The present invention provides methods for personalized therapeutic management of a
disease in order to optimize therapy and / or monitor therapeutic
efficacy. In particular, the present invention comprises measuring an array of one or a plurality of biomarkers at a plurality of time points over the course of therapy with a therapeutic agent to determine a
mucosal healing index for selecting therapy, optimizing therapy, reducing
toxicity, and / or monitoring the
efficacy of
therapeutic treatment. In certain instances, the therapeutic agent is a TNFα inhibitor for the treatment of a TNFα-mediated
disease or disorder.