Table 1.
IBD type | Montreal classification | Previous treatments | Duration of IV VDZ treatment (months) |
Duration of SC VDZ treatment (months) |
Type of reaction to SC injection | Type of reaction to IV injection after switch back | S-VDZ at first infusion with reactions(mg/L) | VDZ discontinuation |
---|---|---|---|---|---|---|---|---|
CD | L2B1 | Azathioprine Infliximab |
25 | 2 | Erythema, swelling and pruritus at injection site | Erythema, swelling and pruritus at former injection site the first 2 infusions | 30.2 | No |
CD | L3B3 | Azathioprine Methotrexate Adalimumab Infliximab |
49 | 4 | Pruritus at injection site | None | 30.9 | No |
UC | E3 | 5-ASA Golimumab Infliximab |
53 | 3 | Erythema, swelling and pruritus at injection site | Erythema, swelling and pruritus at former injection site first 2 infusions Rhinorrhoea, pruritus in the throat and red eyes shortly after third and fourth infusion, and during the fifth infusion. pretreatment IV hydrocortisone without effect |
41.6 | Yes |
UC | E3 | 5-ASA Azathioprine Infliximab |
32 | 6 | Erythema, swelling and pruritus at injection site | Erythema, swelling and pruritus at former injection site at all infusions after switch, decreasing severity but ongoing 18 months after switch | 26.9 | No |
Abbreviations: IBD, inflammatory bowel disease; CD, Crohn’s disease; UC, ulcerative colitis; Montreal classification (CD): L1 ileum, L2 colon, L3 ileocolon, B1 non-structuring non-penetrating, B3 penetrating, (UC): E3 involvement proximal to the splenic flexure; IV, intravenous; VDZ, vedolizumab; SC, subcutaneous; S-VDZ, serum-vedolizumab.