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. 2016 Jan 15;23(3):153–161. doi: 10.1016/j.jpge.2015.11.004

Table 1.

Summary of most relevant studies specifically reporting on the relapse rates after discontinuation of anti-TNF therapy in adult populations with Crohn's disease, following a variable period of therapy (Note: only studies with >30 patients were included).

Author, year (study type) No. of patients Definition of remission % on concomitant IM Relapse rate at 12 months Relapse rate 24 months Outcome at last follow-up
Molnar, 2008 (Retrospective) 50 (treated with IND therapy only) Clinical remission 86% 56%
Waugh, 2010 (Retrospective) 48 Steroid-free clinical remission 67% 65% relapsed (median follow-up of 4.1 Y)
Louis, 2012 (Prospective) 115 Steroid-free clinical remission 100% 43.9 ± 5% 52.2 ± 2%
Molnar, 2013 (prospective) 121 Clinical remission 85% 45%
Papamichael, 2014 (Retrospective) 100 (65% treated episodically) Clinical remission 84% 4% 7% 48% relapsed (median follow-up 9.7 Y)
Chauvin, 2014 (Prospective) 92 (54 treated w/IND only and 38 w/MAINT therapy) Clinical remission 100% IND: 22%
MAINT: 44%
IND: 40%
MAINT: 64%
IND: 74% (median follow-up: 4.6 Y)
MAINT: 68% (median follow-up: 3.2 Y)
Monterubbianesi, 2015 (Retrospective) 58 Clinical remission 66% 31% 52%
Armuzzi, 2010 (Retrospective) 43 Clinical remission NS 49% relapsed (median follow-up 1.1 Y)
Steenholdt, 2012 53 Clinical remission 87% 39% 50% (23 months) 68% (median follow-up 1.5 Y)
Dai, 2014 (Prospective) 109 Clinical remission 41% 21%
Kennedy, 2015 (Retrospective) 146 Clinical remission 65% 36% 56% 51% (median follow-up of 2 Y)
Brooks, 2014 (Prospective) 86 Clinical and/or endoscopic remission 80% 36%
Echarri, 2013 (Retrospective) 32 Steroid-free clinical remission, endoscopic and radiological remission 93% 22% 47%
Rismo, 2014 (Prospective) 37 Endoscopic remission 84% 74%
Bortlik, 2015 (Prospective) 61 Clinical and endoscopic remission 77% 41% 49% 52.6% (median follow-up 2.5 Y)

Y, years; IND, induction; MAINT, maintenance; NS, non-specified.