Treatment of adult short bowel syndrome patients with teduglutide

Lærke Marijke Nørholk, Jens Juul Holst, Palle Bekker Jeppesen

    17 Citations (Scopus)

    Abstract

    INTRODUCTION: Parenteral support is lifesaving in short bowel syndrome patients with intestinal failure (SBS-IF), who are unable to compensate for their malabsorption by metabolic or pharmacologic adaptation. Mutually, the symptoms of SBS-IF and the inconveniences and complications in relation to parenteral support may cause impairment of the quality of life of SBS-IF patients. Conventional treatments include dietary manipulations, oral rehydration solutions, antidiarrheal and antisecretory treatments. However, the evidence base for these interventions is limited, and treatments improving structural and functional integrity of the remaining intestine are desired. Teduglutide , an analog of glucagon-like peptide 2, improves intestinal rehabilitation by promoting mucosal growth and possibly by inhibiting gastric emptying and secretion, which in turn reduces intestinal losses and promotes intestinal absorption. AREAS COVERED: This paper reviews the following findings: in a 3-week, Phase II balance study, teduglutide reduced diarrhea by ∼ 700 g/day and fecal energy losses by ∼ 0.8 MJ/day, and in a randomized, placebo-controlled, 24-week, Phase III study, corresponding reductions in the need for parenteral support were obtained. EXPERT OPINION: Teduglutide seems to be safe and well-tolerated and demonstrates restoration of structural and functional integrity of the remaining intestine with significant intestinotrophic and proabsorptive effects, facilitating a reduction in diarrhea and an equivalent reduction in the need for parenteral support in SBS-IF patients.
    Original languageEnglish
    JournalExpert Opinion on Pharmacotherapy
    Volume13
    Issue number2
    Pages (from-to)235-43
    Number of pages9
    ISSN1465-6566
    DOIs
    Publication statusPublished - 2012

    Keywords

    • Gastrointestinal Agents
    • Glucagon-Like Peptide 2
    • Humans
    • Peptides
    • Short Bowel Syndrome

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