Biomarker discovery for personalized therapy selection in inflammatory bowel diseases: Challenges and promises.

Biomarker discovery CD, Crohn's disease CRP, C reactive protein FDA, Food and Drug Administration IBD IBD, inflammatory bowel diseases MOA, mechanism of action Omics Personalized medicine Precision RCTs, randomized clinical trials SES, simple endoscopic score TDM, therapeutic drug monitoring TNF, tumour necrosis factor Therapeutic ceiling UC, ulcerative colitis UST, ustekinumab

Journal

Current research in pharmacology and drug discovery
ISSN: 2590-2571
Titre abrégé: Curr Res Pharmacol Drug Discov
Pays: Netherlands
ID NLM: 9918300982506676

Informations de publication

Date de publication:
2022
Historique:
received: 11 10 2021
revised: 23 12 2021
accepted: 21 01 2022
entrez: 11 2 2022
pubmed: 12 2 2022
medline: 12 2 2022
Statut: epublish

Résumé

The past decades witnessed a significant stride in deciphering the pathophysiology of inflammatory bowel disease, which further advanced drug development adding several new biologicals and small molecules to the arsenal of available therapies. Surprisingly, this wealth in therapeutic options did not yield the aspired high durable response rates. In addition, the increase in therapeutic availabilities ignited an increase in research toward biomarkers that could help assign therapies to patients with the highest probability of response. Luckily, major steps have been undertaken in this domain which resulted in the discovery of some interesting biomarkers that are still under validation. However, the pace in which this domain is progressing, the discordance between short-term endpoints in biomarker discovery studies and the ambition of the disease community in modifying disease course, and the uncertainties about the validity of discovered biomarkers highlight the need for a critical appraisal of research conduct in this domain. In this review, we shed light on areas of improvement in biomarker discovery studies that will help optimize the use of available therapies and break the current therapeutic ceiling.

Identifiants

pubmed: 35146421
doi: 10.1016/j.crphar.2022.100089
pii: S2590-2571(22)00009-8
pmc: PMC8818904
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

100089

Informations de copyright

© 2022 The Author(s).

Déclaration de conflit d'intérêts

B Verstockt reports financial support for research from Pfizer; lecture fees from Abbvie, Biogen, Chiesi, Falk, Ferring, Galapagos, Janssen, MSD, Pfizer, R-Biopharm, Takeda and Truvion; consultancy fees from Applied Strategic, Atheneum, Bristol Myers Squibb, Guidepoint, Ipsos, Janssen, Progenity, Sandoz, Sossei Heptares and Takeda. S Vermeire reports financial support for research: MSD, AbbVie, Galapagos, Takeda, Pfizer, J&J; Lecture fees from MSD, AbbVie, Takeda, Ferring, Centocor, Hospira, Pfizer, J&J, Genentech/Roche; consultancy fees from MSD, AbbVie, Takeda, Ferring, Centocor, Hospira, Pfizer, J&J, Genentech/Roche, Celgene, Mundipharma, Celltrion, SecondGenome, Prometheus, Shire, Prodigest, Gilead, Galapagos. D Alsoud declares no conflicts of interest.

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Auteurs

Dahham Alsoud (D)

KU Leuven, Department of Chronic Diseases, Metabolism and Ageing, Translational Research in Gastrointestinal Disorders (TARGID) - IBD Unit, Leuven, Belgium.

Séverine Vermeire (S)

KU Leuven, Department of Chronic Diseases, Metabolism and Ageing, Translational Research in Gastrointestinal Disorders (TARGID) - IBD Unit, Leuven, Belgium.
University Hospitals Leuven, Department of Gastroenterology and Hepatology, KU Leuven, Leuven, Belgium.

Bram Verstockt (B)

KU Leuven, Department of Chronic Diseases, Metabolism and Ageing, Translational Research in Gastrointestinal Disorders (TARGID) - IBD Unit, Leuven, Belgium.
University Hospitals Leuven, Department of Gastroenterology and Hepatology, KU Leuven, Leuven, Belgium.

Classifications MeSH