Efficacy and Safety of Risankizumab in Crohn's Disease: A Systematic Review and Meta-Analysis of Randomized Trials and Real-World Evidence.
Alaa Abdrabou Abouelmagd, Mazen Negmeldin Yassin, Dina Essam Abo-Elnour et al.
✦ AI-curated · Sources linked
In 30 seconds
This systematic review and meta-analysis evaluated the efficacy and safety of Risankizumab (RZB) in patients with moderate-to-severe Crohn's disease, incorporating data from five randomized controlled trials and nine observational studies (n=3275). RZB significantly improved clinical remission rates at induction (RR: 1.90) and maintenance (RR: 1.34) compared to placebo, with favorable safety outcomes.
Key findings
- RZB increased clinical remission rates at induction (RR: 1.90) and maintenance (RR: 1.34) compared to placebo.
- Endoscopic remission was significantly higher with RZB at induction (RR: 3.25) and maintenance (RR: 2.04).
- Pooled real-world evidence showed clinical remission rates of 57% at 12 weeks and 44% at 1 year.
Why it matters
The findings highlight Risankizumab's effectiveness in achieving and maintaining remission in Crohn's disease, particularly in patients who have failed previous biologic therapies. This information is crucial for clinicians managing complex cases.