Table 1.
Author | Risk of Biasa | Sample | Target Treatment | Control | Treatment Duration | Primary Efficacy Endpoint | Efficacy on Primary Endpoint? (Hedges’ g) | IBDQ Outcomes |
---|---|---|---|---|---|---|---|---|
| ||||||||
Bloom (2004)26 | Low | 106 pts with mild-to-moderate active UC at hospital outpatient clinics in Europe & Canada | Tinzaparin 175 anti-Xa IU/kg/day for 14 days followed by tinzaparin 4500 anti-XA IU/day for 28 days (n=48) | Placebo (n=52) | 6 weeks | Ad hoc CAI (bowel frequency, rectal bleeding, histology, sigmoidoscopy) | No (−0.04) |
|
Boye (2011)27 | Moderate | 58 pts with mostly mild- to-moderate active UC at university clinics in Norway & Germany | Stress management EW (n=35) | TAU (n=23) | 18 months | RCAI (modified) | Yes (0.59) |
|
Cross (2012)28 | Low | 47 pts with mild-to-moderate UC at a university hospital or veterans clinic in the U.S. | Home telemanagement (n=25) | BAC (n=22) | 12 months | Seo index | Yes (1.69) |
|
Elsenbruch (2005)29 | High | 30 pts with mild active UC recruited via public advertisements in Germany | Mind-body therapy EW (n=15) | Wait-list control (n=15) | 10 weeks | RCAI | No (−0.12) |
|
Feagan (2005)30 | Low | 181 pts with mild-to-moderate active UC at university medical centers globally | VDZ 2 mg/kg (n=60) | Placebo (n=63) | 6 weeks | TMS | Yes (0.70) |
|
Feagan (2007)31 | Low | ACT 1: 364 pts with moderate-to-severe active UC at medical sites globally | IFX 5 mg/kg (n=121) | Placebo (n=121) | 8 weeks | Response: (TMS decrease ≥ 3 pts/30%) & (RB decrease ≥ 1 pt or RB < 2) | Yes (0.74) |
|
ACT 2: 364 pts with moderate-to-severe active UC at medical sites globally | IFX 5 mg/kg (n=121) | Placebo (n=123) | 8 weeks | Response: (TMS decrease ≥ 3 pts/30%) & (RB decrease ≥ 1 pt or RB < 2) | Yes (0.81) |
|
||
Feagan (2013)32 | Low | 895 pts with moderate-to-severe active UC at medical centers in 34 countries | VDZ 300 mg (n=225) | Placebo (n=149) | 6 weeks | Response: (TMS decrease ≥ 3 pts/30%) & (RB decrease ≥ 1 pt or RB < 2) | Yes (0.53) |
|
Leiper (2011)33 | Low | 24 pts with moderate- to-severe active UC at a university hospital in U.K. | RTX 1 g (n=16) | Placebo (n=8) | 12 weeks | Remission: (TMS < 3) | No (0.26) |
|
Panaccione (2014)34 | Low | 181 pts with moderate-to- severe active UC at medical centers in Belgium | AZA+IFX (n=63) | AZA-only (n=53) + IFX-only (n=65) | 16 weeks | Remission: (TMS < 3) & (all MS items < 2) & (No CS use) | Yes (0.43) |
|
Panes (2015)35 | Low | 194 pts with moderate-to-severe active UC at medical centers globally | Tofacitinib 10 mg BID (n=33) | Placebo (n=48) | 8 weeks | Response: (TMS decrease ≥ 3 pts/30%) & (RB decrease ≥ 1 pt or RB < 2) | No (0.42) |
|
Panes (2018)36* | Low | OCTAVE Induction 1: 614 pts with moderate-to-severe active UC at medical sites globallyy | Tofacitinib 10 mg BID (n=476) | Placebo (n=122) | 8 weeks | Remission: (TMS < 3) & (all MS items < 2) & (RB = 0) | Yes (0.51) |
|
OCTAVE Induction 2: 547 pts with moderate-to-severe active UC at medical sites globall | Tofacitinib 10 mg BID (n=429) | Placebo (n=112) | 8 weeks | Remission: (TMS < 3) & (all MS items < 2) & (RB = 0) | Yes (0.93) |
|
||
Probert (2003)37 | Low | 43 pts with moderately active, glucocorticoid-resistant UC at medical centers in U.K. & Germany | IFX 5 mg/kg (n=23) | Placebo (n=20) | 6 weeks | Remission: (TMS < 3) or (Baron score = 0) | No (0.22) |
|
Rutgeerts (2015)38 | Low | 291 pts with moderate-to-severe active UC at medical centers globally | GLM 4 mg/kg (n=77) | Placebo (n=77) | 6 weeks | Response: (TMS decrease ≥ 3 pts/30%) & (RB decrease ≥ 1 pt or RB < 2) | No (0.27) |
|
Sandborn (2003)39 | Low | 88 pts with mild-to-moderate UC at medical centers in U.S. | Repifermin 50 μg/kg (n=14) | Placebo (n=28) | 4 weeks | Remission: (TMS EA = 0) & (RB = 0) & (SF < 2) & (PGA < 2) | No (−0.75) |
|
Sandborn (2014)40 | Low | Phase II: 164 pts with moderate-to-severe active UC at medical centers globally | GLM 200/100 mg (n=41) | Placebo (n=40) | 6 weeks | TMS | No (0.28) |
|
Phase III: 761 pts with moderate-to-severe active UC at medical centers globally | GLM 200/100 mg (n=252) | Placebo (n=252) | 6 weeks | Response: (TMS decrease ≥ 3 pts/30%) & (RB decrease ≥ 1 pt or RB < 2) | Yes (0.48) |
|
Based on number of domains with high risk of bias: 0 = low risk; 1–2 = moderate risk; 3 or more = high risk. High risk of bias studies were excluded from the primary analysis.
Data in the meta-analysis were based on those reported in a published erratum to this article.53
5-ASA, 5-aminosalicylic acid; AZA, azathioprine; BAC, best available care; BID, twice daily; CAI, Colitis Activity Index; CS, corticosteroids; DAI, disease activity index; EA, endoscopic appearance; EW, every week; GLM, golimumab; IBDQ, Inflammatory Bowel Disease Questionnaire; IFN, interferon-β-1a; IFX, infliximab; IU, international kg, kilogram; MS, Mayo score; PGA, Physician’s Global Assessment; pts, patients; RB, rectal bleeding; RCAI: Rachmilewitz clinical activity index; RTX, rituximab; SF, stool frequency; TAU, treatment as usual; TMS, total Mayo score; UC, ulcerative colitis; VDZ, vedolizumab.