Therapeutic drug monitoring of biologics in inflammatory bowel disease: unmet needs and future perspectives.

ABSTRACT: Therapeutic drug monitoring (TDM) has emerged as a useful tool for optimising the use of biologics, and in particular anti-tumour necrosis factor (anti-TNF) therapy, in inflammatory bowel disease (IBD). However, challenges remain and are hindering the widespread implementation of TDM in clinical practice. These barriers include identification of the optimal drug concentration to target, the lag time between sampling and results, and the proper interpretation of anti-drug antibody titres among different assays. Solutions to overcome these barriers include the harmonisation of TDM assays and the use of point-of-care testing. Other unmet needs include well designed prospective studies and randomised controlled trials focusing on proactive TDM, particularly during induction therapy. Future stu

SUBMITTER: Papamichael K 

PROVIDER: S-EPMC10187071 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature