PMID- 32783974 OWN - NLM STAT- MEDLINE DCOM- 20210901 LR - 20210901 IS - 1096-1186 (Electronic) IS - 1043-6618 (Linking) VI - 161 DP - 2020 Nov TI - Biological therapy in pediatric age. PG - 105120 LID - S1043-6618(20)31428-6 [pii] LID - 10.1016/j.phrs.2020.105120 [doi] AB - Biological therapies, especially blocking tumor necrosis factor-alpha (TNFalpha) agents have radically changed the therapeutic approach and disease course of pediatric inflammatory bowel disease (IBD). In particular, drugs such as infliximab (IFX) and adalimumab (ADA) have been demonstrated to be effective in inducing and maintaining corticosteroid-free remission in both adult and pediatric patients with Crohns Disease (CD) and Ulcerative colitis (UC). Biosimilar biological (BioS) therapy is increasingly being used in pediatric age even though most knowledge on the safety and efficacy of these agents is based on IFX in adult IBD data. Studies show high rates of clinical response and remission in both IFX naive patients and in patients switched from originator to BioS with similar risks of adverse events (AEs) as those reported with IFX originator. In the present review indications, efficacy and AEs of biological therapy in pediatric IBD will be discussed, as well as the role of other biological agents such as Golimumab, Vedolizumab and Ustekinumab, the role of BioS biological therapy and utility of therapeutic drug monitoring in clinical practice. CI - Copyright (c) 2020. Published by Elsevier Ltd. FAU - Penagini, Francesca AU - Penagini F AD - Pediatric Department, University of Milan, "V. Buzzi" Children's Hospital, ASST FBF SACCO, via Castelvetro 32, 20154 Milan, Italy. Electronic address: francesca.penagini@asst-fbf-sacco.it. FAU - Cococcioni, Lucia AU - Cococcioni L AD - Pediatric Department, University of Milan, "V. Buzzi" Children's Hospital, ASST FBF SACCO, via Castelvetro 32, 20154 Milan, Italy. Electronic address: lucia.cococcioni@asst-fbf-sacco.it. FAU - Pozzi, Elena AU - Pozzi E AD - Pediatric Department, University of Milan, "V. Buzzi" Children's Hospital, ASST FBF SACCO, via Castelvetro 32, 20154 Milan, Italy. Electronic address: elena.pozzi@asst-fbf-sacco.it. FAU - Dilillo, Dario AU - Dilillo D AD - Pediatric Department, University of Milan, "V. Buzzi" Children's Hospital, ASST FBF SACCO, via Castelvetro 32, 20154 Milan, Italy. Electronic address: dario.dilillo@asst-fbf-sacco.it. FAU - Rendo, Giulia AU - Rendo G AD - Pediatric Department, University of Milan, "V. Buzzi" Children's Hospital, ASST FBF SACCO, via Castelvetro 32, 20154 Milan, Italy. Electronic address: giulia.rendo@unimi.it. FAU - Mantegazza, Cecilia AU - Mantegazza C AD - Pediatric Department, University of Milan, "V. Buzzi" Children's Hospital, ASST FBF SACCO, via Castelvetro 32, 20154 Milan, Italy. Electronic address: cecilia.mantegazza@asst-fbf-sacco.it. FAU - Zuccotti, Gian Vincenzo AU - Zuccotti GV AD - Pediatric Department, University of Milan, "V. Buzzi" Children's Hospital, ASST FBF SACCO, via Castelvetro 32, 20154 Milan, Italy. Electronic address: gianvincenzo.zuccotti@unimi.it. LA - eng PT - Journal Article PT - Systematic Review DEP - 20200809 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 RN - 0 (Biological Products) RN - 0 (Biosimilar Pharmaceuticals) RN - 0 (Immunosuppressive Agents) RN - 0 (Tumor Necrosis Factor Inhibitors) RN - Pediatric Crohn's disease RN - Pediatric ulcerative colitis SB - IM MH - Adolescent MH - Age Factors MH - Biological Products/adverse effects/*therapeutic use MH - Biosimilar Pharmaceuticals/adverse effects/*therapeutic use MH - Child MH - Child, Preschool MH - Colitis, Ulcerative/diagnosis/*drug therapy/immunology MH - Crohn Disease/diagnosis/*drug therapy/immunology MH - Drug Monitoring MH - Drug Therapy, Combination MH - Female MH - Humans MH - Immunosuppressive Agents/adverse effects/*therapeutic use MH - Infant MH - Male MH - Remission Induction MH - Treatment Outcome MH - Tumor Necrosis Factor Inhibitors/adverse effects/*therapeutic use OTO - NOTNLM OT - Adalimumab OT - Anti-Tnfalpha agents OT - Biosimilar biological therapy OT - Inflammatory bowel disease OT - Infliximab OT - Pediatrics EDAT- 2020/08/14 06:00 MHDA- 2021/09/02 06:00 CRDT- 2020/08/14 06:00 PHST- 2020/04/14 00:00 [received] PHST- 2020/07/30 00:00 [revised] PHST- 2020/07/30 00:00 [accepted] PHST- 2020/08/14 06:00 [pubmed] PHST- 2021/09/02 06:00 [medline] PHST- 2020/08/14 06:00 [entrez] AID - S1043-6618(20)31428-6 [pii] AID - 10.1016/j.phrs.2020.105120 [doi] PST - ppublish SO - Pharmacol Res. 2020 Nov;161:105120. doi: 10.1016/j.phrs.2020.105120. Epub 2020 Aug 9.