Pouchitis

Active Ingredient: Vedolizumab

Indication for Vedolizumab

Population group: only adults (18 years old or older)
Therapeutic intent: Curative procedure

Vedolizumab is indicated for the treatment of adult patients with moderately to severely active chronic pouchitis, who have undergone proctocolectomy and ileal pouch anal anastomosis for ulcerative colitis, and have had an inadequate response with or lost response to antibiotic therapy

For this indication, competent medicine agencies globally authorize below treatments:

300 mg administered by intravenous infusion at 0, 2 and 6 weeks and then every 8 weeks thereafter

For:

Dosage regimens

Intravenous, 300 milligrams vedolizumab, one dose, over the duration of 2 weeks. Afterwards, intravenous, 300 milligrams vedolizumab, one dose, over the duration of 4 weeks. Afterwards, intravenous, 300 milligrams vedolizumab, one dose, over the duration of 8 weeks. Afterwards, intravenous, 300 milligrams vedolizumab, once every 8 weeks.

Detailed description

The recommended dose regimen of intravenous vedolizumab is 300 mg administered by intravenous infusion at 0, 2 and 6 weeks and then every 8 weeks thereafter.

Treatment with vedolizumab should be initiated in parallel with standard of care antibiotic (e.g., fourweek of ciprofloxacin).

Discontinuation of treatment should be considered if no evidence of therapeutic benefit is observed by 14 weeks of treatment with vedolizumab.

Retreatment

There are no retreatment data available in patients with pouchitis.

Active ingredient

Vedolizumab

Vedolizumab is a gut-selective immunosuppressive biologic. It is a humanised monoclonal antibody that binds specifically to the α4β7 integrin, which is preferentially expressed on gut homing T helper lymphocytes. By binding to α4β7 on certain lymphocytes, vedolizumab inhibits adhesion of these cells to mucosal addressin cell adhesion molecule-1 (MAdCAM-1), but not to vascular cell adhesion molecule-1 (VCAM-1).

Read more about Vedolizumab

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