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Ustekinumab & Health-Related Quality of Life in CD

J Crohns Colitis; ePub 2018 May 3; Sands, et al

Among adult patients with moderate to severe Crohn’s disease (CD), ustekinumab therapy improved health-related quality of life (HRQOL), a recent study found. Patients with moderately-to-severely active CD and inadequate response or intolerance to tumor necrosis factor antagonists (UNITI1, n=741) or conventional therapy (UNITI2, n=627) were randomized to placebo, ustekinumab 130 mg, or 6 mg/kg intravenous induction therapy. At week 8, ustekinumab-treated responders (IM-UNITI, n=388) with placebo, ustekinumab 90 mg q12w, or q8w for 44 additional weeks. Researchers found:

  • Induction baseline mean values of Inflammatory Bowel Disease Questionnaire (IBDQ), PCS, and MCS were similar across groups, but impaired relative to general population norms.
  • At Week 8, ustekinumab induced greater improvement than placebo in both HRQOL scores.
  • Significantly greater proportions of patients receiving ustekinumab 6 mg/kg or 130 mg had clinically-meaningful IBDQ improvement.
  • They also had clinically-meaningful improvement s in PCA and MCS compared to placebo.
  • At Week 44, these improvements were maintained with ustekinumab.

Citation:

Sands BE, Han C, Gasink C, et al. The effects of ustekinumab on health-related quality of life in patients with moderate to severe Crohn’s disease. [Published online ahead of print May 3, 2018]. J Crohns Colitis. doi:10.1093/ecco-jcc/jjy055.