Peculiarities of the choice of therapy for inflammatory bowel diseases associated with malignant neoplasms
Abstract. Article discusses the risks of various malignant neoplasms arising, with the exception of colorectal cancer, in patients with inflammatory bowel diseases and the impact of available treatment methods at such kind of risks. Peculiarities of choosing a therapy for inflammatory bowel diseases in patients with pre-existing malignant neoplasms are also discussed.Barysheva O.Yu., Golubeva A.M., Egorova K.E., Vezikova N.N., Varlamova D.D.
Keywords
References
1. Gordon H, Biancone L, Fiorino G, Katsanos KH, Kopylov U, Al Sulais E et al. ECCO guidelines on inflammatory bowel disease and malignancies. J Crohns Colitis. 2023;17(6):827–54.
PMID: 36528797. https://doi.org/10.1093/ecco-jcc/jjac187
2. Клинические рекомендации. Язвенный колит. Общероссийская общественная организация «Ассоциация колопроктологов России», Российская гастроэнтерологическая ассоциация. Рубрикатор клинических рекомендаций Минздрава России. 2024. ID: 193_2. Доступ: https://cr.minzdrav.gov.ru/preview-cr/193_2 (дата обращения – 16.06.2025). (Clinical guidelines. Ulcerative colitis. Association of Coloproctologists of Russia, Russian Gastroenterological Association. Rubricator of clinical guidelines of the Ministry of Healthcare of Russia. 2024. ID: 193_2. URL: https://cr.minzdrav.gov.ru/preview-cr/193_2 (date of access – 16.06.2025) (In Russ.)).
3. Клинические рекомендации. Болезнь Крона. Общероссийская общественная организация «Ассоциация колопроктологов России», Российская гастроэнтерологическая ассоциация. Рубрикатор клинических рекомендаций Минздрава России. 2024. ID: 176_2. Доступ: https://cr.minzdrav.gov.ru/preview-cr/176_2 (дата обращения – 16.06.2025). (Clinical guidelines. Crohn’s disease. Association of Coloproctologists of Russia, Russian Gastroenterological Association. Rubricator of clinical guidelines of the Ministry of Healthcare of Russia. 2024. ID: 176_2. URL: https://cr.minzdrav.gov.ru/preview-cr/176_2 (date of access – 16.06.2025) (In Russ.)).
4. Sands BE, Irving PM, Hoops T, Izanec JL, Gao L-L, Gasink C et al.; SEAVUE Study Group. Ustekinumab versus adalimumab for induction and maintenance therapy in biologic-naive patients with moderately to severely active Crohn’s disease: A multicentre, randomised, double-blind, parallel-group, phase 3b trial. Lancet. 2022;399(10342):2200–11.
PMID: 35691323. https://doi.org/10.1016/S0140-6736(22)00688-2
5. Ghosh S, Feagan BG, Ott E, Gasink C, Godwin B, Marano C et al. Safety of ustekinumab in inflammatory bowel disease: Pooled safety analysis through 5 years in Crohn’s disease and 4 years in ulcerative colitis. J Crohns Colitis. 2024;18(7):1091–1101.
PMID: 38310565. PMCID: PMC11302965. https://doi.org/10.1093/ecco-jcc/jjae013
6. Danese S, Hanauer SB, Jairath V, Mihaly E, Vicente Lidón R, Ott E et al. P457. Long-term cumulative safety of ustekinumab in bionaive patients with Crohn’s disease and ulcerative colitis. 17th Congress of ECCO; February 16–19, 2022. URL: https://www.ecco-ibd.eu/publications/congress-abstracts/item/p457-long-term-cumulative-safety-of-ustekinumab-in-bionaive-patients-with-crohn-s-disease-and-ulcerative-colitis.html (date of access – 16.06.2025).
7. Long MD, Danese S, Ott E, Gasink C, Miao Y, Baker T et al. 14: Malignancies in patients treated with ustekinumab: Long-term pooled safety analysis in Crohn’s disease, ulcerative colitis, psoriasis, and psoriatic arthritis through up to 5 years. Gastroenterology. 2022;162(7):S-5.
https://doi.org/10.1016/S0016-5085(22)60014-3
8. Hasan B, Tandon KS, Miret R, Khan S, Riaz A, Gonzalez A et al. Ustekinumab does not increase risk of new or recurrent cancer in inflammatory bowel disease patients with prior malignancy. J Gastroenterol Hepatol. 2022;37(6):1016–21.
