Table II.
Study | Participants | Intervention | Clinical endpoints | Follow-up period | Study design | Jadad quality score |
---|---|---|---|---|---|---|
Sandborn et al. 2013 [10] | Patients (age 18 to 80 years) with Crohn's disease for at least 3 months (score of 220 to 450 on the Crohn's Disease Activity Index (CDAI)) and with no response to or unacceptable side effects from one or more of the following: glucocorticoids, immunosuppressive agents or TNF antagonists | Vedolizumab 300 mg intravenously, n = 220 (in this group there were also patients with TNF antagonist failure, n = 105) vs. placebo intravenously, n = 148 (patients with TNF antagonist failure, n = 70); treatment was given at weeks 0 and 2 for induction therapy | Clinical remission (CDAI score of ≤ 150 points) Clinical response (CDAI-100 response: ≥ 100-point decrease in the CDAI score) |
6 weeks – induction phase (+ maintenance phase – 52 weeks) |
RCT, double-blind, placebo-controlled, phase III | 4 |
Sands et al. 2014 [11] | Patients (age 19 to 77 years) with Crohn's disease for at least 3 months (score of 220 to 400 on the Crohn's Disease Activity Index (CDAI)) and with no response to or unacceptable side effects from one or more of the following: glucocorticoids, immunosuppressive agents or TNF antagonists | Vedolizumab 300 mg intravenously, n = 209 (in this group there were also patients with TNF antagonist failure, n = 158) vs. placebo intravenously, n = 207 (patients with TNF antagonist failure, n = 157); treatment was given at weeks 0, 2 and 6 for induction therapy | Clinical remission (CDAI score of ≤ 150 points) Clinical response (CDAI-100 response: ≥ 100-point decrease in the CDAI score) |
6 weeks – induction phase | RCT, double-blind, placebo-controlled, phase III | 4 |
Feagan et al. 2008 [12] | Adult patients (age 23 to 52 years) with endoscopic, histopathologic, or radiologic documentation of Crohn's disease of the ileum and/or colon and a Crohn's Disease Activity Index (CDAI) score of 220 to 400 at screening | Vedolizumab 2.0 mg/kg (n = 65) or 0.5 mg/kg (n = 62) intravenously vs. an identical-appearing placebo (n = 58); treatment was given on days 1 and 29 | Primary end point: the rate of clinical response at day 57, defined as a 70-point or higher decrement in the CDAI score from baseline | 57 days | RCT, double-blind, placebo-controlled, phase II | 4 |
Patients with TNF antagonist failure – patients who reported no response and/or poor tolerance of prior treatment with TNF antagonists.