Cure8 research brief
Why This Matters
Proactive TDM of infliximab was associated with high 1‑ and 2‑year durability in this pediatric Crohn's cohort, and the study flags clinical factors that may predict need to switch biologics. This could be relevant when discussing monitoring strategies and expectations for infliximab therapy in children.
Who Should Pay Attention
Pediatric patients with Crohn's disease, parents/caregivers, pediatric gastroenterologists, clinicians managing biologic therapy, and researchers studying therapeutic drug monitoring or biomarkers in IBD.
Study Snapshot
What To Know
The study looked at 79 pediatric patients treated with infliximab at one Australian centre between 2019–2021. Proactive TDM was performed at induction, end of induction, and then every 6 months; the main outcome was switching to another biologic within 2 years. Most patients remained on infliximab at 1 and 2 years.
Nine patients switched biologics (median 57 weeks). Higher post‑induction calprotectin (>305 µg/g), colonic phenotype, and need for escalated induction were reported as predictors of switching.
The report is an abstract-level clinical study (retrospective cohort) from a single centre, so results are useful for hypothesis generation and may inform discussions about proactive TDM but are not definitive proof of benefit across settings.
Keep In Mind
Retrospective single‑centre cohort (79 patients) with proactive TDM at defined timepoints; findings are from abstract/full‑text at the journal level but represent a specific centre's practice and require validation in larger, multicentre or prospective studies.
Source Details
Review the original publication for the complete reporting, methods, and context.
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.