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. 2012 May 22;107(7):1051–1063. doi: 10.1038/ajg.2012.89

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.

a

Includes 3 Crohn's disease and 2 ulcerative colitis, and thus a total of 5, pivotal phase 3 IBD studies.

b

With or without concomitant conventional therapy.

c

P-values comparing treatment or immunomodulator use subgroups were calculated with the use of Fisher's exact test.

d

95% CIs based on an exact method.

e

No receipt of AZA, 6-MP, or MTX at baseline.

f

Receipt of AZA, 6-MP, or MTX at baseline.

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