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Novel Non-biologic Targets for Inflammatory Bowel Disease

  • Inflammatory Bowel Disease (S Hananauer, Section Editor)
  • Published:
Current Gastroenterology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The biologic era revolutionized the medical management of inflammatory bowel disease (IBD) and allowed for a paradigm shift away from a therapeutic strategy that traditionally relied on corticosteroids and immunomodulators. IBD treatment has now further evolved to encompass novel non-biologic agents.

Recent Findings

An electronic database search, spanning up to September 2018, was conducted using PubMed, Web of Science, Google Scholar, and Scopus. Abstracts were also reviewed from Digestive Diseases Week, European Crohn’s and Colitis Organization congress, Canadian Digestive Diseases Week, and United European Gastroenterology Week.

Summary

The JAK1/3 inhibitor, tofacitinib, was shown to both induce and maintain clinical remission and mucosal healing in ulcerative colitis (UC). Also, the sphingosine-1-phosphate (SIP) S1P1/S1P5 receptor agonist ozanimod showed benefit with clinical remission and mucosal healing in UC. Anti-trafficking non-biologic therapies such as AJM300 and a phosphodiesterase (PDE) PDE4 inhibitor, apremilast, have shown benefit in terms of clinical response, clinical remission, and mucosal healing in UC. Upadacitinib and filgotinib have shown initial favorable outcomes in CD patients, with further ongoing trials. Non-biologic agents comprise a growing number of mechanisms of action with the promise of safe and effective oral therapy for patients with IBD.

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Acknowledgements

The authors would like to acknowledge Jill Gregory (Instructional Technology, Icahn School of Medicine at Mount Sinai) for her assistance in the preparation of the figures for this article.

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  1. Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1069, New York, NY, 10029, USA

    Tushar Shukla & Bruce E. Sands

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Correspondence to Bruce E. Sands.

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Bruce Sands discloses consulting fees from 4D Pharma, Abbvie, Allergan Sales, Amgen, Arena Pharmaceuticals, Boehringer­Ingelheim, Capella Biosciences, Celgene, EnGene, Ferring, Gilead, Janssen, Lilly, Lyndra, MedImmune, Oppilan Pharma, Otsuka, Palatin Technologies, Pfizer, Progenity, Rheos Medicines, Seres Therapeutics, Synergy Pharmaceuticals, Takeda, Target PharmaSolutions, Theravance Biopharma R&D, TiGenix, Vivelix Pharmaceuticals, and WebMD and research funding from Celgene, Pfizer, Takeda, and Janssen.

Tushar Shukla declares no conflict of interest.

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Shukla, T., Sands, B.E. Novel Non-biologic Targets for Inflammatory Bowel Disease. Curr Gastroenterol Rep 21, 22 (2019). https://doi.org/10.1007/s11894-019-0689-2

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