Volume 384, Issue 9940, Pages (July 2014)

Slides:



Advertisements
Similar presentations
Journal Club: Biologic Agents in UC, Systematic Review and Network Meta-analysis, by Danese et al., Annals 2014 Barrett G. Levesque, MD Assistant Professor.
Advertisements

Future challenges for clinical care of an ageing population infected with HIV: a modelling study Dr Mikaela Smit, PhD, Kees Brinkman, MD, Suzanne Geerlings,
Adjuvant bisphosphonate treatment in early breast cancer: meta-analyses of individual patient data from randomised trials The Lancet Volume 386, Issue.
Crohn's disease Prof Daniel C Baumgart, MD, Prof William J Sandborn, MD The Lancet Volume 380, Issue 9853, Pages (November 2012) DOI: /S (12)
Volume 137, Issue 4, Pages (October 2009)
Volume 386, Issue 9988, Pages (July 2015)
William J. Sandborn, M. D. , Christopher Gasink, M. D
Volume 1, Issue 7, Pages (December 2014)
Individual gene expression and personalised medicine in sepsis
Volume 386, Issue 9992, Pages (August 2015)
Volume 376, Issue 9734, Pages (July 2010)
Volume 372, Issue 9633, Pages (July 2008)
Volume 138, Issue 2, Pages (February 2010)
Self-assessment of the outcome of early medical abortion versus clinic follow-up in India: a randomised, controlled, non-inferiority trial  Dr Kirti Iyengar,
Abatacept for Crohn's Disease and Ulcerative Colitis
Volume 376, Issue 9734, Pages (July 2010)
Volume 15, Issue 10, Pages (September 2014)
Volume 372, Issue 9633, Pages (July 2008)
Volume 385, Issue 9967, Pages (February 2015)
Volume 383, Issue 9925, Pages (April 2014)
Volume 133, Issue 1, Pages (July 2007)
Volume 14, Issue 4, Pages (April 2015)
Volume 132, Issue 1, Pages (January 2007)
Long-term outcome after infliximab for refractory ulcerative colitis
Genetic variants in autophagy-related genes and granuloma formation in a cohort of surgically treated Crohn's disease patients  Marko Brinar, Séverine.
Volume 154, Issue 1, Pages e6 (January 2018)
Efficacy of Vedolizumab Induction and Maintenance Therapy in Patients With Ulcerative Colitis, Regardless of Prior Exposure to Tumor Necrosis Factor Antagonists 
Future challenges for clinical care of an ageing population infected with HIV: a modelling study  Dr Mikaela Smit, PhD, Kees Brinkman, MD, Suzanne Geerlings,
Volume 153, Issue 1, Pages e6 (July 2017)
Volume 386, Issue 9999, Pages (September 2015)
Self-assessment of the outcome of early medical abortion versus clinic follow-up in India: a randomised, controlled, non-inferiority trial  Dr Kirti Iyengar,
Montelukast for postinfectious cough in adults: a double-blind randomised placebo- controlled trial  Dr Kay Wang, DPhil, Surinder S Birring, MD, Kathryn.
Misoprostol for small bowel ulcers in patients with obscure bleeding taking aspirin and non-steroidal anti-inflammatory drugs (MASTERS): a randomised,
Atorvastatin as a stable treatment in bronchiectasis: a randomised controlled trial  Dr Pallavi Mandal, MRCP, James D Chalmers, MRCP, Catriona Graham,
Volume 130, Issue 2, Pages (February 2006)
Granulocyte colony-stimulating factor and autologous CD133-positive stem-cell therapy in liver cirrhosis (REALISTIC): an open-label, randomised, controlled.
Volume 148, Issue 7, Pages e3 (June 2015)
Volume 147, Issue 3, Pages e3 (September 2014)
Volume 146, Issue 1, Pages e1 (January 2014)
Safety of Celecoxib in Patients With Ulcerative Colitis in Remission: A Randomized, Placebo-Controlled, Pilot Study  William J. Sandborn, William F. Stenson,
Volume 149, Issue 7, Pages e2 (December 2015)
Health consequences of exposure to e-waste: a systematic review
Volume 132, Issue 5, Pages (May 2007)
Volume 386, Issue 9992, Pages (August 2015)
Volume 137, Issue 4, Pages (October 2009)
Effect of Once- or Twice-Daily MMX Mesalamine (SPD476) for the Induction of Remission of Mild to Moderately Active Ulcerative Colitis  Gary R. Lichtenstein,
Volume 147, Issue 6, Pages e5 (December 2014)
William J. Sandborn, Stefan Schreiber, Brian G
Volume 119, Issue 6, Pages (December 2000)
Volume 150, Issue 2, Pages e9 (February 2016)
Volume 154, Issue 6, Pages (May 2018)
Volume 132, Issue 1, Pages (January 2007)
Tofacitinib Induction Therapy Reduces Symptoms Within 3 Days for Patients With Ulcerative Colitis  Stephen Hanauer, Remo Panaccione, Silvio Danese, Adam.
Neuromuscular electrical stimulation to improve exercise capacity in patients with severe COPD: a randomised double-blind, placebo-controlled trial  Dr.
Clinical Gastroenterology and Hepatology
Volume 384, Issue 9940, Pages (July 2014)
Volume 386, Issue 10005, Pages (October 2015)
Muh Geot Wong, Vlado Perkovic  The Lancet Diabetes & Endocrinology 
Metformin for non-diabetic patients with coronary heart disease (the CAMERA study): a randomised controlled trial  Dr David Preiss, PhD, Suzanne M Lloyd,
Volume 383, Issue 9926, Pages (April 2014)
Correlation Between the Crohn's Disease Activity and Harvey–Bradshaw Indices in Assessing Crohn's Disease Severity  Severine Vermeire, Stefan Schreiber,
Volume 126, Issue 2, Pages (February 2004)
Volume 132, Issue 1, Pages (January 2007)
Incidence of Colectomy During Long-term Follow-up After Cyclosporine-Induced Remission of Severe Ulcerative Colitis  David N. Moskovitz, Gert Van Assche,
Volume 142, Issue 5, Pages e2 (May 2012)
Volume 386, Issue 9991, Pages (July 2015)
Volume 142, Issue 2, Pages e3 (February 2012)
Volume 388, Issue 10042, Pages (July 2016)
Presentation data from US VICTORY Consortium
Clinical Gastroenterology and Hepatology
Presentation transcript:

