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Risankizumab After Advanced Therapy for UC; GLP-1s for IBD

Published: May 28, 2025
Author(s): Miguel Regueiro, MD

This article summarizes findings from a clinical evaluation of risankizumab, a treatment for ulcerative colitis (UC), conducted through the Digestive Disease Institute’s “Regueiro Report.” The review draws on results from two major phase 3 trials, INSPIRE and COMMAND, which assessed the drug’s safety and effectiveness in adults with moderate to severe UC who had not responded to standard therapies.

Risankizumab is a targeted immunotherapy designed to reduce inflammation by inhibiting a specific immune pathway. In both trials, the medication demonstrated strong results in helping patients achieve clinical remission (meaning significant reduction or disappearance of symptoms) and endoscopic remission (healing of the intestinal lining). These outcomes are critical markers of long-term disease control.

Importantly, the benefits of risankizumab were seen across a wide range of patients, including those who had previously failed other biologic treatments. This makes the drug a promising option for individuals with more difficult-to-treat forms of ulcerative colitis.

The analysis also highlighted a favorable safety profile. Most side effects were mild to moderate, with very few serious adverse events reported. This makes risankizumab a potential long-term therapy with manageable risks, especially when monitored appropriately.

Overall, the report reinforces risankizumab’s role as a powerful and well-tolerated treatment for ulcerative colitis. It offers new hope to patients who have not had success with other medications, improving both clinical outcomes and quality of life. The findings also support the continued use of personalized treatment strategies in managing chronic inflammatory diseases like UC.

By emphasizing both the effectiveness and safety of risankizumab, the article helps position this therapy as a strong contender in the evolving landscape of ulcerative colitis treatment options.

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