Table 2.
Prophylactic Strategy | Study Design | Comparison | Endoscopic Recurrence | Clinical Recurrence |
---|---|---|---|---|
Mesalamine | ||||
Caprilli et al36 | Randomized, controlled trial | Mesalazine 2.4 g/d or placebo | 52.0% vs 85.0% (24 months)a | 18.0% vs 41.0% (24 months)a |
McLeod et al37 | Randomized, controlled trial | Mesalamine 3.0 g/d or placebo | Relative risk, 0.654 (24 months)a | 31.0% vs 41.0% (72 months)a |
Lochs et al39 | Randomized, controlled trial | Mesalamine 4.0 g/d or placebo | 66.0% vs 50.0% (18 months) | 24.5% vs 31.4% (18 months) |
Antibiotic | ||||
Rutgeerts et al43 | Randomized, controlled trial | Metronidazole 20.0 mg/kg or placebo | 52.0% vs 75.0% (12 weeks) | 4.0% vs 25.0% (12 months)a |
Rutgeerts et al44 | Randomized, controlled trial | Ornidazole 1.0 g/d or placebo | 53.6% vs 78.8% (12 months)a | 7.9% vs 37.5% (12 months)a |
Immunomodulator | ||||
Reinisch et al47 | Randomized, controlled trial | Mesalazine 4.0 g/d or AZA 2.0-2.5 mg/kg/d | N/A | 0.0% vs 10.8% (12 months)a |
Hanauer et al48 | Randomized, controlled trial | 6-MP 50 mg or placebo | 43.0% vs 64.0% (24 months)a | 50.0% vs 77.0% (24 months)a |
Mowat et al49 | Randomized, controlled trial | 6-MP 1.0 mg/kg or placebo | 43.0% vs 49.0% (36 months) | 27.0% vs 36.0% (36 months) |
Biologic agent | ||||
Regueiro et al33 | Randomized, controlled trial | Infliximab 5.0 mg/kg or placebo | 9.1% vs 84.6% (12 months)a | 0.0% vs 38.5% (12 months)a |
Regueiro et al56 | Randomized, controlled trial | Infliximab 5.0 mg/kg or placebo | 30.6% vs 60.0% (76 weeks)a | 12.9% vs 20.0% (76 weeks) |
De Cruz et al52 | Nonrandomized subgroup analysis | Adalimumab or AZA 2.0 mg/kg/d (6-MP 1.5 mg/kg/d) | 21.0% vs 45.0% (6 months)a | 18.0% vs 22.0% (6 months) |
6-MP, 6-mercaptopurine; AZA, azathioprine; d, day.
Statistically significant.