{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T21:23:56Z","timestamp":1790198636177,"version":"4.1.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2022,7,16]],"date-time":"2022-07-16T00:00:00Z","timestamp":1657929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"},{"start":{"date-parts":[[2022,7,16]],"date-time":"2022-07-16T00:00:00Z","timestamp":1657929600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"funder":[{"DOI":"10.13039\/501100007642","name":"Universit\u00e0 degli Studi di Roma Tor Vergata","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007642","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Mol Diagn Ther"],"published-print":{"date-parts":[[2022,9]]},"DOI":"10.1007\/s40291-022-00606-1","type":"journal-article","created":{"date-parts":[[2022,7,16]],"date-time":"2022-07-16T12:02:43Z","timestamp":1657972963000},"page":"477-481","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Smad7 Antisense Oligonucleotide-Based Therapy in Crohn's Disease: Is it Time to Re-Evaluate?"],"prefix":"10.1007","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1339-9076","authenticated-orcid":false,"given":"Giovanni","family":"Monteleone","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmine","family":"Stolfi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Marafini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja","family":"Atreya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus F.","family":"Neurath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,16]]},"reference":[{"issue":"6","key":"606_CR1","doi-asserted-by":"publisher","first-page":"1593","DOI":"10.1053\/j.gastro.2004.02.070","volume":"126","author":"P Rutgeerts","year":"2004","unstructured":"Rutgeerts P, Van Assche G, Vermeire S. Optimizing anti-TNF treatment in inflammatory bowel disease. Gastroenterology. 2004;126(6):1593\u2013610.","journal-title":"Gastroenterology"},{"issue":"5","key":"606_CR2","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1038\/nrgastro.2016.208","volume":"14","author":"MF Neurath","year":"2017","unstructured":"Neurath MF. Current and emerging therapeutic targets for IBD. Nat Rev Gastroenterol Hepatol. 2017;14(5):269\u201378.","journal-title":"Nat Rev Gastroenterol Hepatol"},{"issue":"3","key":"606_CR3","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1111\/apt.16619","volume":"55","author":"DT Rubin","year":"2022","unstructured":"Rubin DT, Modesto I, Vermeire S, Danese S, Ng SC, Kwok KK, et al. Worldwide post-marketing safety surveillance experience with tofacitinib in ulcerative colitis. Aliment Pharmacol Ther. 2022;55(3):302\u201310.","journal-title":"Aliment Pharmacol Ther"},{"issue":"2","key":"606_CR4","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1053\/j.gastro.2016.10.018","volume":"152","author":"C Abraham","year":"2017","unstructured":"Abraham C, Dulai PS, Vermeire S, Sandborn WJ. Lessons learned from trials targeting cytokine pathways in patients with inflammatory bowel diseases. Gastroenterology. 2017;152(2):374\u201388 (e4).","journal-title":"Gastroenterology"},{"issue":"11","key":"606_CR5","doi-asserted-by":"publisher","first-page":"1207","DOI":"10.1080\/14712598.2019.1652267","volume":"19","author":"I Marafini","year":"2019","unstructured":"Marafini I, Sedda S, Dinallo V, Monteleone G. Inflammatory cytokines: from discoveries to therapies in IBD. Expert Opin Biol Ther. 2019;19(11):1207\u201317.","journal-title":"Expert Opin Biol Ther"},{"issue":"6","key":"606_CR6","doi-asserted-by":"publisher","first-page":"1786","DOI":"10.1053\/j.gastro.2006.09.016","volume":"131","author":"M Boirivant","year":"2006","unstructured":"Boirivant M, Pallone F, Di Giacinto C, Fina D, Monteleone I, Marinaro M, et al. Inhibition of Smad7 with a specific antisense oligonucleotide facilitates TGF-beta1-mediated suppression of colitis. Gastroenterology. 