Volume 384, Issue 9940, Pages 309-318 (July 2014) Etrolizumab as induction therapy for ulcerative colitis: a randomised, controlled, phase 2 trial  Dr Séverine Vermeire, MD, Sharon O'Byrne, MD, Mary Keir, PhD, Marna Williams, PhD, Timothy T Lu, MD, John C Mansfield, MD, Christopher A Lamb, MD, Brian G Feagan, MD, Julian Panes, MD, Azucena Salas, PhD, Daniel C Baumgart, MD, Stefan Schreiber, MD, Iris Dotan, MD, William J Sandborn, MD, Gaik W Tew, MSc, Diana Luca, PhD, Meina T Tang, PhD, Lauri Diehl, DVM, Jeffrey Eastham- Anderson, MS, Gert De Hertogh, MD, Clementine Perrier, PhD, Jackson G Egen, PhD, John A Kirby, PhD, Gert van Assche, MD, Paul Rutgeerts, MD  The Lancet  Volume 384, Issue 9940, Pages 309-318 (July 2014) DOI: 10.1016/S0140-6736(14)60661-9 Copyright © 2014 Vermeire et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 1 Trial profile LD=loading dose. mITT=modified intention-to-treat. The Lancet 2014 384, 309-318DOI: (10.1016/S0140-6736(14)60661-9) Copyright © 2014 Vermeire et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 2 Proportion of patients with clinical remission, clinical response, and endoscopic remission/rectal bleeding score of 0 in the mITT population (A) Clinical remission at week 6 and week 10. (B) Clinical response (3-point decrease and 30% reduction in Mayo Clinic Score and 1-point decrease or more in rectal bleeding subscore or absolute rectal bleeding subscore of 0 or 1) at week 6 and week 10. (C) Endoscopic and rectal bleeding subscores of 0 at week 6 and week 10. LD=loading dose. mITT=modified intention-to-treat. *p<0·05 (vs placebo). †p<0·01 (vs placebo). The Lancet 2014 384, 309-318DOI: (10.1016/S0140-6736(14)60661-9) Copyright © 2014 Vermeire et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 3 Subgroup analyses of clinical remission at week 10 in the mITT population (A) Proportion of patients by concomitant treatment with steroids. (B) Proportion of patients by immunomodulators. (C) Proportion of patients by previous TNF antagonist exposure; one patient in the placebo group, one patient in the etrolizumab 100 mg group, and two patients in the etrolizumab 300 mg plus LD group group who received anti-TNF but had an unacceptable adverse event to it were excluded from the analysis. (D) Proportion of patients by geographical region; specific country data can be found in the appendix. LD=loading dose. mITT=modified intention-to-treat. TNF=tumour necrosis factor. *p<0·05 (vs placebo). †p<0·01 (vs placebo). The Lancet 2014 384, 309-318DOI: (10.1016/S0140-6736(14)60661-9) Copyright © 2014 Vermeire et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 4 Clinical remission according to baseline colonic biopsy αE levels (A) Clinical remission according to gene expression of integrin αE, as measured by quantitative PCR, in the colonic biopsy sample taken at baseline. (B) Clinical remission according to levels of αE+ cells in the colonic biopsy sample taken at baseline. LD=loading dose. TNF=tumour necrosis factor. The Lancet 2014 384, 309-318DOI: (10.1016/S0140-6736(14)60661-9) Copyright © 2014 Vermeire et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions