Long‐Term Outcomes With Teduglutide From a Single Center. Issue 2 (11th May 2020)

• Record Type: Journal Article
• Authors: Puello, Frances; Wall, Elizabeth; Herlitz, Jean; Lozano, Edward S.; Semrad, Carol; Micic, Dejan
• Is Part Of: JPEN, Journal of parenteral and enteral nutrition. Volume 45:Issue 2(2021)
• Page Start: 318
• Page End: 322
• Publication Date: 2020-05-11
• Subjects: Growth factor -- intestinal failure -- parenteral support -- short‐bowel syndrome -- teduglutide; Parenteral feeding -- Periodicals; Enteral feeding -- Periodicals; 615.85484
• DOI: 10.1002/jpen.1838
• Languages: English
• ISSNs: 0148-6071

Abstract

Abstract: Background: The aim of this study was to quantify the long‐term clinical outcomes for individuals receiving teduglutide for short‐bowel syndrome (SBS). Methods: A single‐center, retrospective study was performed for individuals commencing use of teduglutide between March 2013 and May 2019. Results: Eighteen patients were included in the final analysis, among which the median duration of teduglutide administration was 3.2 (range, 0.6–6.2) years. Twelve of 16 (75%) patients at 12 months, 10 of 13 (76.9%) at 24 months, 7 of 10 (70%) at 36 months, and 3 of 3 (100%) at 60 months had a response to teduglutide therapy, defined as a >20% reduction in parenteral support (PS) requirement. Among responders at 12, 24, and 36 months, the presence of a colon‐in‐continuity, an ileocecal valve, a response at 3 months, the length of small bowel, nor the baseline volume affected response to therapy ( P > .05 for all comparisons). Five (28%) patients were able to achieve freedom from PS, among which all had a history of Crohn's disease with loss of the ileocecal valve and among which 3 had a colon‐in‐continuity. Four of the 5 patients discontinued PS by 6 months of teduglutide therapy. Conclusions: In a real‐world experience, teduglutide therapy results in rapid and sustained reductions in PS. Larger postmarketing studies will be required to reliably predict response to treatment and the factors associated with enteral autonomy.