Therapeutic Drug Monitoring for Biologics in Inflammatory Bowel Disease

Originally presented May 8, 2024

Video length: 60 minutes

Overview

Over the past 10 years, the therapeutic arsenal for inflammatory bowel disease has grown exponentially, from TNF inhibitors such as infliximab, to anti-integrins (e.g., vedolizumab) and anti-interleukins (e.g., ustekinumab, risankizumab) amongst other drug classes. Given that the monoclonal antibody therapies are generally immunogenic, there are several laboratory assays to monitor patients in reactive or proactive stages of response assessment. 

This webinar will cover the laboratory tests available to monitor patients using monoclonal antibody therapies for treatment of inflammatory bowel disease. Focus will be shared between analytical approaches as well as literature and practice recommendations for tests results interpretation.

Presenters

Maria Alice Willrich, Ph.D.

Associate Professor of Laboratory Medicine and Pathology
Department of Laboratory Medicine and Pathology

Mayo Clinic
Rochester, Minnesota

Michelle D. Becker, Pharm.D., R.Ph., BCACP

Assistant Professor of Pharmacy
Division of Gastroenterology and Hepatology 

Mayo Clinic
Rochester, Minnesota

Learning objectives

Upon completion of this activity, participants should be able to:

  • Describe the analytical methods employed for the measurement of monoclonal antibody therapies concentration and anti-drug antibodies.
  • Differentiate between reactive and proactive monitoring of monoclonal antibody therapies.
  • Develop plan for therapeutic drug monitoring based on patient- and drug-specific considerations.
  • Interpret therapeutic drug monitoring lab results to determine best next steps for a medical treatment plan.

Intended audience

This webinar is appropriate for any provider who sees patients with inflammatory bowel disease, gastroenterologists, primary care internal medicine, laboratory directors, lab supervisors, pathologists, pharmacists, and laboratory send-out coordinators/managers.

Questions

Contact us: mcleducation@mayo.edu

MCL Education

This post was developed by our Education and Technical Publications Team.