ECCO 2025 at a glance

As ECCO 2025 approaches, LucidQuest summarizes the must-know updates in IBD therapies, biomarkers, real-world evidence, digital health, and AI/ML so you can navigate the meeting with focus.

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Key Topics From ECCO 2025 Scientific Presentations

Phase 2/3 Data Highlight New Therapies

  • T&H diet shows better tolerance (88% vs. 52%) than EEN in CD.

  • Ustekinumab reduces secondary IMID risk (HR = 0.63, p < 0.001) vs. anti-TNFs.

  • Infliximab trough levels in PFCD remain suboptimal, indicating dose optimization needs. 🏹💉

Long-Term Safety & Efficacy

  • Risankizumab, Etrasimod, Upadacitinib maintain remission over 4 years.

  • Vedolizumab + Upadacitinib yield higher early clinical (63.4%) and endoscopic (61.5%) responses vs. monotherapy. 🩺

Next-Gen Targeted Therapies

  • Guselkumab delivers superior UC remission (27.6% vs. 6.5%, p < 0.001), emerging as a first-line option for moderate–severe disease. 🚀

Predictive Biomarkers & Personalized Medicine

  • HLA-DQA1, fecal TNF, and tryptophan metabolism refine risk stratification, highlighting multi-omics potential. 🔬

Microbiome–Disease Link

  • Key strains predict relapse; Porphyromonas gingivalis worsens UC via barrier disruption.

  • ML-based microbial biomarkers (AUC = 0.971) enhance diagnosis and therapy success. 🦠

Global Trends & Economic Burden

  • IBD incidence rises in Asia/Africa (UC +30%).

  • Brazilian CD prevalence up 288%, though biologics reduce hospitalizations (59%) and surgeries (55%). 🌎

Patient-Reported Outcomes & Digital Health

  • Nurse-led PROMOTION study boosts PRO response to 71.8% (p = 0.004).

  • Risankizumab maintenance lowers urgency, pain, and fatigue, reinforcing long-term UC efficacy. 🏥

Artificial Intelligence and Machine Learning at ECCO 2025

AI in Endoscopy

  • ML enhances UC scoring, cutting non-informative frames by 80%.

  • Clip-level ML shows patchy inflammation distribution. 🤖

AI in Histological Analysis

  • AI-based Nancy scoring (AUROC = 0.95) reclassifies 22/76 “inactive” UC cases, suggesting underdiagnosis. 🩺

AI in IBD Imaging and Prediction

  • NLP-based classification (AUC up to 0.955) streamlines inflammation/stenosis detection.

  • AI-assisted partial endoscopy (κ = 0.944) matches full colonoscopy. 🖥️

AI in Precision Therapy and Epidemiology

  • Body composition–based AI predicts anti-TNF response (AUC = 0.785).

  • ML identifies Crohn’s up to 10 years pre-diagnosis (AUC = 0.70 adults, 0.68 kids). 🏆

📅 Build your schedule around the topics that interest you.

📥 Download the ECCO 2025_Preview_by_LucidQuest

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