Table 2.
Infliximab in either Crohn’s disease or ulcerative colitis
Study | Number of patients | Treatment schedule | Primary end-point | Response to treatment |
---|---|---|---|---|
Accent I88 | n = 573 active CD | 5 mg/kg single infusion 5 or 10 mg/kg maintenance for those responded |
CDAI > 70 points 2 weeks response clinical remission 54 weeks | 58% 28.3% and 38.4% respectively vs 13.6% of placebo |
Accent II93 | n = 306 Fistulizing CD |
5 mg/kg for those who responded | Week 54 absence of fistulas | 36% |
Ruggiero160 | n = 24 patients with ileocolonic resection | iv 5 mg/kg for 12 months vs placebo | Endoscopic and histologic recurrence at 1 year | 91% and 27.3% (Infliximab) vs 84.6% and 84.6% (placebo) |
Colombel94 | n = 508 patients with moderate-severe CD | 5 mg infliximab/kg at weeks 0, 2, and 6 and then every 8 weeks plus daily oral placebo vs 2.5 mg oral azathioprine/kg daily plus a placebo infusion vs combination of the 2 drugs. |
Corticosteroid-free clinical remission at week 26 | 56.8% (IFX plus AZ) vs 44.4% (IFX + placebo) vs 30.0% (AZ) (significant differences) |
Kohn99 | n = 83 patients with severe UC | Infliximab 5 mg/kg iv (1 or more infusions) | Short-term outcome: colectomy/death 2 months after the first infusion. Long-term outcome: survival free from colectomy |
15% underwent colectomy after first infusion (greater rates in patients receiving only 1 infusion) |
ACT 1 and ACT 2 studies96 | n = 364 patients with UC and Mayo score 6–12 | Placebo vs infliximab (5 or 10 mg/kg) at weeks 0, 2, and 6, then 5 mg/kg/8 weeks through week 46 (ACT 1) or through week 22 (ACT 2) | Response: drop of Mayo >3 rectal bleeding: 0–1 | |
ACT 1 | ||||
Response week 8 | 69% | |||
Response week 54 | 45% | |||
ACT 2 | ||||
Response week 8 | 64% | |||
Response week 30 | 31% |
Abbreviations: AZ, azathioprine; CD, Crohn’s disease; CDAI, Crohn’s disease activity index; IFX, infliximab; UC, ulcerative colitis.