Table 2.
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.