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. Author manuscript; available in PMC: 2020 Apr 27.
Published in final edited form as: Lancet. 2019 Mar 29;393(10182):1708–1720. doi: 10.1016/S0140-6736(18)32592-3

Table 1.

Baseline Clinical and Demographic Characteristics, Week 4 Remission, Week 12 CS-free Remission and Week 52 PUCAI Score Grouped by Week 52 Outcome

Week 52 F.valliable population
(n=400a)
Week 52 CS-Free Remission
(n=150)
Neither CS-Free Remission nor Additional Therapy
(n=53)
Escalation to Immuno-modulator onlyb
(n=74)
Escalation to Anti-TNFαc (n=123) p-value
Age (years) (mean±SD) 12.3 ± 3.4 12.4 ± 3.8 12.9 ± 2.9 12.9 ± 3.0 0.30
Female (%) 69/150 (46%) 30/53 (57%) 36/74 (49%) 62/123 (50%) 0.60
Nonwhite race (%) 22/148 (15%) 9/53 (17%) 11/70 (16%) 20/121 (17%) 0.98
Clinical Characteristics:
Disease Extent: N=150 N=53 N=74 N=123
 Proctosigmoiditis 15 (10%) 5 (9%) 3 (4%) 4 (3%) 0.0041 *
 Left-sided colitis 18 (12%) 8 (15%) 6 (8%) 6 (5%)
 Extensive/Pancolitisd 117 (78%) 40 (75%) 65 (88%) 113 (92%)
PUCAI total score (range 0–85 by 5) (mean±SD) 45.6 ± 20.3 39.2 ± 16.3 51.6 ± 15.4 60.2 ± 18.1 <0.0001 **
 % < 45 70/150 (47%) 34/53 (64%) 16/74 (22%) 23/123 (19%) <0.0001 **
Percentage of Week 52 Outcomes by PUCAI total score category <0.0001 **
 10–30 (Mild) n=90 43/90 (48%) 23/90 (26%) 11/90 (12%) 13/90 (14%)
 35–60 (Moderate) n=l 77 66/177 (37%) 25/177 (14%) 45/177 (25%) 41/177 (23%)
 ≥65 (Severe) n=133 41/133 (31%) 5/133 (4%) 18/133 (14%) 69/133 (52%)
Mayo total score (range 0–12) (mean±SD) N=150
7.2 ± 2.5
N=53
6.5 ± 2.0
N=74
7.9 ± 2.0
N=123
9.1 ± 2.3
<0.0001 **
 % ≥ 10 30 (20%) 6 (11%) 15 (20%) 64 (52%) <0.0001 **
 % ≥ 11 13 (9%) 1 (2%) 8 (11%) 47 (38%) <0.0001 **
Mayo endoscopy score (range 0–3) (mean±SD) N=150
2.1 ± 0.7
N=53
1.9 ± 0.6
N=74
2.2 ± 0.6
N=123
2.5 ± 0.6
<0.0001 **
Hemoglobin (g/dL) N=139 N=49 N=68 N=120
 Mean±SD 11.9 ± 2.0 12.0 ± 1.9 10.9 ± 2.3 10.8 ± 2.3 <0.0001 **
 %<10g/dL 22 (16%) 7 (14%) 22 (32%) 45 (38%) 0.0001 **
ESR (mm/hr) N=135 N=44 N=64 N=115
 Median (P25, P75) 19 (11, 34) 17 (9, 35) 28 (12, 47) 30 (17, 46) 0.0005 **
CRPorhsCRP N=113 N=37 N=51 N=100
 >ULN 42 (37%) 12 (32%) 24 (47%) 59 (59%) 0.0044 *
Albumin (g/dL) N=147 N=53 N=71 N=123
 Mean±SD 3.8 ± 0.7 3.8 ± 0.8 3.6 ± 0.6 3.5 ± 0.7 0.0001 **
 % <3.5 g/dL 40 (27%) 15 (28%) 22 (31%) 55 (45%) 0.0155 *
25 (OH) D (ng/mL) N=136 N=50 N=68 N=113
 Median (P25, P75) 29.5 (25.0, 36.9) 28.8 (24.2, 34.0) 28.7 (24.4, 35.1) 27.1 (22.2, 31.7)
 < 20 ng/mL 12 (9%) 5 (10%) 3 (4%) 19 (17%) 0.055
 20– < 30 ng/mL 61 (45%) 23 (46%) 34 (50%) 54 (48%) 0.11
 ≥ 30 ng/mL 63 (46%) 22 (44%) 31 (46%) 40 (35%)
Bioavailable 25 (OH) D (ng/mL) N=136 N=51 N=66 N=112
 Median (P25, P75) 1.5 (1.1, 2.1) 1.3 (0.8, 2.1) 1.2 (0.8, 1.8) 1.2 (0.8, 1.9) 0.0091 *
 % ≥ 1.6 ng/mL 65 (48%) 20 (39%) 21 (32%) 36 (32%) 0.045 *
Rectal biopsy eosinophilic inflammation (count > 32/hpf) 75/126 (60%) 31/46 (67%) 43/63 (68%) 45/107 (42%) 0.0016 *
Week 4 Remissione 100/150 (67%) 27/53 (51%) 33/74 (45%) 38/123 (31%) <0.0001 **
Week 4 fecal calprotectin (mcg/g)
Median (P25, P75)
N=108
604.5 (144.8, 1519.3)
N=39
677.6 (233.2, 1597.7)
N=48
1014.3 (372.0, 2314.2)
N=78
1576.8 (564.6, 2975.5)
0.0008 **
Week 12 CS-free remissionf 79/150 (53%) 23/53 (43%) 15/74 (20%) 19/123 (15%) <0.0001 **
Week 52 PUCAI total score category N=149 N=51 N=69 N=105
 <10 (Inactive) 149 (100%) 6 (12%) 40 (58%) 50 (48%) <0.0001 **
 10–30 (Mild) 0 (0%) 39 (76%) 24 (35%) 32 (30%)
 35–60 (Moderate) 0 (0%) 5 (10%) 3 (4%) 17 (16%)
 ≥65 (Severe) 0 (0%) 1 (2%) 2 (3%) 6 (6%)
*

p<0.05,

**

p < 0.001. P-values comparing groups are from a chi-squared or Fisher’s exact test (noted by #) for categorical variables, a Mantel-Haenszel chi-squared test for ordinal variables, and ANOVA or Kruskal-Wallis test for continuous variables. P25, P75: 25th and 75% percentile Additional characteristics are located in Table S3A

a

Evaluable population excludes participants who discontinued the study without additional therapy or colectomy

b

106 patients started on immunomodulators, 32 later escalated to anti-TNFα

c

Includes one patient starting a calcineurin inhibitor and one patient who received colectomy without escalation to anti-TNFα

d

Includes patients with fulminant disease with limited colonoscopy

e

week 4 remission: PUCAI < 10 at week 4 with no prior treatment escalation or colectomy

f

week 12 CS-free remission: PUCAI < 10 at week 12 and steroid-free for the prior 14 days with no prior treatment escalation or colectomy.