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. 2019 Sep 24;14(4):542–556. doi: 10.1093/ecco-jcc/jjz162

Table 2.

Biologic induction TDM thresholds and associated therapeutic outcomes for vedolizumab and ustekinumab.

IBD type Study type and sample size Total N Threshold concentration [µg/mL] Associated therapeutic outcome and time point Reference
Vedolizumab
Week 2
CD/UC Retrospective cohort 179 >28.9 Clinical response in UC at week 14 Dreesen et al.83
CD/UC Retrospective cohort 179 >35.2 Biochemical remission in CD at week 6 Dreesen et al.83
Week 6
UC Post-hoc analysis of RCT [GEMINI1] 693 >37.1 Clinical response at week 6 Osterman et al80
CD/UC Retrospective cohort 179 >20.8 Clinical response in UC at week 14 Dreesen et al.83
CD/UC Retrospective cohort 81 >28 Sustained clinical response Liefferinckx et al84
CD/UC Prospective cohort 82 >18 Mucosal healing within 52 weeks Yacoub et al81
CD/UC Prospective cohort 47 <18.5 Need for dose-escalation within 24 weeks Willett et al82
Week 14
UC Post-hoc analysis of RCT [GEMINI1] 693 >18.4 Clinical response at week 14 Osterman et al80
CD/UC Retrospective cohort 179 >12.6 Clinical response in UC at week 14 Dreesen et al.83
CD/UC Retrospective cohort 179 >17 Mucosal healing in UC at week 14 Dreesen et al.83
Ustekinumab
Week 4
CD Prospective cohort 86 >15.9 50% decrease in FC at week 8 Verstockt et al94
CD Prospective cohort 51 >13 Clinical and biochemical response at week 16 Soufflet et al.95
Week 8
CD Post-hoc analysis of RCTs [UNITI-1 and 2] 701 >3.3 Clinical remission at week 8 Adedokun et al.91
CD Prospective cohort 86 >7.2 Biological remission at week 8 Verstockt et al.94
CD Prospective cohort 86 >4.2 50% decrease in FC at week 8 Verstockt et al.94
CD Prospective cohort 51 >2 Clinical and biochemical response at week 16 Soufflet et al.95

Abbreviations: CD, Crohn’s disease; UC, ulcerative colitis; RCT, randomized controlled trial; AAA, anti-adalimumab antibodies; FC, faecal calprotectin.

aCT-P13.