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. 2016 Apr 30;1(2):85–95. doi: 10.1159/000445986

Table 1.

Summary of the major clinical trials on ustekinumab, vedolizumab, and tofacitinib in CD and UC

Indication Ustekinumab vs. placebo Comments

CD Clinical response * 36.6% (p = 0.02), 34.1% (p = 0.06), and 39.7% (p = 0.005) for 1, 3, and 6 mg/kg ustekinumab, respectively, vs. 23.5% placebo at week 6 [24]
** 75% ustekinumab vs. 25% placebo (p = 0.03) at week 7 [20]
* CERTIFI trial: regimen: 1, 3, or 6 mg ustekinumab per kg body weight or placebo at week 0 [24]; trial included patients who had failed TNF-α inhibitors only
** Regimen: 7 times weekly SC injections (3 mg/kg) ustekinumab or placebo

Clinical remission No difference at week 6 [20, 24]

Maintenance of response 69.4% ustekinumab vs. 42.5% placebo (p < 0.001) [24] CERTIFI trial: SC ustekinumab (90 mg) or placebo at weeks 8 and 16; maintenance phase only included responders to ustekinumab at week 6 of induction phase [24]

Maintenance of remission 41.7% ustekinumab vs. 27.4% placebo (p = 0.03) [24]

Indication Tofacitinib vs. placebo Comments

UC Clinical response 78% tofacitinib vs. 42% placebo (p < 0.001) [42] OR: 4.18 (1.75–10.02) (p = 0.001) [43] Regimen: 15 mg PO twice daily [42, 43]; response rates not significantly different for the 0.5-, 3-, and 10-mg regimens Endoscopic remission observed with 3 mg (18%; p = 0.01), 10 mg (30%; p < 0.001), and 15 mg (27%; p < 0.001) tofacitinib vs. placebo (2%) [42]

Clinical remission * RR: 33% for 3 mg (p = 0.01), 48% for 10 mg (p < 0.001), 41% for 15 mg tofacitinib (p < 0.001) vs. 10% placebo [42]
** OR: 5.23 (2.14–12.75) (p < 0.001) [43]
* Regimens: 3, 10, and 15 mg PO twice daily [42]
** Regimen: 15 mg PO twice daily [43]

Indication Vedolizumab vs. placebo Comments

CD Clinical response * 31.4% vedolizumab vs. 25.7% placebo at week 6 (p = NS) [70]
** 46.8% vedolizumab vs. 24.8% placebo (p < 0.0001) [71]
* GEMINI-II trial: regimen: IV vedolizumab 300 mg at weeks 0 and 2 [70]
** GEMINI-III trial: regimen: IV vedolizumab 300 mg at weeks 0, 2, and 6; the response and remission results are significant for patients with prior anti-TNF failure (shown) and the overall study population but not for anti-TNF-naive patients [71]

Clinical remission * 14.5% vedolizumab vs. 6.8% placebo at week 6 (p = 0.02) [70]
** 26.6% vedolizumab vs. 12.1% placebo at week 10 (p = 0.001) [71]

Maintenance of response * 43.5% vedolizumab every 8 weeks (p = 0.01), 45.5% vedolizumab every 4 weeks (p = 0.005) vs. 30.1% placebo [70] * Regimen: IV vedolizumab 300 mg every 4 or 8 weeks; includes patients with an initial drop in CDAI >70 response to vedolizumab only; the results were also significant for maintenance of glucocorticoid-free remission [70]

Maintenance of remission * 39.0% vedolizumab every 8 weeks (p < 0.001), 36.4% vedolizumab every 4 weeks (p = 0.004) vs. 21.6% placebo [70]

Indication Vedolizumab vs. placebo Comments

UC Clinical response 47.1% vedolizumab vs. 25.5% placebo (p < 0.001) [72] GEMIN-I trial: IV vedolizumab 300 mg at weeks 0 and 2; response was evaluated at week 6; vedolizumab was also shown to significantly induce mucosal healing (40.9%, p = 0.001) as compared to placebo (24.8%) at week 6

Clinical remission 41.8% vedolizumab vs. 15.9% placebo (p < 0.001) [72]

Maintenance of remission 41.8% (every 8 weeks) and 44.8% (every 4 weeks) vs. 15.9% placebo at week 52 (both p < 0.001) [72] Regimen: IV vedolizumab 300 mg every 4 or 8 weeks

The number of asterisks indicates which comments in the right column refer to which study in the left column. SC = Subcutaneously; OR = odds ratio; PO = per os; NS = not significant; IV = intravenously.