Most Read Articles
Roshini Claire Anthony, 11 Sep 2019

Beta-blockers could reduce mortality risk in patients with heart failure with reduced ejection fraction (HFrEF) and moderate or moderately-severe renal dysfunction without causing harm, according to the BB-META-HF* trial presented at ESC 2019.

Prof. Vincent Wong, Prof. Ray Kim, Dr. Tan Poh Seng, 10 Sep 2019
Chronic hepatitis B (CHB) remains a major public health concern because of its worldwide distribution and potential adverse sequelae, including cirrhosis and hepatocellular carcinoma (HCC). At a recent symposium held during the GIHep Singapore 2019, Professor Vincent Wong from the Chinese University of Hong Kong and Professor Ray Kim from the Stanford University School of Medicine, Stanford, California, US, discussed antiviral treatments for CHB, with a focus on the novel agent tenofovir alafenamide (Vemlidy®). Dr Tan Poh Seng from the National University Hospital, Singapore, chaired the symposium.
11 Sep 2019
Blood pressure (BP) in children is influenced by early-life exposure to several chemicals, built environment and meteorological factors, suggests a study.
Pearl Toh, Yesterday
The use of SGLT-2* inhibitors was not associated with a higher risk of severe or nonsevere urinary tract infections (UTIs) in patients with type 2 diabetes (T2D) compared with DPP**-4 inhibitors or GLP-1*** receptor agonists, a population-based cohort study shows.

Ustekinumab effective for IBD with concomitant psoriasis, psoriatic arthritis

03 Jul 2019
Crohn’s is not the end of the world, as Kathleen Baker’s silver medal proves

Ustekinumab, delivered subcutaneously, is effective for patients with inflammatory bowel disease (IBD) receiving concomitant treatment for dermatological or rheumatological conditions, a recent study has found.

Researchers conducted a multicentre, retrospective analysis of 70 IBD patients (median age, 41.75 years; 45 percent female; 91.4 percent Crohn’s disease) who were initiated on ustekinumab for concomitant active psoriasis or psoriatic arthritis. The primary study endpoint was overall persistence of ustekinumab, defined as therapy maintenance due to sustained clinical benefit.

The median time on ustekinumab was 10.7 months. Twelve patients (17.1 percent) withdrew from the medication, all of whom had CD. Median time to withdrawal was 7.4 months. Half of the withdrawals were due to the lack of benefit for the skin or joint disease, four due to lack of benefit for IBD, and two due to adverse events.

At baseline, 56 patients had active disease. At the last follow-up after ustekinumab treatment, majority of these participants (60.7 percent; n=34) were in clinical remission. The cumulative probabilities of achieving remission at 6 and 9 months were 84.7 percent and 63.9 percent, respectively.

Disaggregating according to comorbid conditions did not meaningfully change the results. Ustekinumab induced clinical remission in majority of patients with either psoriasis (82.2 percent; 37 of 45) or psoriatic arthritis (60 percent; 15 of 25).

Ustekinumab likewise had a favourable safety profile. Only 10 cases of adverse events were reported in nine participants. Three adverse events needed emergency care: acute intestinal obstruction, dehydration due to acute gastroenteritis and acute renal colic.

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Most Read Articles
Roshini Claire Anthony, 11 Sep 2019

Beta-blockers could reduce mortality risk in patients with heart failure with reduced ejection fraction (HFrEF) and moderate or moderately-severe renal dysfunction without causing harm, according to the BB-META-HF* trial presented at ESC 2019.

Prof. Vincent Wong, Prof. Ray Kim, Dr. Tan Poh Seng, 10 Sep 2019
Chronic hepatitis B (CHB) remains a major public health concern because of its worldwide distribution and potential adverse sequelae, including cirrhosis and hepatocellular carcinoma (HCC). At a recent symposium held during the GIHep Singapore 2019, Professor Vincent Wong from the Chinese University of Hong Kong and Professor Ray Kim from the Stanford University School of Medicine, Stanford, California, US, discussed antiviral treatments for CHB, with a focus on the novel agent tenofovir alafenamide (Vemlidy®). Dr Tan Poh Seng from the National University Hospital, Singapore, chaired the symposium.
11 Sep 2019
Blood pressure (BP) in children is influenced by early-life exposure to several chemicals, built environment and meteorological factors, suggests a study.
Pearl Toh, Yesterday
The use of SGLT-2* inhibitors was not associated with a higher risk of severe or nonsevere urinary tract infections (UTIs) in patients with type 2 diabetes (T2D) compared with DPP**-4 inhibitors or GLP-1*** receptor agonists, a population-based cohort study shows.