PMID: 35191100. https://doi.org/10.1111/jgh.15806
9. Pang AS, Hudesman D, Chang S, Axelrad JE. Su1849: Risk of new or recurrent cancer in patients with inflammatory bowel disease and previous cancer exposed to ustekinumab. Gastroenterology. 2019;156(6):S-634–S-635.
https://doi.org/10.1016/S0016-5085(19)38486-0
10. Gupta A, Peyrin-Biroulet L, Ananthakrishnan AN. Risk of cancer recurrence in patients with immune-mediated diseases with use of immunosuppressive therapies: An updated systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2024;22(3):499–512.e6.
PMID: 37579866. PMCID: PMC10859547. https://doi.org/10.1016/j.cgh.2023.07.027
11. Pans J, Loftus EV, Lacerda AP, Peyrin- Biroulet L, Dhaens G, Panaccione R et al. 114: Efficacy and safety of upadacitinib maintenance therapy in patients with moderately to severely active Crohn’s disease: Results from a randomized phase 3 U-ENDURE maintenance study. Gastroenterología y Hepatología. 2023;46:90347.
http://dx.doi.org/10.1016/S0210-5705(23)00246-7
12. Massano A, Bertin L, Zingone F, Buda A, Visaggi P, Bertani L et al. Extraintestinal cancers in inflammatory bowel disease: A literature review. Cancers. 2023;15(15):3824.
PMID: 37568640. PMCID: PMC10417189. https://doi.org/10.3390/cancers15153824
13. Axelrad JE, Hashash JG, Itzkowitz SH. AGA clinical practice update on management of inflammatory bowel disease in patients with malignancy: Commentary. Clin Gastroenterol Hepatol. 2024;22(7):1365–72.
PMID: 38752967. https://doi.org/10.1016/j.cgh.2024.03.032
14. Mala A, Foteinogiannopoulou K, Koutroubakis IE. Solid extraintestinal malignancies in patients with inflammatory bowel disease. World J Gastrointest Oncol. 2021;13(12):1956–80.
PMID: 35070035. PMCID: PMC8713323. https://doi.org/10.4251/wjgo.v13.i12.1956
About the Authors
Olga Yu. Barysheva, MD, Dr. Sci. (Medicine), associate professor, professor of the Department of hospital therapy, A.P. Zilber Medical Institute of Petrozavodsk State University, head of the Department of nephrology, V.A. Baranov Republican Hospital. Address: 185000, Petrozavodsk, 3 Pirogova St.E-mail: hosptherapy@mail.ru
ORCID: https://orcid.org/0000-0002-2133-4849. Scopus ID: 57189575715. eLibrary SPIN: 4896-5434
Anna M. Golubeva, MD, gastroenterologist at Department of nephrology, V.A. Baranov Republican Hospital. Address: 185000, Petrozavodsk, 3 Pirogova St.
E-mail: harloev@mail.ru
ORCID: https://orcid.org/0009-0006-8073-9703
Ksenia E. Egorova, MD, gastroenterologist at Department of nephrology, V.A. Baranov Republican Hospital. Address: 185000, Petrozavodsk, 3 Pirogova St.
E-mail: egorovake@mail.ru
ORCID: https://orcid.org/0000-0003-4233-3906
Natalia N. Vezikova, MD, Dr. Sci. (Medicine), professor, head of the Department of hospital therapy, A.P. Zilber Medical Institute of Petrozavodsk State University. Address: 185910, Petrozavodsk, 33 Lenina Avenue.
E-mail: vezikov23@mail.ru
ORCID: https://orcid.org/0000-0002-8901-3363. Scopus ID: 6505871479. eLibrary SPIN: 3910-7360
Darina D. Varlamova, student of A.P. Zilber Medical Institute of Petrozavodsk State University. Address: 185910, Petrozavodsk, 33 Lenina Avenue.
E-mail: darinavrlm@gmail.com
ORCID: https://orcid.org/0000-0002-4015-5109. eLibrary SPIN: 3901-0250