Efficacy of Second-Line Advanced Therapy in Patients with Crohn’s Disease After Failure of a First Anti-TNF: A Descriptive Analysis

There were significant baseline differences between the treatment groups, so this study represents an unadjusted comparison between the results obtained with different biologics in second-line treatment for Crohn's disease. In patients with CD who have failed a first anti-TNF, the highest rate of clinical remission at 12 weeks was obtained with second-line IFX and UST whilst vedolizumab showed lower efficacy. UST demonstrated the most favorable long-term treatment persistence at 1 year.

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Publication Details

Journal
Journal of Clinical Medicine
Published
2026-04-16
DOI
https://doi.org/10.3390/jcm15083029
Primary Topic
Inflammatory Bowel Disease
Type
article
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article

Efficacy of Second-Line Advanced Therapy in Patients with Crohn’s Disease After Failure of a First Anti-TNF: A Descriptive Analysis

Cosmin Alexandru Ciora, Letiţia Ţugui, Corina Meianu, Cristian Tieranu et al.
Journal of Clinical Medicine
Inflammatory Bowel Disease
article

Efficacy of Second-Line Advanced Therapy in Patients with Crohn’s Disease After Failure of a First Anti-TNF: A Descriptive Analysis

Cosmin Alexandru Ciora, Letiţia Ţugui, Corina Meianu, Cristian Tieranu, Mircea Diculescu, Ana-Maria Sîngeap, Horia Minea, A. Bota, Doina Istrătescu, Anca Victorita Trifan, Carmen Monica Preda, Remus Popescu, Ana-Maria Buzuleac, T G Stroie, L Negreanu, Alina Tantau, Andreea-Maria Cazimirovitz
article en

Abstract

There were significant baseline differences between the treatment groups, so this study represents an unadjusted comparison between the results obtained with different biologics in second-line treatment for Crohn's disease. In patients with CD who have failed a first anti-TNF, the highest rate of clinical remission at 12 weeks was obtained with second-line IFX and UST whilst vedolizumab showed lower efficacy. UST demonstrated the most favorable long-term treatment persistence at 1 year.

Journal of Clinical MedicineVol. 15(8)
Carol Davila University of Medicine and Pharmacy (RO), Iuliu Hațieganu University of Medicine and Pharmacy (RO), Clinical Emergency Hospital Bucharest (RO), Grigore T. Popa University of Medicine and Pharmacy (RO), Emergency University (US), Spitalul Clinic Judeţean de Urgenţe "Sf. Spiridon" Iaşi (RO), Institutul Clinic Fundeni (RO)
Good health and well-being
Openalex Percentile: Top 20%
Inflammatory Bowel Disease
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Efficacy of Second-Line Advanced Therapy in Patients with Crohn’s Disease After Failure of a First Anti-TNF: A Descriptive Analysis — Cosmin Alexandru Ciora, Letiţia Ţugui, et al. · Journal of Clinical Medicine (2026) | TGRS Research Map | TGRS