Cure8 news brief
Cure8 news brief
The study suggests adding a structured 16-week exclusive enteral nutrition plan to ustekinumab treatment may improve short- and medium-term clinical and endoscopic outcomes for adults with moderate-to-severe Crohn’s disease, a potentially meaningful strategy for patients not achieving optimal control on biologic therapy alone.
Adults with moderate-to-severe Crohn’s disease, patients on ustekinumab or considering biologic optimization, gastroenterologists, IBD dietitians, and researchers planning prospective trials of combination therapy.
This report summarizes a retrospective study of 114 adults treated between 2020 and 2024; 56 received ustekinumab plus 16 weeks of EEN and 58 received ustekinumab monotherapy.
At week 16 the combination group had substantially higher reported rates of clinical response (94.6% vs 70.7%), clinical remission (89.3% vs 55.2%), endoscopic response (95.2% vs 58.8%) and mucosal healing (90.5% vs 37.3%). The differences were maintained at week 52, and no severe adverse events were reported in the article.
Interpretation notes Because this was a retrospective, non-randomized cohort study, unmeasured differences between groups and selection biases could affect results. The authors and article suggest these findings support further prospective evaluation of ustekinumab plus EEN rather than establishing definitive benefit.
Discussing feasibility and adherence to 16-week EEN with a treating gastroenterologist or dietitian would be important for anyone considering this approach.
This is a retrospective multicentre cohort study (not randomized). The article cites a Sci Rep publication; the cohort design and potential for selection bias mean results are hypothesis-generating and require confirmation in prospective randomized trials. Practical issues such as patient adherence to 16-week EEN and real-world tolerability are not detailed.
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.