‘Old but Gold’ – Insights About Anti-TNF-α Therapy in the Treatment of Inflammatory Bowel Disease

D. Jacobs
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Abstract

In these interviews, the experts clearly highlighted four key messages: 1) Too few patients with inflammatory bowel disease (IBD) are being treated with biologics, including anti-TNF-α therapies. 2) Some patients may also be receiving this treatment too late in the disease course, when structural damages have already occurred. This may be due to the high cost of originator biologics or a lack of awareness among physicians of the proven benefits of early anti-TNF-α therapy introduction. These therapies have been shown to decrease complications and disease progression. 3) The development of affordable anti-TNF-α biosimilars can facilitate greater access to these therapies and could extend their early use to more patients, with no detected safety issues in switched patients discerned to date. 4) Newer therapeutic options with other mechanisms of action are available, but for now at least, anti-TNF-α therapies are seen as ‘old but gold’.
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“老而有金”——抗tnf -α治疗炎症性肠病的见解
在这些访谈中,专家们明确强调了四个关键信息:1)炎症性肠病(IBD)患者很少接受生物制剂治疗,包括抗tnf -α治疗。2)一些患者也可能在疾病过程中太晚接受这种治疗,当结构损伤已经发生。这可能是由于原始生物制剂的高成本或医生缺乏对早期引入抗tnf -α治疗已证实的益处的认识。这些疗法已被证明可以减少并发症和疾病进展。3)可负担得起的抗tnf -α生物类似药的开发可以促进这些疗法的更广泛使用,并可以将其早期应用于更多的患者,迄今为止在转换的患者中没有发现安全问题。4)具有其他作用机制的新治疗选择是可用的,但至少目前,抗tnf -α疗法被视为“古老但黄金”。
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