2006;131(6):1786\u201398.","journal-title":"Gastroenterology"},{"issue":"4","key":"606_CR7","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1038\/mt.2011.290","volume":"20","author":"G Monteleone","year":"2012","unstructured":"Monteleone G, Fantini MC, Onali S, Zorzi F, Sancesario G, Bernardini S, et al. Phase I clinical trial of Smad7 knockdown using antisense oligonucleotide in patients with active Crohn\u2019s disease. Mol Ther. 2012;20(4):870\u20136.","journal-title":"Mol Ther"},{"issue":"12","key":"606_CR8","doi-asserted-by":"publisher","first-page":"1104","DOI":"10.1056\/NEJMoa1407250","volume":"372","author":"G Monteleone","year":"2015","unstructured":"Monteleone G, Neurath MF, Ardizzone S, Di Sabatino A, Fantini MC, Castiglione F, et al. Mongersen, an oral SMAD7 antisense oligonucleotide, and Crohn\u2019s disease. N Engl J Med. 2015;372(12):1104\u201313.","journal-title":"N Engl J Med"},{"issue":"9","key":"606_CR9","doi-asserted-by":"publisher","first-page":"850","DOI":"10.1111\/apt.12051","volume":"36","author":"F Zorzi","year":"2012","unstructured":"Zorzi F, Calabrese E, Monteleone I, Fantini M, Onali S, Biancone L, et al. A phase 1 open-label trial shows that smad7 antisense oligonucleotide (GED0301) does not increase the risk of small bowel strictures in Crohn\u2019s disease. Aliment Pharmacol Ther. 2012;36(9):850\u20137.","journal-title":"Aliment Pharmacol Ther"},{"issue":"6","key":"606_CR10","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1111\/apt.13526","volume":"43","author":"G Monteleone","year":"2016","unstructured":"Monteleone G, Di Sabatino A, Ardizzone S, Pallone F, Usiskin K, Zhan X, et al. Impact of patient characteristics on the clinical efficacy of mongersen (GED-0301), an oral Smad7 antisense oligonucleotide, in active Crohn\u2019s disease. Aliment Pharmacol Ther. 2016;43(6):717\u201324.","journal-title":"Aliment Pharmacol Ther"},{"issue":"3","key":"606_CR11","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1007\/s40259-021-00482-x","volume":"35","author":"I Marafini","year":"2021","unstructured":"Marafini I, Stolfi C, Troncone E, Lolli E, Onali S, Paoluzi OA, et al. A pharmacological batch of Mongersen that downregulates Smad7 is effective as induction therapy in active Crohn\u2019s disease: a phase II. Open-label study. BioDrugs. 2021;35(3):325\u201336.","journal-title":"BioDrugs"},{"issue":"5","key":"606_CR12","doi-asserted-by":"publisher","first-page":"738","DOI":"10.14309\/ajg.0000000000000493","volume":"115","author":"BE Sands","year":"2020","unstructured":"Sands BE, Feagan BG, Sandborn WJ, Schreiber S, Peyrin-Biroulet L, Frederic Colombel J, et al. Mongersen (GED-0301) for active Crohn\u2019s disease: results of a phase 3 study. Am J Gastroenterol. 2020;115(5):738\u201345.","journal-title":"Am J Gastroenterol"},{"issue":"5","key":"606_CR13","doi-asserted-by":"publisher","first-page":"687","DOI":"10.14309\/ajg.0000000000000564","volume":"115","author":"M Bewtra","year":"2020","unstructured":"Bewtra M, Lichtenstein GR. Mongersen and SMAD-7 inhibition, not a lucky 7 for patients with IBD: when trial design is as important as disease therapy. Am J Gastroenterol. 2020;115(5):687\u20138.","journal-title":"Am J Gastroenterol"},{"issue":"1","key":"606_CR14","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1053\/j.gastro.2017.08.035","volume":"154","author":"BG Feagan","year":"2018","unstructured":"Feagan BG, Sands BE, Rossiter G, Li X, Usiskin K, Zhan X, et al. Effects of Mongersen (GED-0301) on endoscopic and clinical outcomes in patients with active Crohn\u2019s disease. Gastroenterology. 2018;154(1):61-4e6.","journal-title":"Gastroenterology"},{"issue":"3","key":"606_CR15","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1038\/nbt.3765","volume":"35","author":"A Khvorova","year":"2017","unstructured":"Khvorova A, Watts JK. The chemical evolution of oligonucleotide therapies of clinical utility. Nat Biotechnol. 