Impact Of Early Endoscopic Remission After Advanced Therapy On Long-Term Complications In Crohn's Disease: Findings From TARGET-IBD
View publication →Challenge
Achieving early endoscopic remission after advanced therapy initiation is a treat-to-target goal in Crohn's disease, but real-world evidence establishing that early endoscopic remission translates into lower rates of long-term complications—surgery, hospitalization, disease progression—had not been generated at scale.
Solution
The TARGET-IBD registry was used to compare rates of disease progression, surgery, and hospitalization between CD patients achieving early endoscopic remission after advanced therapy and those who did not, using longitudinal time-to-event analyses.
Impact
Establishing that early endoscopic remission after advanced therapy prevents long-term CD complications provides real-world clinical meaningfulness evidence for endoscopic remission as a treat-to-target endpoint, supporting Merck's regulatory strategy and prescriber messaging for its Crohn's disease portfolio.
Use Cases / Links
Endoscopic remission clinical meaningfulness evidence for Crohn's disease treat-to-target strategy, Real-world complication prevention evidence supporting Merck CD portfolio regulatory and payer arguments, Early advanced therapy response linkage to outcomes for CD label development and prescriber education