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. 2011 Apr 6;5:185–210. doi: 10.2147/DDDT.S11290

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.