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Preparing to Integrate TL1A Inhibitors Into Evidence-Based Care for Inflammatory Bowel Disease

Wednesday, November 4, 2026 | 6:00–7:30 PM ESTVirtual

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Program Description

Patients with inflammatory bowel disease (IBD) experience a substantial clinical and economic toll, with frequent hospital admissions and medication use contributing to high direct and indirect costs. Standard therapy options are numerous but often fail to achieve durable remission. Because of this, treatment decisions around step-up vs top-down strategies, risk stratification, and long-term monitoring remain complex. A new class of therapy targeting TNF-like ligand 1A (TL1A) is emerging from phase 3 trials in patients with moderate to severe ulcerative colitis and Crohn disease. These agents offer a mechanism of action distinct from that of currently approved biologics; TL1A drives mucosal inflammation and intestinal fibrosis, and inhibiting it may address disease pathways that current treatments leave unresolved. As these therapies move toward market entry, managed care professionals and pharmacists must consider their available evidence when determining formulary placement, utilization management, and access. These decisions hinge on understanding the clinical evidence and the cost implications associated with these emerging medications. With regulatory decisions soon to come, managed care pharmacists must be familiar with the clinical and economic burden of IBD to make evidence-based utilization management decisions about TL1A inhibitors. This session will focus on the mechanism of action of TL1A inhibition and how these emerging agents may fit into treatment algorithms relative to conventional IBD therapies.

Target audience: Managed Care Pharmacists
Type of activity: Application
Release date: November 4, 2026
Expiration date: January 3, 2027
Time to complete activity: 1.5 hours
Learner level: Foundational, Intermediate
Fee: Free

Educational Objectives

At the completion of this activity, pharmacists will be able to:

  • Differentiate ulcerative colitis and Crohn disease as well as the STRIDE-II treatment targets for each
  • Explain how the mechanism of action of TL1A inhibitors addresses unmet needs with current therapies
  • Identify the clinical and economic burden of inflammatory bowel disease and strategies to optimize resource utilization

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