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Accelerated induction regimens of TNF-alpha inhibitors in patients with inflammatory bowel disease: a scoping review protocol
  1. Amy Johnston1,
  2. Sabrina Natarajan2,
  3. Meghan Hayes2,
  4. Erika MacDonald2,
  5. Risa Shorr3
  1. 1 Cardiovascular Research Methods Centre, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
  2. 2 Pharmacy Department, The Ottawa Hospital, Ottawa, Ontario, Canada
  3. 3 Learning Services, The Ottawa Hospital, Ottawa, Ontario, Canada
  1. Correspondence to Amy Johnston; ajohnston{at}ottawaheart.ca

Abstract

Introduction Tumour necrosis factor (TNF)-alpha inhibitors are commonly used to treat inflammatory bowel disease (IBD). In patients with IBD who are unresponsive to their first induction dose, the implementation of an ‘accelerated’ induction dose schedule (doses more frequent than recommended in product monographs) is becoming increasingly common. It is unclear whether this practice results in favourable patient outcomes, such as avoidance of surgery and disease remission. As such, there is a need to identify and map the current evidence base on accelerated induction schedules of these medications in the treatment of IBD.

Methods and analysis A scoping review will be employed to systematically identify and characterise the nature of scientific literature on accelerated induction regimens of TNF-alpha inhibitors. MEDLINE, Embase, International Pharmaceutical Abstracts and grey literature will be searched to identify relevant studies. The titles/abstracts of all records and full text of potentially relevant articles will be independently screened for inclusion by two reviewers. Data will be abstracted from included studies by one reviewer and verified for accuracy by another. The findings will be synthesised descriptively.

Ethics and dissemination We intend to report the findings of this scoping review in a peer-reviewed journal and a scientific conference.

Trial registration This research was registered prospectively with the Open Science Framework (https://osf.io/z7n2d/).

  • inflammatory bowel disease
  • scoping review
  • crohn’s disease
  • ulcerative colitis
  • knowledge synthesis

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Footnotes

  • Contributors All authors made substantial contributions to the conception and design of the work, drafting the work and revising it critically for important intellectual content and providing final approval of the version to be published and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.