TY - JOUR
T1 - DEVELOPMENT OF ANTIFIBROTIC THERAPY FOR STRICTURING CROHN’S DISEASE
T2 - LESSONS FROM RANDOMIZED TRIALS IN OTHER FIBROTIC DISEASES
AU - Antifibrotic Research (STAR) Consortium
AU - Lin, Si Nan
AU - Mao, Ren
AU - Qian, Chenchen
AU - Bettenworth, Dominik
AU - Wang, Jie
AU - Li, Jiannan
AU - Bruining, David H.
AU - Jairath, Vipul
AU - Feagan, Brian G.
AU - Chen, Min Hu
AU - Therapy, Stenosis
AU - Rieder, Florian
N1 - Publisher Copyright:
© 2022 the American Physiological Society.
PY - 2022/4
Y1 - 2022/4
N2 - Intestinal fibrosis is considered an inevitable complication of Crohn’s disease(CD)thatresultsinsymptomsofobstruction and stricture formation. Endoscopic or surgical treatment is required to treat the majority of patients. Progress in the management of stricturing CD is hampered by the lack of effective antifibrotic therapy; however, this situation is likely to change because of recent advances in other fibrotic diseases of the lung, liver, and skin. In this review, we summarize data from randomized controlled trials (RCTs) of antifibrotic therapies in these conditions. Multiple compounds have been tested for antifibrotic effects in other organs. According to their mechanisms, they were categorized into growth factor modulators, inflammation modulators, 5-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors, intracellular enzymes and kinases, renin-angiotensin system (RAS) modulators, and others. From our review of the results from the clinical trials and discussion of their implications in the gastrointestinal tract, we have identified several molecular candidates that could serve as potential therapies for intestinal fibrosis in CD.
AB - Intestinal fibrosis is considered an inevitable complication of Crohn’s disease(CD)thatresultsinsymptomsofobstruction and stricture formation. Endoscopic or surgical treatment is required to treat the majority of patients. Progress in the management of stricturing CD is hampered by the lack of effective antifibrotic therapy; however, this situation is likely to change because of recent advances in other fibrotic diseases of the lung, liver, and skin. In this review, we summarize data from randomized controlled trials (RCTs) of antifibrotic therapies in these conditions. Multiple compounds have been tested for antifibrotic effects in other organs. According to their mechanisms, they were categorized into growth factor modulators, inflammation modulators, 5-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors, intracellular enzymes and kinases, renin-angiotensin system (RAS) modulators, and others. From our review of the results from the clinical trials and discussion of their implications in the gastrointestinal tract, we have identified several molecular candidates that could serve as potential therapies for intestinal fibrosis in CD.
KW - Clinical trials
KW - Crohn’s disease
KW - End point
KW - Stricture
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U2 - 10.1152/physrev.00005.2021
DO - 10.1152/physrev.00005.2021
M3 - Review article
C2 - 34569264
AN - SCOPUS:85122481010
SN - 0031-9333
VL - 102
SP - 605
EP - 652
JO - Physiological Reviews
JF - Physiological Reviews
IS - 2
ER -