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A combination therapy consisting of adalimumab (a TNF-alpha blocker) and ciprofloxacin (a fluoroquinolone antibiotic). This combination has been shown to be more effective than adalimumab monotherapy in achieving fistula closure in patients with perianal fistulizing Crohn's disease. In clinical trials, the combination demonstrated significantly higher clinical response rates (71% vs 47%) and remission rates (65% vs 33%) compared to adalimumab alone at 12 weeks. However, the beneficial effect was not maintained after discontinuation of ciprofloxacin.
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