Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Original Article

Volume 11, Number 1, February 2018, pages 41-45


Comparative Effectiveness of Vedolizumab vs. Infliximab Induction Therapy in Ulcerative Colitis: Experience of a Real-World Cohort at a Tertiary Inflammatory Bowel Disease Center

Figure

Figure 1.
Figure 1. Flowchart of patients who met inclusion/exclusion criteria. UC: ulcerative colitis.

Tables

Table 1. Summary Statistics (Infliximab vs. Vedolizumab)
 
Infliximab (N = 27 )Vedolizumab (N = 32)P-value
STD: standard deviation; 5-ASA: 5-aminosalicylates; PPI: proton pump inhibitor; BMI: body mass index.
Age in year, mean (STD)42.3 (18.5)54.5 (17.9)0.0135
DOD5.8 (5.8)6.6 (8.6)0.6682
Race, %0.6692
  Non-Hispanic white18 (66.7)21 (65.6)
  Black7 (25.9)10 (31.2)
  Other2 (7.4)1 (3.1)
Gender1.0000
  0 (male)11 (40.7)14 (43.8)
  1 (female)16 (59.3)18 (56.2)
Nicotine use1 (3.7)2 (6.3)1.0000
Steroid use8 (29.6)5 (15.6)0.1587
5-ASA18 (66.7)15 (46.9)0.1086
Thiopurine7 (25.9)10 (31.3)0.7756
Methotrexate3 (11.1)2 (6.2)0.6523
TNF blocker experienced6 (22.2)19 (59.4)0.0076
Vedolizumab exp.3 (11.1)0 (0)0.0900
Vitamin D def.7 (25.9)11 (34.4)0.1059
PPI use3 (11.1)6 (18.8)0.4877
BMI25.7 (5.3)25.8 (5.4)0.5440
Duration of clinical follow-up after induction, mean (weeks)12.3815
Clinical response18 (66.7%)25 (78.1%)0.3861

 

Table 2. Rate Ratios for Clinical Response
 
Proportion with responseNumber with responseNumber of total person weeksResponse rate (no. with response/PW)*IRR (95% CI)
*Response rate per 100 person-weeks. IRR: incidence rate ratio; CI: confidence interval.
Overall43/59 (72.9%)43814
Infliximab18/27 (66.7%)183345.381
Vedolizumab25/32 (78.1%)254805.210.97 (0.53 - 1.77)

 

Table 3. Rate Ratios for TNF Blocker Naive Patients
 
Proportion with responseResponse rate (number with response/PW)*IRR (95% CI)
*Response rate per 100 person-weeks. IRR: incidence rate ratio; CI: confidence interval.
Infliximab16/21 (76.2%)6.481
Vedolizumab10/13 (76.9%)6.741.04 (0.47 - 2.29)

 

Table 4. Rate Ratios for TNF Blocker Experienced Patients
 
Clinical cohortProportion with responseResponse rate (number with response/PW)*IRR (95% CI)
*Response rate per 100 person-weeks.
Infliximab2/6 (33.3%)2.291
Vedolizumab15/19 (78.9%)4.521.97 (0.45 - 8.63)