TABLE 4:
Sex, Age, Indication | Events | Days From First VDZ Dose to TB | Serious? | Other Medical History | Concomitant Medication | Prior Medication | Was VDZ Discontinued? | Country (Total VDZ Exposure in Country) | Incidence of TB in Country of Origin (per 100,000 People) |
---|---|---|---|---|---|---|---|---|---|
Male, NR, ulcerative colitis | Latent TB,* Rash |
Not specified | No† |
Mycobacterium tuberculosis complex test (result NR) Rash with unspecified biologic |
NR | Adalimumab | Yes | US (~61,488 PY) | 3.2 |
Female, 33, hemorrhagic rectocolitis‡ | Disseminated TB, Dyspnea | 48 | Yes | TB vaccine TB |
NR | Prednisolone (Solupred), infliximab (Remicade), interferon | Yes, but restarted after the event | France (~5524 PY) | 8.2 |
Male, 20, Crohn’s disease | Cutaneous TB | 97 | Yes | Cutaneous TB (healed in the past) | NR | NR | Yes, but restarted after the event | Germany (~14,222 PY) | 8.1 |
Female, NR, NR | TB,§ C. difficile infection | NR | Yes | NR | NR | NR | NR | US (~61,488 PY) | 3.2 |
Male, 46, ulcerative colitis | TB§ | 196 | Yes | None║ | NR | NR | Yes | US (~61,488 PY) | 3.2 |
NR, NR, IBD (unspecified) | Pulmonary TB | NR | Yes | Failed TNF antagonist therapy (unspecified) | NR | TNF antagonist therapy (unspecified) | Yes | US (~61,488 PY) | 3.2 |
Female, NR, NR | Latent TB* | 154 | No† | NR | Augmentin | Adalimumab, infliximab | No | US (~61,488 PY) | 3.2 |
*Not reported as part of the patient’s concomitant or previous medical history (diagnosed after the start of treatment with VDZ).
†Reported as not serious despite TB being a significant event.
‡VDZ is not approved for use in hemorrhagic rectocolitis.
§Not reported whether patient had symptomatic or active TB.
║No other medical history reported.
IBD indicates inflammatory bowel disease; NR, not reported; PY, patient-years; TB, tuberculosis; TNF, tumor necrosis factor; VDZ, vedolizumab.