Yoshimura 2015.
Methods | Randomised, double‐blind, placebo‐controlled, phase IIa study (N = 102) | |
Participants | Patients were 20‐65 years of age with a diagnosis of moderately active UC (MCS 6‐10, a rectal bleeding subscore of 1 or higher, and an endoscopic subscore of 2 or higher) Patients had inadequately responded or had an intolerance to 5‐ASA and/or corticosteroids |
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Interventions | Group 1: 960 mg AJM 300 (n = 51) Group 2: placebo (n = 51) Patients received treatment 3 times daily for 8 weeks |
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Outcomes | Primary outcome: clinical response (decrease in MCS > 3 points and a decrease of > 30% from the baseline score, with a decrease > 1 point on the rectal bleeding subscore or an absolute rectal bleeding subscore of 0 or 1) Secondary outcomes: clinical remission (MCS of < 2 and no subscore > 1), mucosal healing (endoscopic subscore of 0 or 1), PMCS and adverse events |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Dynamic balancing allocation with minimization method |
Allocation concealment (selection bias) | Low risk | Randomisation performed centrally |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Patients, assessing physicians, and the funder were blinded to the assignment of treatment throughout the study |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Patients, assessing physicians, and the funder were blinded to the assignment of treatment throughout the study |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 10 patients discontinued from the placebo group; 4 patients discontinued from the AMJ 300 group |
Selective reporting (reporting bias) | Low risk | All expected outcomes were reported |
Other bias | Low risk | The study appears to be free of other sources of bias |
UC: ulcerative colitis
ASA: aminosalicylic acid
SC: subcutaneous
TNF‐α: Tumour necrosis factor‐alpha
AZA: azathioprine
6‐MP: 6‐mercaptopurine
CRP: C‐reactive protein
DAI: Disease Activity Index
UCDAI: Ulcerative Colitis Disease Activity Index
CAI: Clinical Activity Index
ITT: intention‐to‐treat
LDP‐02: vedolizumab ‐ a humanised a4b7 antibody
MCS: Mayo Clinic Score
MLN02: vedolizumab ‐ a humanised a4b7 antibody
IV: intraveneous
IBDQ: Inflammatory Bowel Disease Questionnaire
UCCS: Ulcerative Colitis Clinical Score
PGA: physician's global assessment
MMX: Multi Matrix System
BMS‐936557: anti‐IP‐10 antibody
IFN‐βb‐1a: interferon beta‐1a
ACT‐1: Active Ulcerative Colitis Trial 1
ACT‐2: Active Ulcerative Colitis Trial 2
PMCS: Partial Mayo Clinic Score
MMDAI: Modified Mayo Disease Activity Index
SASP: sulfasalazine
AJM 300: an oral alpha4 integrin antagonist