Table 3. Summary of infections and serious infections through week 54 of the pivotal phase 3 infliximab IBD studies by treatment and immunomodulator use.
Crohn's diseasea |
Ulcerative colitisa |
All inflammatory bowel diseasea |
||||
---|---|---|---|---|---|---|
Placebob | Infliximab | Placebob | Infliximab | Placebob | Infliximab | |
Pts. treated | 161 | 1,228 | 245 | 485 | 406 | 1,713 |
Total/median pt-yrs of follow-up | 108/0.7 | 1,127/1.0 | 209/0.6 | 831/1.0 | 318/0.6 | 1,958/1.0 |
No. (%) of pts. with infection | 73 (45.3%) | 603 (49.1%) | 89 (36.3%) | 243 (50.1%) | 162 (39.9%) | 846 (49.4%) |
P-valuec | 0.402 | <0.001 | <0.001 | |||
Total incidence | 144 | 1,352 | 224 | 876 | 368 | 2,228 |
Incidence per 100 pt-yrs | 132.81 | 119.98 | 106.98 | 105.41 | 115.79 | 113.8 |
95% CId | (112.00, 156.36) | (113.67, 126.56) | (93.43, 121.94) | (98.54, 112.63) | (104.26, 128.25) | (109.12, 118.62) |
No. (%) of pts. with serious infection | 9 (5.6%) | 55 (4.5%) | 6 (2.4%) | 26 (5.4%) | 15 (3.7%) | 81 (4.7%) |
P-value | 0.547 | 0.085 | 0.427 | |||
Total incidence | 9 | 86 | 6 | 42 | 15 | 128 |
Incidence per 100 pt-yrs | 8.3 | 7.63 | 2.87 | 5.05 | 4.72 | 6.54 |
95% CI | (3.80, 15.76) | (6.10, 9.43) | (1.05, 6.24) | (3.64, 6.83) | (2.64, 7.78) | (5.45, 7.77) |
System–organ class/common preferred terms (>0.20/per 100 pt-yrs per group) | ||||||
Resistance mechanism disorder | 5.53 | 4.44 | 1.91 | 1.8 | 3.15 | 3.32 |
Abscess | 2.77 | 3.02 | 0.96 | 0.36 | 1.57 | 1.89 |
Fever | 0 | 0.27 | 0 | 0.24 | 0 | 0.26 |
Infection | 0 | 0.18 | 0.48 | 0.84 | 0.31 | 0.46 |
Sepsis | 0.92 | 0.27 | 0 | 0.12 | 0.31 | 0.2 |
Cellulitis | 0 | 0.27 | 0 | 0 | 0 | 0.15 |
Herpes zoster | 0 | 0.27 | 0 | 0 | 0 | 0.15 |
Bacterial infection | 1.84 | 0.09 | 0.48 | 0 | 0.94 | 0.05 |
Gastrointestinal system disorder | 1.84 | 1.24 | 0 | 0.84 | 0.63 | 1.07 |
Gastroenteritis | 1.84 | 0.18 | 0 | 0.36 | 0.63 | 0.26 |
Abdominal pain | 0 | 0.27 | 0 | 0 | 0 | 0.15 |
Respiratory system disorder | 0.92 | 0.44 | 0.96 | 1.68 | 0.94 | 0.97 |
Pneumonia | 0.92 | 0.44 | 0 | 0.96 | 0.31 | 0.66 |
Sinusitis | 0 | 0 | 0.48 | 0.12 | 0.31 | 0.05 |
Upper respiratory infection | 0 | 0 | 0.48 | 0 | 0.31 | 0 |
Skin and appendages disorder | 0 | 0.53 | 0 | 0 | 0 | 0.31 |
Urinary system disorder | 0 | 0.18 | 0 | 0.24 | 0 | 0.2 |
Body as a whole–general disorder | 0 | 0.18 | 0 | 0 | 0 | 0.1 |
Cardiovascular disorder | 0 | 0.18 | 0 | 0 | 0 | 0.1 |
Liver and biliary system disorder | 0 | 0.09 | 0 | 0.12 | 0 | 0.1 |
Musculoskeletal system disorder | 0 | 0.18 | 0 | 0 | 0 | 0.1 |
Reproductive disorder | 0 | 0.09 | 0 | 0.12 | 0 | 0.1 |
Nervous system disorder | 0 | 0.09 | 0 | 0 | 0 | 0.05 |
Ear and hearing disorder | 0 | 0 | 0 | 0.12 | 0 | 0.05 |
Myo-, endo-, pericardial, coronary and valve disorder |
0 |
0 |
0 |
0.12 |
0 |
0.05 |
|
No immunomodulatore |
Immuno modulatorf |
No immunomodulatore |
Immunomodulatorf |
No immunomodulatore |
Immunomodulatorf |
Pts. treated | 776 | 613 | 394 | 334 | 1,170 | 947 |
Total/median pt-yrs of follow-up | 715/1.0 | 520/1.0 | 541/0.8 | 500/1.0 | 1,256/1.0 | 1,020/1.0 |
Number (%) of pts. with infection | 397 (51.2%) | 279 (45.5%) | 169 (42.9%) | 163 (48.8%) | 566 (48.4%) | 442 (46.7%) |
P-value | 0.04 | 0.117 | 0.457 | |||
Total incidence | 918 | 578 | 500 | 600 | 1,418 | 1,178 |
Incidence per 100 pt-yrs | 128.42 | 111.07 | 92.47 | 120.07 | 112.93 | 115.48 |
95% CI | (120.24, 137.00) | (102.20, 120.51) | (84.54, 100.94) | (110.66, 130.08) | (107.13, 118.97) | (108.98, 122.27) |
Number (%) of pts. with serious infections | 36 (4.6%) | 28 (4.6%) | 14 (3.6%) | 18 (5.4%) | 50 (4.3%) | 46 (4.9%) |
P-value | 1 | 0.277 | 0.53 | |||
Total incidence | 63 | 32 | 18 | 30 | 81 | 62 |
Incidence per 100 pt-yrs | 8.81 | 6.15 | 3.33 | 6 | 6.45 | 6.08 |
95% CI | (6.77, 11.28) | (4.21, 8.68) | (1.97, 5.26) | (4.05, 8.57) | (5.12, 8.02) | (4.66, 7.79) |
AZA, azathioprine; CI, confidence interval; IBD, inflammatory bowel disease; 6-MP, 6-mercaptopurine; MTX, methotrexate; pts., patients; pt-yrs, patient-years.
Includes 3 Crohn's disease and 2 ulcerative colitis, and thus a total of 5, pivotal phase 3 IBD studies.
With or without concomitant conventional therapy.
P-values comparing treatment or immunomodulator use subgroups were calculated with the use of Fisher's exact test.
95% CIs based on an exact method.
No receipt of AZA, 6-MP, or MTX at baseline.
Receipt of AZA, 6-MP, or MTX at baseline.