Achievement of endoscopic remission after induction reduces hospitalization burden in Crohn’s Disease: findings from a pooled post hoc analysis of risankizumab and upadacitinib Phase III trials

Panaccione et al. investigated the association between achievement of endoscopic remission following induction therapy and hospitalisation outcomes in Crohn’s disease. Patients achieving endoscopic remission at Week 12 experienced a 55% reduction in Crohn’s disease-related hospitalisation rates over the 52-week maintenance period. The results support endoscopic remission as an early therapeutic target.

This pooled post hoc analysis included 869 adult patients with moderate-to-severe Crohn’s disease from the Phase III FORTIFY and U-ENDURE trials. Participants who achieved clinical response to risankizumab or upadacitinib induction were included. Endoscopic remission was defined by SES-CD criteria, and hospitalisation outcomes were assessed over 52 weeks of maintenance therapy.