Practical considerations for the use of IL-23p19 inhibitors in inflammatory bowel disease: how to choose between them and why it matters? - Takeaways - MDSpire

Practical considerations for the use of IL-23p19 inhibitors in inflammatory bowel disease: how to choose between them and why it matters?

  • By

  • Cecilia Lina Pugliano

  • Raymond Fueng-Hin Liang

  • Andrea Ruffa

  • Marietta Iacucci

  • Subrata Ghosh

  • August 1, 2025

  • 0 min

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  • 1

    Monoclonal antibodies targeting IL-23p19, including Risankizumab, Mirikizumab, and Guselkumab, are effective for treating moderate-to-severe IBD.

  • 2

    Key factors in selecting an anti-IL23p19 agent include patient preference, IBD phenotype, and presence of coexisting conditions.

  • 3

    Guselkumab is notable for its unique ability to bind CD64, potentially enhancing therapeutic effects in IBD.

  • 4

    The introduction of subcutaneous induction therapy with Guselkumab offers a viable alternative to intravenous administration.

  • 5

    Further real-world studies are necessary to evaluate the effectiveness of anti-IL23p19 therapies in complex IBD phenotypes.

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