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DOI: 10.1093/ibd/izy323
¤ OpenAccess: Hybrid
This work has “Hybrid” OA status. This means it is free under an open license in a toll-access journal.

Sustained Clinical Remission With Vedolizumab in Patients With Moderate-to-Severe Ulcerative Colitis

Brian G. Feagan,Stefan Schreiber,Douglas C. Wolf,Jeffrey Axler,Arpeat Kaviya,Alexandra James,Rebecca Curtis,Parnia Geransar,Andreas Stallmach,Robert Ehehalt,Bernd Bokemeyer,Javaria Mona Khalid,Sharon O’Byrne

Vedolizumab
Ulcerative colitis
Medicine
2018
Sustaining clinical remission is an important treatment goal in moderate-to-severe UC. This post hoc exploratory analysis assessed the long-term efficacy of vedolizumab in the subset of patients with UC in the GEMINI 1 study who were in clinical remission by week 14 after 3 induction doses, administered at weeks 0, 2, and 6.Sustained clinical remission (primary endpoint) was evaluated using 2 definitions: (1) a partial Mayo Score (pMS) of ≤2 with no subscore >1 and (2) a rectal bleeding subscore (RBS) of 0 throughout weeks 14, 26, 38, and 52.The proportion of patients in clinical remission at week 14 was significantly higher in patients receiving vedolizumab (n = 620) compared with placebo (n = 149) (pMS: 32.7% vs 20.1% [percentage-point difference (∆) 12.6%; 95% confidence interval [CI], 5.2-20.0]; RBS: 47.3% vs 28.9% [∆18.4%; 95% CI, 10.1-26.7]). Of patients in clinical remission at week 14, a significantly higher proportion of vedolizumab-treated patients achieved sustained clinical remission compared with placebo (pMS: 66.5% vs 26.7%; ∆39.8%; 95% CI, 22.7-56.9; RBS: 56.7% vs 20.9%; ∆35.7%; 95% CI, 22.3-49.1). Findings were consistent in tumor necrosis factor (TNF) antagonist-naive and antagonist-failure patients.Compared with placebo, 35%-40% more patients receiving a full induction course of vedolizumab had sustained clinical remission after 52 weeks of therapy. This result was observed irrespective of TNF antagonist treatment history. Clinical remission at week 14 may therefore be a predictor for sustained clinical remission with vedolizumab.
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    Sustained Clinical Remission With Vedolizumab in Patients With Moderate-to-Severe Ulcerative Colitis” is a paper by Brian G. Feagan Stefan Schreiber Douglas C. Wolf Jeffrey Axler Arpeat Kaviya Alexandra James Rebecca Curtis Parnia Geransar Andreas Stallmach Robert Ehehalt Bernd Bokemeyer Javaria Mona Khalid Sharon O’Byrne published in 2018. It has an Open Access status of “hybrid”. You can read and download a PDF Full Text of this paper here.