Type
article
Field-Weighted Citation Impact
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article

Comparative Effectiveness of Upadacitinib Versus Ustekinumab in Ulcerative Colitis Patients With Prior Tumor Necrosis Factor Inhibitor Exposure

Khaled Elfert, Kanwarpreet Tandon, Jennifer Hadam-Veverka, Omar Alkasabrah et al.
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Inflammatory Bowel Disease
article

Comparative Effectiveness of Upadacitinib Versus Ustekinumab in Ulcerative Colitis Patients With Prior Tumor Necrosis Factor Inhibitor Exposure

Khaled Elfert, Kanwarpreet Tandon, Jennifer Hadam-Veverka, Omar Alkasabrah, Muhammad M. Elsharkawy, Mohamed H. Eldesouki, Mohamed Elzayat, Mouhand Mahmoud
article en

Abstract

In patients with ulcerative colitis and prior anti-TNF exposure, upadacitinib was associated with lower oral corticosteroid use than ustekinumab over 1 year, with no significant differences in rates of colectomy, ED visits or hospitalizations. These findings suggest a potanial higher effectiveness of upadacitinib compared with ustekinumab and may help inform treatment selection in this population.

Journal of Clinical Gastroenterology
West Virginia University (US), New York Medical College (US), CVS Health (United States) (US), Mayo Clinic in Arizona (US), Saint Michael's Medical Center (US), Alexandria University (EG)
Good health and well-being
Openalex Percentile: Top 21%
Inflammatory Bowel Disease
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