Title : Pretreatment HLADQA1-HLADRB1 Testing for the Prevention of Azathioprine-Induced Pancreatitis in Inflammatory Bowel Disease: A Prospective Cohort Study.

Pub. Date : 2021 Apr 5

PMID : 33821842






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1 Pretreatment HLADQA1-HLADRB1 Testing for the Prevention of Azathioprine-Induced Pancreatitis in Inflammatory Bowel Disease: A Prospective Cohort Study. Azathioprine major histocompatibility complex, class II, DQ alpha 1 Homo sapiens
2 The haplotype HLADQA1-HLADRB1*07:01A>C is strongly associated with azathioprine-induced pancreatitis in IBD. Azathioprine major histocompatibility complex, class II, DQ alpha 1 Homo sapiens
3 We aimed to evaluate whether pretreatment HLADQA1-HLADRB1*07:01A>C screening will reduce the risk of azathioprine-induced pancreatitis. Azathioprine major histocompatibility complex, class II, DQ alpha 1 Homo sapiens
4 RESULTS: HLADQA1-HLADRB1*07:01A>C screening resulted in an 11-fold reduction in the incidence of azathioprine-induced pancreatitis (n = 1/328 or 0.30% vs n = 13/373 or 3.4%). Azathioprine major histocompatibility complex, class II, DQ alpha 1 Homo sapiens
5 DISCUSSION: HLADQA1-HLADRB1*07:01A>C screening reduced the risk of azathioprine-induced pancreatitis; however, using this strategy to guide the use of azathioprine therapy in IBD may eliminate a large proportion of patients from being eligible for treatment with azathioprine. Azathioprine major histocompatibility complex, class II, DQ alpha 1 Homo sapiens
6 DISCUSSION: HLADQA1-HLADRB1*07:01A>C screening reduced the risk of azathioprine-induced pancreatitis; however, using this strategy to guide the use of azathioprine therapy in IBD may eliminate a large proportion of patients from being eligible for treatment with azathioprine. Azathioprine major histocompatibility complex, class II, DQ alpha 1 Homo sapiens
7 DISCUSSION: HLADQA1-HLADRB1*07:01A>C screening reduced the risk of azathioprine-induced pancreatitis; however, using this strategy to guide the use of azathioprine therapy in IBD may eliminate a large proportion of patients from being eligible for treatment with azathioprine. Azathioprine major histocompatibility complex, class II, DQ alpha 1 Homo sapiens
8 In regions where there is access to other IBD therapies, and given the short-term and long-term toxicities associated with azathioprine, HLADQA1-HLADRB1*07:01A>C-screening may be a clinically relevant strategy for enhancing the safe use of azathioprine in IBD. Azathioprine major histocompatibility complex, class II, DQ alpha 1 Homo sapiens
9 In regions where there is access to other IBD therapies, and given the short-term and long-term toxicities associated with azathioprine, HLADQA1-HLADRB1*07:01A>C-screening may be a clinically relevant strategy for enhancing the safe use of azathioprine in IBD. Azathioprine major histocompatibility complex, class II, DQ alpha 1 Homo sapiens