PMID- 37626745 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230828 IS - 2227-9059 (Print) IS - 2227-9059 (Electronic) IS - 2227-9059 (Linking) VI - 11 IP - 8 DP - 2023 Aug 11 TI - Inflammatory Bowel Disease: Emerging Therapies and Future Treatment Strategies. LID - 10.3390/biomedicines11082249 [doi] LID - 2249 AB - Inflammatory bowel disease (IBD) is a term used to represent a group of chronic, relapsing inflammatory disorders of the gastrointestinal tract. Crohn's disease (CD) and ulcerative colitis (UC) are the two major clinical forms. The global incidence and prevalence of IBD have increased over the last 2-4 decades. Despite the specific etiopathogenesis of IBD still being unknown, it is widely recognized that immunological, genetic, and environmental factors are implicated. A greater understanding of the multiple signaling pathways involved has led to the development of biologic therapies in the last two decades. Although these treatments have dramatically transformed the course of IBD, there is not a definitive cure and available therapies may cause adverse events (AEs), limiting their use, or have an inadequate effect in some patients. In this context, emerging therapies addressing new specific pathogenetic mechanisms have shown promising efficacy and safety data in early clinical trials. The purpose of this review is to highlight the available clinical trial data for these new drugs, such as more preferential JAK inhibitors, anti-IL-23 antibodies, sphingosine-1-phosphate receptor modulators, anti-integrin therapies, and other small molecules that are currently under research. We will emphasize the potential significance of these agents in shaping future treatment options. FAU - Bretto, Elisabetta AU - Bretto E AD - Department of Medical Sciences, University of Turin, 10126 Turin, Italy. AD - Unit of Gastroenterology, Citta della Salute e della Scienza di Torino-Molinette Hospital, 10126 Turin, Italy. FAU - Ribaldone, Davide Giuseppe AU - Ribaldone DG AUID- ORCID: 0000-0002-9421-3087 AD - Department of Medical Sciences, University of Turin, 10126 Turin, Italy. AD - Unit of Gastroenterology, Citta della Salute e della Scienza di Torino-Molinette Hospital, 10126 Turin, Italy. FAU - Caviglia, Gian Paolo AU - Caviglia GP AUID- ORCID: 0000-0002-0529-9481 AD - Department of Medical Sciences, University of Turin, 10126 Turin, Italy. FAU - Saracco, Giorgio Maria AU - Saracco GM AUID- ORCID: 0000-0001-5310-4143 AD - Department of Medical Sciences, University of Turin, 10126 Turin, Italy. AD - Unit of Gastroenterology, Citta della Salute e della Scienza di Torino-Molinette Hospital, 10126 Turin, Italy. FAU - Bugianesi, Elisabetta AU - Bugianesi E AUID- ORCID: 0000-0002-0502-4381 AD - Department of Medical Sciences, University of Turin, 10126 Turin, Italy. AD - Unit of Gastroenterology, Citta della Salute e della Scienza di Torino-Molinette Hospital, 10126 Turin, Italy. FAU - Frara, Simone AU - Frara S AD - Department of Medical Sciences, University of Turin, 10126 Turin, Italy. AD - Unit of Gastroenterology, Citta della Salute e della Scienza di Torino-Molinette Hospital, 10126 Turin, Italy. LA - eng PT - Journal Article PT - Review DEP - 20230811 PL - Switzerland TA - Biomedicines JT - Biomedicines JID - 101691304 PMC - PMC10452708 OTO - NOTNLM OT - Crohn's disease OT - JAK inhibitors OT - anti-integrins OT - anti-interleukin-23 antibodies OT - inflammatory bowel disease OT - novel therapies OT - sphingosine-1-phosphate receptor modulators OT - ulcerative colitis COIS- The authors declare no conflict of interest. EDAT- 2023/08/26 10:42 MHDA- 2023/08/26 10:43 PMCR- 2023/08/11 CRDT- 2023/08/26 01:01 PHST- 2023/06/30 00:00 [received] PHST- 2023/08/02 00:00 [revised] PHST- 2023/08/08 00:00 [accepted] PHST- 2023/08/26 10:43 [medline] PHST- 2023/08/26 10:42 [pubmed] PHST- 2023/08/26 01:01 [entrez] PHST- 2023/08/11 00:00 [pmc-release] AID - biomedicines11082249 [pii] AID - biomedicines-11-02249 [pii] AID - 10.3390/biomedicines11082249 [doi] PST - epublish SO - Biomedicines. 2023 Aug 11;11(8):2249. doi: 10.3390/biomedicines11082249.