Table 52.
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.