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. 2015 Jun 14;2015:832395. doi: 10.1155/2015/832395

Table 1.

Drug withdrawal studies.

Authors Year Disease Treatment Number of patients Length of preceding remission Number of patients allocated to different groups Study duration Outcome
Riis et al. [9] 1973 UC Sulphasalazine 49 ≥12 months Continue on drug: 25, placebo: 24 6 months No significant difference between the relapse rates (24 versus 29%)

Dissanayake and Truelove [10] 1973 UC Sulphasalazine 64 ≥12 months Continue on drug: 33, placebo: 31 6 months Significantly higher relapse rate in the placebo group (>50% versus 12%)

Ardizzone et al. [11] 1999 UC 5-ASA 112 ≥12 months Group A (in remission for 1-2 years): continue on drug: 26, placebo: 35; Group B (in remission for >2 years): continue on drug: 28, placebo: 23 12 months Group A: no significant difference after 6 months, but significantly higher relapse rates in the placebo group after 12 months (23% versus 49%). Group B: no significant difference at 6 and 12 months.

Hawthorne et al. [12] 1992 UC Azathioprine 79 ≥2 months or chronic stable disease Remission group: continue on drug: 33, placebo: 34; chronic stable disease group: continue on drug: 7, placebo: 5 12 months Remission group: significantly higher relapse rate in the placebo group (59% versus 36%); chronic stable disease: azathioprine group: 71% relapsed within 6 months; placebo-treated patients: 40% relapsed

O'Donoghue et al. [13] 1978 CD Azathioprine 51 ≥6 months Continue on drug: 24, placebo: 27 12 months Significantly higher relapse rate in the placebo group at 6 months (25 versus 0%) and 12 months (41 versus 5%)

Vilien et al. [14] 2004 CD Azathioprine 28 ≥3 months (≥2 years treated with azathioprine) Continue on drug: 13, stop drug: 15 12 months Significantly higher relapse rate in the no azathioprine group at 12 months (53 versus 15%), higher azathioprine dose-subgroup (>1.60 mg/kg/day: 67 versus 11%)

Lémann et al. [15] 2005 CD Azathioprine 83 ≥42 months Continue on drug: 40, placebo: 43 18 months Significantly higher relapse rate in the placebo group (20.9 versus 7.5%)