2017;35(3):238\u201348.","journal-title":"Nat Biotechnol"},{"key":"606_CR16","doi-asserted-by":"publisher","DOI":"10.1089\/nat.2021.0089","author":"L Arrico","year":"2022","unstructured":"Arrico L, Stolfi C, Marafini I, Monteleone G, Demartis S, Bellinvia S, et al. Inhomogeneous diastereomeric composition of mongersen antisense phosphorothioate oligonucleotide preparations and related pharmacological activity impairment. Nucleic Acid Ther. 2022. https:\/\/doi.org\/10.1089\/nat.2021.0089 (Epub 9 Mar 2022).","journal-title":"Nucleic Acid Ther"},{"issue":"3","key":"606_CR17","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/S0016-5085(76)80163-1","volume":"70","author":"WR Best","year":"1976","unstructured":"Best WR, Becktel JM, Singleton JW, Kern F Jr. Development of a Crohn\u2019s disease activity index. National Cooperative Crohn\u2019s Disease Study. Gastroenterology. 1976;70(3):439\u201344.","journal-title":"Gastroenterology"},{"issue":"1","key":"606_CR18","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1136\/gut.51.1.30","volume":"51","author":"BR Yacyshyn","year":"2002","unstructured":"Yacyshyn BR, Chey WY, Goff J, Salzberg B, Baerg R, Buchman AL, et al. Double blind, placebo controlled trial of the remission inducing and steroid sparing properties of an ICAM-1 antisense oligodeoxynucleotide, alicaforsen (ISIS 2302), in active steroid dependent Crohn\u2019s disease. Gut. 2002;51(1):30\u20136.","journal-title":"Gut"}],"container-title":["Molecular Diagnosis &amp; Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40291-022-00606-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s40291-022-00606-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40291-022-00606-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T04:34:32Z","timestamp":1661402072000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s40291-022-00606-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,16]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["606"],"URL":"https:\/\/doi.org\/10.1007\/s40291-022-00606-1","relation":{},"ISSN":["1177-1062","1179-2000"],"issn-type":[{"value":"1177-1062","type":"print"},{"value":"1179-2000","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,16]]},"assertion":[{"value":"21 June 2022","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 July 2022","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Giovanni Monteleone served as a consultant for First Wave BioPharma and has filed a patent related to the treatment of inflammatory bowel diseases with Smad7 antisense oligonucleotides. Carmine Stolfi and Irene Marafini have no conflict of interests to declare. Raja Atreya received research grants from, or served as a member of advisory boards or speakers\u2019 bureaus, for AbbVie, Amgen, Arena Pharmaceuticals, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Celltrion Healthcare, Dr Falk Pharma, Eli Lilly, Ferring Pharmaceuticals, Fresenius Kabi, Galapagos, Gilead, GlaxoSmithKline plc, InDex Pharmaceuticals, Janssen-Cilag, Kiniksa Pharmaceuticals, MSD, Novartis, Pandion Therapeutics, Pfizer, Roche Pharma, Samsung Bioepis, Stelic Institute, Sterna Biologicals, Takeda Pharma, Tillotts Pharma AG, and Viatris. Markus F. Neurath served as a consultant for Pentax, Abbvie, Boehringer, PPM, Janssen, and Takeda.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics and consent"}},{"value":"GM: Literature search, data collection and interpretation, and writing of the manuscript. CS, IM, RA and MFN: Critical revision of the manuscript.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Author contributions"}},{"value":"No specific funding has been received for this work.\u00a0Open access funding provided by Universit\u00e0 degli Studi di Roma Tor Vergata within the CRUI-CARE Agreement.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Funding"}},{"value":"Data describing the chemical properties of the mongersen batches are available in PubMed and can be accessed via the following doi link: . The post\u00a0hoc analysis data shown in Fig.  were provided by Nogra Pharma Ltd. Data will be shared on request to the corresponding author with the permission of Nogra Pharma Ltd.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Data availability"}},{"value":"Not applicable.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Code availability"}}]}}