Table 1.
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: | |||||
Extensive/Pancolitisd | 117 (78%) | 40 (75%) | 65 (88%) | 113 (92%) | |
% < 45 | 70/150 (47%) | 34/53 (64%) | 16/74 (22%) | 23/123 (19%) | <0.0001 ** |
≥65 (Severe) n=133 | 41/133 (31%) | 5/133 (4%) | 18/133 (14%) | 69/133 (52%) | |
% ≥ 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 ** |
%<10g/dL | 22 (16%) | 7 (14%) | 22 (32%) | 45 (38%) | 0.0001 ** |
Median (P25, P75) | 19 (11, 34) | 17 (9, 35) | 28 (12, 47) | 30 (17, 46) | 0.0005 ** |
>ULN | 42 (37%) | 12 (32%) | 24 (47%) | 59 (59%) | 0.0044 * |
% <3.5 g/dL | 40 (27%) | 15 (28%) | 22 (31%) | 55 (45%) | 0.0155 * |
≥ 30 ng/mL | 63 (46%) | 22 (44%) | 31 (46%) | 40 (35%) | |
% ≥ 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 ** |
≥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
Evaluable population excludes participants who discontinued the study without additional therapy or colectomy
106 patients started on immunomodulators, 32 later escalated to anti-TNFα
Includes one patient starting a calcineurin inhibitor and one patient who received colectomy without escalation to anti-TNFα
Includes patients with fulminant disease with limited colonoscopy
week 4 remission: PUCAI < 10 at week 4 with no prior treatment escalation or colectomy
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.