Abstract

Current treatments for inflammatory bowel diseases (IBDs) are suboptimal. Approximately 30% of patients are primary nonresponders to initial treatment, and approximately 50% of patients become secondary nonresponders to drugs, including the recently approved or to be approved therapies.1 A review of the rates of clinical remission across the various tumor necrosis factor-α (TNF-α) inhibitors demonstrates a ceiling effect ranging from 18% to 48% at the end of the induction phase and from 25.6% to 59% at weeks 20 to 30, even among initial responders.

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