Abstract
Emerging evidence suggests the gut microbiome's potential in predicting response to biologic treatments in patients with inflammatory bowel disease (IBD). In this prospective study, we aimed to predict treatment response to vedolizumab and ustekinumab, integrating clinical data, gut microbiome profiles based on metagenomic sequencing, and untargeted fecal metabolomics. We aimed to identify predictive biomarkers and attempted to replicate microbiome-based signals from previous studies. We found that the predictive utility of the gut microbiome and fecal metabolites for treatment response was marginal compared to clinical features alone. Testing our identified microbial ratios in an external cohort reinforced the lack of predictive power of the microbiome. Additionally, we could not confirm previously published predictive signals observed in similar sized cohorts. Overall, these findings highlight the importance of external validation and larger sample sizes, to better understand the microbiome's impact on therapy outcomes in the setting of biologicals in IBD before potential clinical implementation.
Original language | English |
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Article number | 2391505 |
Number of pages | 18 |
Journal | Gut Microbes |
Volume | 16 |
Issue number | 1 |
DOIs | |
Publication status | Published - 21 Aug 2024 |
Keywords
- Adult
- Antibodies, Monoclonal, Humanized/therapeutic use
- Bacteria/genetics
- Biological Therapy/methods
- Biomarkers/analysis
- Feces/microbiology
- Female
- Gastrointestinal Microbiome/drug effects
- Humans
- Inflammatory Bowel Diseases/drug therapy
- Male
- Metabolome/drug effects
- Middle Aged
- Prospective Studies
- Treatment Outcome
- Ustekinumab/therapeutic use