Table 1.
Patient number | 1 | 2 | 3 | 4 | 5 |
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Current age (years) | 39.7 | 22.7 | 28.2 | 35.3 | 53.7 |
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Sex | Male | Male | Female | Male | Female |
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Race | White | White | White | White | White |
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Location of GI involvement1 | S, SB, C | E, S, SB | E, S, SB | E, S, SB | S, SB |
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Duration of disease at vedo start (years) | 8.1 | 17.2 | 11.3 | 13.1 | 6.5 |
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Vedolizumab continued at end of follow-up | No | No | No | Yes | Yes |
Last known treatment | Ustekinumab | Study drug | Study drug | -- | -- |
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Treatments | |||||
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Prior to vedolizumab start | |||||
Swallowed fluticasone | Yes | Yes | |||
Swallowed budesonide | Yes | Yes | |||
Entocort | Yes | Yes | Yes | Yes | |
Systemic steroids | Yes | Yes | Yes | Yes | Yes |
Omalizumab | Yes | ||||
Food elimination diet | Yes | Yes | Yes | Yes | |
Cromolyn | Yes | Yes | Yes | Yes | |
6MP/azathioprine2 | Yes | Yes | Yes | Yes | |
Methotrexate | Yes | Yes | Yes | ||
Infliximab | Yes | ||||
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After vedolizumab start | |||||
Swallowed fluticasone | Yes | ||||
Swallowed budesonide | |||||
Entocort | Yes | Yes | Yes | ||
Systemic steroids | Yes | Yes | Yes | ||
Omalizumab | |||||
Food elimination diet | Yes | Yes | |||
Cromolyn | |||||
6MP/azathioprine | Yes | ||||
Methotrexate | |||||
Infliximab | |||||
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Stopped systemic steroids post induction | No | N/a | N/a | Yes | Yes |
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Length of vedolizumab course (years) | 0.3 | 0.2 | 0.6 | 1.0 | 1.3 |
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Number of infusions | 4 | 3 | 5 | 10 | 16 |
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Overall clinical improvement3 | Yes | No | No | +/− | Yes |
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Endoscopic improvement | N/A4 | No | No | No | No |
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Eosinophil counts (per hpf) | |||||
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Esophagus | |||||
Diagnosis5 | 0 | 90 | 42 | 45 | 0 |
Baseline6 | 0 | 100 | 3 | 0 | N/A |
Post-vedolizumab7 | N/A | 100 | 24 | 3 | N/A |
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Stomach | |||||
Diagnosis | 210 | 80 | 23 | 400 | 230 |
Baseline | 180 | 0 | 0 | 1 | 25 |
Post-vedolizumab | N/A | 0 | 30 | 0 | 0 |
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Duodenum | |||||
Diagnosis | 0 | N/A | 80 | 0 | 170 |
Baseline | 0 | N/A | 76 | 8 | 150 |
Post-vedolizumab | N/A | N/A | 0 | 0 | 0 |
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Jejunum | |||||
Diagnosis | N/A | 40 | N/A | 40 | 140 |
Baseline | 130 | 82 | N/A | 6 | N/A |
Post-vedolizumab | N/A | 58 | N/A | 0 | N/A |
E: esophageal involvement, S: stomach involvement, SB: small bowel involvement, C: colonic involvement;
6MP: 6-mercaptopurine;
Patient 1 stopped due to adverse events of migraine and recurrent nasopharyngeal infections, and Patients 2 & 3 stopped due to lack of clinical, endoscopic, or histologic resposne;
N/A: not assessed;
Eosinophil counts at diagnosis or off treatments;
Eosinophil counts at baseline prior to vedolizumab treatment, including patients on the treatments listed above;
Eosinophil counts after vedolizumab treatment