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Why This Matters

New and longer-term data presented at ACG 2026 may expand treatment options for Crohn’s disease, including an oral IL-23–targeted peptide and potential effects of guselkumab on intestinal strictures, which could affect care for patients with fibrostenotic disease.

Who Should Pay Attention

Patients with Crohn’s disease (including those on or considering biologics), gastroenterologists, IBD clinicians, and researchers in IBD therapeutics.

Study Snapshot

Story typeResearch news
Evidence typePhase 3 clinical trial
Source depthFull source text

What To Know

Risankizumab: A randomized study of risankizumab (720 mg induction, 360 mg maintenance) in moderate-to-severe Crohn’s disease showed higher clinical response and improved CDAI and endoscopic remission through week 24 versus placebo; benefits were seen in both advanced-therapy–naive patients and those with prior biologic/JAK inhibitor failure.

Guselkumab: Post hoc analyses comparing subcutaneous guselkumab (100/200 mg) with ustekinumab and placebo suggested greater improvement in intestinal stenosis over extended follow-up (to week 96) and showed differences in fibroblast-related gene-expression modules, raising interest in effects on fibrostenotic disease.

Icotrokinra: An investigational oral peptide targeting the IL-23 pathway (doses 100–400 mg) maintained responses through week 76 in a long-term extension with high on-treatment retention and no new safety signals reported; this is an oral IL-23–targeted approach still under regulatory review.

Antidrug antibody/infliximab: The article also references a study on the predictive value of prior antidrug antibodies for infliximab response (details in the full article).

Keep In Mind

Findings summarized here come from ACG 2026 presentations and include randomized trials, post hoc analyses, and long-term extension data; some results may later appear in peer-reviewed journals and regulatory filings.

Source Details

Review the original publication for the complete reporting, methods, and context.

Read Original Source
Publicationmedscape.com
PublisherMedscape
AuthorsDavid A. Johnson, MD
Indexed viaGoogle News
Source typeWeb article
PublishedOct 26, 2026, 4:38 PM
Content availableFull source text

This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.

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