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Endoscopic assessment remains the gold standard for monitoring treatment responses in patients with Crohn's disease (CD), but regular use of endoscopy to assess the disease increases the burden, risk and cost to patients.
fecal biomarker calcium vesins (FCP) and lacto-iron proteins (LCTs) derived from neophils are now widely accepted as new screening tools for CD.
study was conducted to assess the relationship between LPT and nCD64 neutral granulocytes associated with FTP mitigation and the concentration of Invlixi monoantigen (IFX) valleys.
researchers analyzed FDP, LCT, and nCD64 levels before and after IFX induction in a child Crohn's disease (CD) queue study.
14th week FTP biomarker mitigation is defined as FTP -lt;250μg/g, and clinical response is defined as child Crohn's disease activity index weighted sl;12.5 or degree of change.
ROC curve is used to determine the effectiveness of biological agents.
in 56 CD patients, the ROC analysis identified LCT and lt;8.06 (areas under the operator characteristics of the receiving operator, 0.934, P-lt;0.0.) 001) and nCD64 and 6.12 (AUROC, 0.76, P-0.02) are valid biomarkers for FTP biomarker mitigation at week 14.
induced endpoint IFX valley value 9.4 sg / mL (AUROC, 0.799, P s 0.002) and sgt; 11.5 sg / mL (AUROC, 0.835, P s 0.003) are related to FTP slt;250 and FTP slt;100, respectively.
, the researchers also found significant improvement in FTP in patients with IFX valley concentrations of 5 sg/mL, while only 35% of patients with levels of sl;5 sg/mL achieved disease remission (P s 0.024).
researchers concluded that neutral granulocytes nCD64 and LCT can be used to determine induced post-treatment remission and IFX-treated valley concentration levels.
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