Skip to main content
. 2018 May 24;12(6):623–632. doi: 10.5009/gnl17462

Table 1.

Infliximab Use in Patients with Intestinal Behçet’s Disease

Author (year) Country Method Participants Intervention Outcomes
Iwata et al. (2011)24 Japan Retrospective, 1 center 10 Patients with intestinal BD refractory to conventional therapy IFX 3–5 mg/kg (wk 0, 2, 6) with methotrexate Primary outcome
  • Rate of disappearance of ileocecal ulceration at 6 and 24 mo: 50% and 90%

Secondary outcome
  • Dose of steroid tapered at 24 mo: 22.0–1.8 mg/day

Lee et al. (2013)25 Korea Retrospective, 8 centers 28 Patients with moderate to severe activity of intestinal BD (DAIBD ≥40) IFX 5 mg/kg (wk 0, 2, 6) Primary outcome
  • Clinical remission at 2, 4, 30, and 54 wk (DAIBD <20): 32.1%, 28.6%, 46.2%, and 39.1%

Secondary outcome
  • Clinical response at 2, 4, 30, and 54 wk (ΔDAIBD ≥20): 75%, 64.3%, 50%, and 39.1%

  • Biological response at 2, 4, 30, and 54 wk (CRP <3 mg/L): 82.1%, 57.1%, 53.8%, and 43.5%

Kinoshita et al. (2013)26 Japan Retrospective, 1 center 15 Patients with refractory intestinal BD to conventional therapy IFX 5 mg/kg (wk 0, 2, 6) (n=10)
IFX 5 mg/kg (wk 0, 2, 6) with azathioprine (n=5)
Primary outcome
  • Clinical remission at 10 wk, 12 mo, and 24 mo (improved symptom and normal CRP): 53%, 27%, and 38%

Secondary outcome
  • Clinical response at 10 wk, 12 mo, and 24 mo (improved symptom or lower CRP): 27%, 36%, and 38%

Ideguchi et al. (2014)27 Japan Retrospective, 1 center 43 (6 Treated with infliximab for intestinal BD) patients with intestinal BD to conventional therapy - Good response in 2 patients, partial response in 2, and unchanged GI lesions in 2 patients
Vallet et al. (2015)28 France Retrospective, 12 centers 124 (9 Treated with infliximab for intestinal BD) - Primary outcome
  • Complete response: 5/9 (55.6%)

Secondary outcome
  • Improvement of clinical manifestations in BD patients treated by infliximab: 7/9 (77.8%)

Hibi et al. (2016)29 Japan Prospective, open-label, single-arm phase 3 study, 21 centers 18 (11 With intestinal BD) patients with refractory intestinal BD to conventional therapy IFX 5 mg/kg (wk 0, 2, 6) Primary outcome
  • Complete responder at 14, 30, and 54 wk (disappeared clinical symptom and healed or scarred ulcer): 55%, 55%, and 60%

Secondary outcome
  • Dose reduction and withdrawal of steroids at 14, 30, 54 wk: 37.5%, 75.0%, and 100.0%

Zou et al. (2017)30 China Retrospective, 1 center 27 Patients with moderate to severe activity of intestinal BD (DAIBD ≥40) - Primary outcome
  • Clinical remission at 14, 30, and 52 wk (DAIBD <20): 69.2%, 40%, and 55%

Secondary outcome
  • Clinical response at 14, 30, and 52 wk (ΔDAIBD ≥20): 84.6%, 70%, and 70%

  • Mucosal healing at 14 wk: 72%

BD, Behçet’s disease; IFX, infliximab; DAIBD, disease activity score for intestinal BD; CRP, C-reactive protein; GI, gastrointestinal.