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Pharmacogénétique de l’infliximab dans la maladie de Crohn

Pharmacogenetics of infliximab in crohn’s disease

  • Published:
Acta Endoscopica

Résumé

Les études réalisées dans le domaine de la pharmacogénétique contribueront sans aucun doute à une meilleure gestion thérapeutique des maladies inflammatoires intestinales. L’infliximab est actuellement le médicament le plus efficace actuellement dans le traitement des formes réfractaires et fistulisantes de la maladie de Crohn. Cependant, environ un tiers des patients ne répondent pas à ce traitement. A l’heure actuelle, plusieurs études ont été réalisées afin d’identifier des facteurs prédictifs de la réponse à l’infliximab dans la maladie de Crohn. Cette revue résume les connaissances actuelles quant à l’utilisation de l’infliximab dans la maladie de Crohn et fait le point sur les résultats des études réalisées, et plus particulièrement sur les aspects pharmacogénétiques.

Summary

Pharmacogenetic studies will certainly contribute to a better management of medication in inflammatory bowel diseases. Infliximab is the most efficient drug in refractory and fistulising Crohn’s disease. However, about one third of the patients do not respond to this treatment. Several studies have been performed to identify predictive factors of the response to infliximab in CD. We attempt to summarize the current knowledge on the use of infliximab in CD and focus on the result of these studies and more particularly on pharmacogenetic aspects.

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Dideberg, V., Louis, E. & Bours, V. Pharmacogénétique de l’infliximab dans la maladie de Crohn. Acta Endosc 37, 521–530 (2007). https://doi.org/10.1007/BF02961799

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