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In two trials in patients with moderately to severely active Crohn's disease, intravenous ustekinumab was effective in those who did not have a response to conventional therapy or TNF antagonists. Subcutaneous ustekinumab was more effective than placebo in maintaining remission.
Crohn’s disease is a chronic inflammatory disease of the gastrointestinal tract that is treated with glucocorticoids, immunosuppressants, tumor necrosis factor (TNF) antagonists, or integrin inhibitors.
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The drawbacks of these agents include an increased risk of infection
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and cancer
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and limited efficacy.
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Ustekinumab is a monoclonal antibody to the p40 subunit of interleukin-12 and interleukin-23 that has been approved for use in the treatment of psoriasis and psoriatic arthritis.
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In previous trials involving patients with psoriasis in which ustekinumab was administered subcutaneously for up to 5 years, the drug was not associated with an increased risk of serious adverse . . .