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. 2016 Feb 23;2016:4792898. doi: 10.1155/2016/4792898

Table 52.

Contingency table for initial clinical decision made (without level knowledge), 6 month clinical outcomes (post-levels), and ITLs and FCPLs with hypothetical decision prompts%.

ITL FCP Initial clinical decision 6 month clinical outcome
No action Action – investigation Action – dose De-escalation∗∗ No change
(stable IFX and steroid free)
Dose escalation
IFX∗∗∗
(no steroids)
Dose De-escalation∗∗ Investigation Hospitalization or surgery Dose escalation∗∗∗, steroids, and hospitalization or surgery
<3.0 μg/mL (Action – Dose Escalation) <250 μg/g
(No Action Required)
1/31 (3.2%) 0 0 0 0 0 0 0 1/31 (3.2%)
≥250 μg/g
(Action Required)
1/31 (3.2%) 0 0 1/31 (3.2%) 0 0 0 0 0

3.0–7.0 μg/mL
(No Action)
<250 μg/g
(No Action Required)
4/31 (12.9%) 0 0 4/31 (12.9%) 0 0 0 0 0
≥250 μg/g
(Action Required)
5/31 (16.1%) 1/31 (3.2%) 0 5/31 (16.1%) 0 0 1/31 (3.2%) 0 0

>7.0 μg/mL
(Action – Dose De-escalation)
<250 μg/g
(No Action Required)
12/31 (38.7%) 3/31 (9.7%) 0 10/31 (32.3%) 3/31 (9.7%) 1/31 (3.2%) 0 1/31 (3.2%) 0
≥250 μg/g
(Action Required)
3/31 (9.7%) 0 1/31 (3.2%) 4/31 (12.9%) 0 0 0 0 0

%A FCPL of <250 μg/g should prompt “no action" while a FCPL of ≥250 μg/g should prompt “action" (e.g., investigation, dose escalation etc.); ITLs <3.0 μg/mL should prompt “action - dose escalation”, ITLs 3.0–7.0 μg/mL should prompt “no action”, and ITLs >7.0 μg/mL should prompt “action – dose de-escalation.”

Investigation refers to endoscopy.

∗∗Dose de-escalation refers to the dose of IFX being decreased and/or decreasing the frequency of IFX dosing.

∗∗∗Dose escalation refers to the dose of IFX being increased and/or increasing the frequency of IFX dosing.