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Advanced Crohn’s Therapies Show Similar Safety
Large claims analysis finds no significant differences in serious infections, blood clots, or major cardiovascular events across biologics and a Janus kinase inhibitor.
To evaluate the safety profiles of various advanced therapies for Crohn's disease in a real-world setting.
Approach:
Key Findings:
No significant differences in rates of serious infections, venous thromboembolism, or major adverse cardiovascular events across therapies.
Serious infections occurred at rates of 5 to 9 events per 100 person-years.
Ustekinumab showed a lower risk of gastrointestinal serious infections compared to vedolizumab.
Venous thromboembolism rates were low, around 1 event per 100 person-years.
Major adverse cardiovascular events were rare, below 2 events per 100 person-years.
Interpretation:
The safety profiles of advanced Crohn's therapies are broadly similar, suggesting that clinicians can choose among these therapies without significant concern for differing safety risks.
Limitations:
Reliance on administrative claims data without measures of disease activity.
Potential residual confounding.
Low event rates for cardiovascular and thromboembolic outcomes.
Shorter follow-up for newer agents like risankizumab.
Conclusion:
The study indicates comparable safety across advanced therapies for Crohn's disease, aiding in treatment decision-making.