Table 2.
Baseline Factor | Association with PK | Association with outcomes |
---|---|---|
Age | – | Inversely associated with clinical response to IFX 65 |
Sex | IFX clearance faster in men37 | Increased rates of clinical response and remission in females treated with GLM 23 |
Race | – | White race associated with higher rates of GLM clinical response 23 |
Weight | Directly associated with IFX volume of distribution 37 |
Inversely associated with frequency of IFX dose escalation in children 39 |
High body weight associated with higherIFX clearance; low body weight associated with low trough IFX levels since relationship between weight and clearance is nonlinear47 |
||
Directly associated with serum IFX levels in children 27 |
||
Albumin | Low albuminassociated withlow serum IFX concentrations rapid clearance26,44,47 |
Low serum albumin associated with lower IFX response rates44, increased colectomy rates46, and increased frequency of IFX dose escalation in children39 |
CRP | CRP inversely associated with IFX levels 26 |
CRP inversely associated with GLM response23 |
ESR | – | High ESR associated with increased frequency of IFX dose escalation in children39 |
Fecal inflammatory markers |
– | Fecal lactoferrin inversely associated with GLM response23 |
Fecal calprotectin inversely related to IFX response in ASUC38 |
||
Mayo Score | Inversely associated with IFX levels26 |
Inversely associated with incidence of clinical remission after treatment with IFX or GLM23,28 |
pANCA | – | Positive pANCA associated with decreased rates of clinical response to IFX65 |
TNF | – | Mucosal TNF gene expression inversely associated with response to IFX32 |
Mucosal gene expression |
– | Panel of 5 genes (TNFRSF11B, STC1, PTGS2, IL13RA2 and IL11) predicted response to IFX66 |
Gene expression principle component representing UC molecular disturbance associated with non- response.67 |
IFX, infliximab; GLM, golimumab; CRP, c-reactive protein; ESR, erythrocyte sedimentation rate; pANCA, pronuclear anti-neutrophil cytoplasmic antibodies