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Ulcerative colitis Learning Zone

Welcome

Read time: 90 mins
Last updated:1st May 2024
Published:17th Aug 2023

In this Learning Zone:

  • The global prevalence, burden and pathophysiology of UC
  • Key unmet needs that impact UC management in practice
  • Recommended treatment goals and management of UC, according to European and US guidelines
  • Current and investigational treatments for UC, and how they relate to disease pathophysiology
  • The importance of timely treatment decision-making, and stepping up treatment when required, considering recommendations for treatment sequencing and switching

Visit the expert opinion section and the roundtable discussion to hear insights on topics ranging from unmet needs and treatment goals to targeted small molecules and integrating the latest medications into clinical practice, with a focus on moderate-to-severe and refractory UC.

Test your knowledge on ulcerative colitis

Challenge your knowledge by answering four questions in this short quiz on ulcerative colitis (UC). Your answers will also help us to measure the effectiveness of the medical education on Medthority.

Meet Jerome

Jerome, 33 years of age, presented to his GP with fatigue, bloody stools, diarrhoea and faecal incontinence, and was subsequently diagnosed with moderate-to-severe UC.

Test your knowledge on ulcerative colitis

Challenge your knowledge by answering four questions in this short quiz on ulcerative colitis (UC). Your answers will also help us to measure the effectiveness of the medical education on Medthority.

Meet Jerome

Jerome, 33 years of age, presented to his GP with fatigue, bloody stools, diarrhoea and faecal incontinence, and was subsequently diagnosed with moderate-to-severe UC.

1. Aside from corticosteroids, which of the following treatment options are recommended for inducing remission in moderate-to-severe UC, according to current European and US guidelines for UC management?
2. Jerome has asked for information about more recently approved UC treatments, such as the IL-23 inhibitor mirikizumab, JAK inhibitors upadacitinib and filgotinib, and the S1PR modulator ozanimod. In the clinical trials that supported regulatory approval of mirikizumab, upadacitinib, filgotinib and ozanimod for the treatment of moderate-to-severe UC in Europe and/or the US, the primary endpoint was:
3. What are key considerations that can inform whether recently approved biologics and targeted small molecules could be appropriate for Jerome (aside from disease severity and extent, and the regulatory-approved indications for each treatment)?
4. What is the primary aim of developing new treatments to help address unmet needs in moderate-to-severe and refractory UC?
How confident do you feel about managing a similar patient case?
Permission to contact. Please tick this box if you are willing for us to contact you at a later date to request more detailed feedback.

Meet the experts

The following experts provided insights into the management of UC throughout this Learning Zone.

Professor Stephen Hanauer

Stephen B Hanauer is a Professor of Medicine (Gastroenterology and Hepatology) and Medical Director of the Digestive Health Center at Northwestern University’s Feinberg School of Medicine in Illinois, USA. He is a board-certified internist and gastroenterologist, internationally recognised as an expert on the treatment of inflammatory bowel disease (IBD). Professor Hanauer has served as a member of the U.S. FDA Gastrointestinal Drugs Advisory Committee since 1987.

Disclosures: Professor Hanauer has been a consultant and involved in clinical research with AbbVie, Allergan, Amgen, Celgene, Genentech, GSK, Janssen, Lilly, Novartis, Pfizer, Prometheus, Receptos, Takeda, and UCB Pharma. He has been involved in drug safety monitoring boards for Arena, Boehringer Ingelheim, Bristol Myers Squibb, Gossamer, Prometheus, and Protagonist. Professor Hanauer has also been a speaker for AbbVie, Janssen, Pfizer, and Takeda. He has also been a consultant for AstraZeneca, Cosmos, Catalys Pacific, Covance, Merck, Progenity, Salix, Samsung Bioepis, Seres Therapeutics, Sorriso, TLL Pharma, and VHsquared.

Dr Tim Raine

Dr Tim Raine leads the IBD clinical service and the IBD trials unit at Cambridge University Hospitals, UK. Dr Raine is the chair of the European Crohn’s and Colitis Organisation (ECCO) guidelines committee and is a lead author on several ECCO guidelines. His research focuses on the regulation of the gastrointestinal immune system, and is funded by the Wellcome Trust, CCFA, Crohn’s and Colitis UK, OpenTargets and the National Institute for Health Research.

Disclosures: Dr Raine has received research/educational grants and/or speaker/consultation fees from AbbVie, Arena, Aslan, AstraZeneca, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Ferring, Galapagos, Gilead, GSK, Heptares, Janssen, LabGenius, Lilly, MSD, Mylan, Novartis, Pfizer, Roche, Sandoz, Takeda, UCB, and Xap Therapeutics.

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