Advanced Crohn’s Therapies Show Similar Safety - Summary - MDSpire
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Advanced Crohn’s Therapies Show Similar Safety

  • By

  • Doug Brunk

  • February 19, 2026

  • 2 min

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Objective:

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.

    Sources:

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