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Why This Matters

People with IBD and coexisting primary sclerosing cholangitis (PSC) are at higher colorectal neoplasia risk and may respond differently to IBD medicines. This meta-analysis compiles available evidence on commonly used advanced therapies to help inform treatment expectations and highlight gaps.

Who Should Pay Attention

Clinicians treating PSC-IBD, gastroenterology researchers, adult patients with PSC-IBD, and patients on biologics or JAK inhibitors.

Study Snapshot

Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract

What To Know

The study synthesised five retrospective case series (n=394) with median follow-up ~18 months. Pooled clinical remission was about 25% at 3 months and ~29% at 6–12 months; corticosteroid-free remission was higher (~45%). Mucosal healing occurred in ~26% overall.

Tofacitinib had a single-study signal for a higher clinical response (~59%) with low adverse events in that report. Overall adverse-event-related discontinuation was ~9%, while ~32% had primary non-response or secondary loss of response. Colorectal neoplasia and colorectal cancer were reported among the pooled patients.

Study limitations and next steps: All included studies were retrospective case series with small samples and heterogeneity in outcomes and follow-up. The authors call for prospective, controlled studies using standardized IBD outcomes in PSC-IBD to better define effectiveness and safety.

Keep In Mind

The review pooled only retrospective case-series with varied methods and small sample sizes; findings should be interpreted cautiously. The structured content provided is an abstract-level synthesis from the published article.

Source Details

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

Read Original Source
Research paper Evidence type derived from source or registry metadata.
PublicationAlimentary Pharmacology & Therapeutics
AuthorsAmera Elzubeir, Atul Kumar, A. McArdle +4 more
InstitutionUniversity of East Anglia
Study typeArticle
Indexed viaOpenAlex
Source typeResearch paper
PublishedOct 21, 2026, 12:00 AM
Content availableJournal abstract

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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