Spondyloarthritis & psoriatic arthritis

Ustekinumab Safety in Pregnancy: A Comprehensive Review

Arthritis Care Res (Hoboken)Published Comprehensive review

Authors' conclusion

We show that, to date, studies have not identified an excess risk of adverse pregnancy outcomes among women exposed to ustekinumab in pregnancy, with few exposed pregnancies and potential for some bias.

Study context

Population
Women exposed to ustekinumab (IL-12/23 inhibitor) in pregnancy, with inflammatory bowel diseases (IBD), psoriasis or PsA; animal studies, case reports, case series, observational studies and clinical practice guidelines
Outcome
Adverse pregnancy outcomes with ustekinumab exposure

Main finding

As reported in the abstract

  • No excess risk of adverse pregnancy outcomes identified to date among women exposed to ustekinumab in pregnancy, with few exposed pregnancies and potential for some bias
  • Clinical guidelines conflicted on whether to continue or discontinue ustekinumab

Original publication

Ustekinumab Safety in Pregnancy: A Comprehensive Review. Arthritis Care Res (Hoboken). Published 16 November 2022. doi:10.1002/acr.24813

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