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. 2017 Jan 22;2017:1460491. doi: 10.1155/2017/1460491

Table 2.

Overview of studies derived from the medical literature reporting treatment indications of gastrointestinal lesions in Behçet's disease.

Drugs Dose Authors (year) Number of patients Type of study Outcomes
5-ASA/SSZ 2.4–4 g/day Jung et al.
(2012)
143/292 Retrospective cohort study Positive effect in maintaining remission

THD 2-3 mg/kg/day Yasui et al.
(2008)
7 Case series Dramatic improvement in clinical symptoms
Lee et al.
(2010)
4 Case series 3/4 patients had a clinical improvement and all discontinued steroid therapy

THD/IFX/ADA/
ETA
THD 50–100 mg/day
IFX 5 mg/kg every 8 weeks
ADA 160 mg at week 0 and 80 mg at week 2, followed by 40 mg every other week
ETA 25 mg twice a week
Hatemi et al. (2015) 13/64 Observational study Remission obtained with TNF-α antagonists and/or THD in about 75% of cases.

AZA or 6-MP AZA 2–2.5 mg/kg/day
6-MP 0.5–1.5 mg/kg/day
Jung et al.
(2012)
67/272 Retrospective study Relative good effect for maintenance of remission

AZA or 6-MP
vs
5-ASA
AZA 2–2.5 mg/kg/day
or
6-MP 1–1.5 mg/kg/day
vs
5-ASA 3-4 g/day
Lee et al.
(2015)
77 Retrospective observational study The rates of reoperation, readmission, and death were not significantly different between the 5-ASA and thiopurine groups

MTX + IFX MTX -
FX 3–5 mg/kg every 8 weeks
Iwata et al.
(2011)
10 Observational study Long-term alleviation of entero-BD and excellent tolerability with combination of IFX and MTX

INF-α 6 × 106 IU per day for 14 days Grimbacher et al.
(1997)
1 Case report Complete remission of Behçet's retinal infiltrates and BD-related colitis
3 × 106 IU/day 3 times/week increased to 6 × 106 IU/day 3 times/week Monastirli et al.
(2010)
1 Case report Complete remission of all clinical manifestations

IVIg 400 mg/kg/day for 5 days per month Cantarini et al.
(2016)
1/4 Case series Complete disease remission of gastrointestinal, manifestations

IFX Ideguchi et al.
(2014)
7/43 Retrospective observational study Good response in two patients, remission in one, partial response in two, and unchanged GI lesions in two patients
5 mg/kg/every 8 weeks Lee et al.
(2013)
28 Multicenter retrospective study IFX efficacy for patients with moderate-to-severe intestinal BD
5 mg/kg every 8 weeks Kinoshita et al.
(2013)
15/43 Retrospective cohort study Acceptable efficacy of IFX in BD patients refractory to conventional treatments
5 mg/kg every 8 weeks Hibi et al.
(2016)
11/18 Open-label study IFX efficacy in the treatment of intestinal BD

ADA 160 mg at week 0 and 80 mg at week 2, followed by 40 mg every other week Tanida et al.
(2015)
20 Multicenter, open-label, uncontrolled study ADA effectiveness in inducing and maintaining clinical improvement and remission in patients with intestinal BD
160 mg at week 0 and 80 mg at week 2, followed by 40 mg every other week Tanida et al.
(2016)
8 Retrospective observational study Long-term efficacy and safety of ADA for the treatment of intestinal BD in the clinical setting

ETA 25 mg twice a week Ma et al.
(2014)
19/35 Observational study The relapse rate for etanercept therapy was reduced significantly when compared with conventional therapy

ANA 100 mg/day
2 mg/kg/day increased to 2.5 mg/kg/day
Cantarini et al.
(2013)
3/9 Case series Complete resolution of abdominal pain in two patients,
relapse in one patient

CANA 150 mg every 8 weeks
150 mg every six weeks
Vitale et al.
(2013)
2/3 Case series Complete resolution of abdominal pain

TCZ 8 mg/kg/ every 4 weeks Deroux et al.
(2015)
3/4 Case series Less effective for arthralgia and abdominal pain

ADA, adalimumab; ANA, anakinra; anti-TNF-α, anti-tumor necrosis factor-α; 5-ASA, 5-aminosalicylic acid; AZA, azathioprine; CANA, canakinumab; ETA, etanercept; INF-α, interferon α; IFX, infliximab; IVIg, intravenous immunoglobulins; 6-MP, 6-mercaptopurine; MTX, methotrexate; SSZ, sulfasalazine; TCZ, tocilizumab; THD, Thalidomide.