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Biologic Therapy of Ulcerative Colitis: Golimumab

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Abstract

Golimumab is an anti-tumor necrosis factor (TNF) agent, which both induces and maintains response and remission in moderate to severe ulcerative colitis (UC). Its efficacy was demonstrated during an integrated phase 2 and 3, randomized, placebo controlled, trial program (PURSUIT, Program of Ulcerative colitis Research Studies Utilizing an Investigational Treatment). It is administered subcutaneously, and after induction doses given 2 weeks apart, maintenance therapy is given on a 4 weekly dosing schedule. Clinical trial data, as well as previous experience in rheumatoid disease, has demonstrated its safety, and its use has been approved by regulating bodies in Europe and the USA. However, questions still remain regarding the optimal use of golimumab and its positioning in relation to other biological therapies for UC.

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Abbreviations

UC:

Ulcerative colitis

QoL:

Quality of fife

TNF:

Tumor necrosis factor

MH:

Mucosal healing

CRP:

C-reactive protein

PURSUIT:

Program of Ulcerative colitis Research Studies Utilizing an Investigational Treatment

ACT:

Active ulcerative colitis trials

ULTRA:

Ulcerative colitis long-term remission and maintenance with adalimumab

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Disclosures

Mark A. Samaan—Hospira: Advisory board and training, Takeda: Lecturing.

Peter M. Irving—Honoraria for acting in an advisory capacity or speaking on behalf of MSD, Abbvie, Takeda, Shire, Ferring, Tillott’s Pharma, Warner Chilcott, Genentech, Pharmacosmos. Research support: MSD.

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Correspondence to Peter M. Irving .

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Samaan, M.A., Irving, P.M. (2017). Biologic Therapy of Ulcerative Colitis: Golimumab. In: Baumgart, D. (eds) Crohn's Disease and Ulcerative Colitis. Springer, Cham. https://doi.org/10.1007/978-3-319-33703-6_44

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  • DOI: https://doi.org/10.1007/978-3-319-33703-6_44

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33701-2

  • Online ISBN: 978-3-319-33703-6

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