Affordable Access

Effectiveness and Safety of Vedolizumab in Anti-TNF-Naive Patients With Inflammatory Bowel Disease-A Multicenter Retrospective European Study

Authors
  • Kopylov, Uri;
  • Verstockt, Bram; 106315;
  • Biedermann, Luc;
  • Sebastian, Shaji;
  • Pugliese, Daniela;
  • Sonnenberg, Elena;
  • Steinhagen, Peter;
  • Arebi, Naila;
  • Ron, Yulia;
  • Kucharzik, Torsten;
  • Roblin, Xavier;
  • Ungar, Bella;
  • Shitrit, Ariella Bar-Gil;
  • Ardizzone, Sandro;
  • Molander, Pauliina;
  • Coletta, Marina;
  • Peyrin-Biroulet, Laurent;
  • Bossuyt, Peter; 103615;
  • Avni-Biron, Irit;
  • Tsoukali, Emmanouela;
  • And 18 more
Publication Date
Nov 01, 2018
Source
Lirias
Keywords
License
Unknown
External links

Abstract

Background: Vedolizumab (VDZ) is effective for treatment of ulcerative colitis (UC) and Crohn's disease (CD). In GEMINI trials, anti-tumor necrosis factor (anti-TNF)-naïve patients had a superior response compared with anti-TNF-exposed patients. In real-world experience (RWE), the number of included anti-TNF-naïve patients was low. We aimed to evaluate the effectiveness and safety of VDZ in anti-TNF-naïve patients in an RWE setting. Methods: This retrospective multicenter European pooled cohort study included consecutive active anti-TNF-naïve IBD patients treated with VDZ. The primary end point was clinical response at week 14. Patients with follow-up beyond week 14 and those discontinuing VDZ at any time were included for maintenance outcomes analysis. Results: Since January 2015, 184 anti-TNF-naïve patients from 23 centers initiated VDZ treatment (Crohn's disease [CD], 50; ulcerative colitis [UC], 134). In CD, 42/50 (82%) patients responded by week 14 and 32 (64%) were in clinical remission; 26/50 (52%) achieved corticosteroid-free remission (CSFR). At last follow-up (44 weeks; interquartile range [IQR], 30-52 weeks), 27/35 (77.1%) patients with available data responded to treatment; 24/35 (68.6%) were in clinical remission, 21/35 (60%) were in CSFR. For UC, 116/134 (79.1%) responded to treatment by week 14, including 53 (39.5%) in clinical remission; 49/134 (36.6%) achieved CSFR. At last follow-up (42.5 weeks; IQR, 30-52 weeks), 79/103 (76.7%) patients responded to treatment, 69/103 (67.0%) were in remission, and 61/103 (59.2%) were in CSFR. Adverse effects were reported in 20 (11%) of the patients, leading to treatment discontinuation in 6 (3.3%). Conclusions: VDZ is similarly effective in ant-TNF-naïve CD and UC patients. The efficacy is higher than reported in anti-TNF-experienced patients and is comparable to that of anti-TNF biologics in this population. / status: published

Report this publication

Statistics

Seen <100 times