Table 3.
Gastrointestinal symptom | VDZ use vs non-use | VDZ monotherapy vs anti-TNF monotherapy | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
VDZ | All other IBD therapies | p value | Vedolizumab monotherapy | Anti-TNF monotherapy | p value | |||||
N | [%] | N | [%] | N | [%] | N | [%] | |||
Overall | ||||||||||
Abdominal pain | 37 | 8.1% | 250 | 7.8% | 0.847 | 30 | 9.0% | 58 | 5.6% | 0.026 |
Diarrhoea | 89 | 19.5% | 616 | 19.3% | 0.934 | 74 | 22.2% | 167 | 16.0% | 0.010 |
Nausea | 32 | 7.0% | 167 | 5.2% | 0.120 | 29 | 8.7% | 38 | 3.6% | <0.001 |
Vomiting | 14 | 3.1% | 86 | 2.7% | 0.653 | 12 | 3.6% | 18 | 1.7% | 0.042 |
Other | 10 | 2.2% | 88 | 2.8% | 0.481 | 9 | 2.7% | 19 | 1.8% | 0.325 |
Any GI symptom | 116 | 25.4% | 770 | 24.1% | 0.822 | 99 | 29.6% | 200 | 19.2% | <0.001 |
Among patients with active IBD a | ||||||||||
Abdominal pain | 18 | 8.7% | 148 | 11.3% | 0.258 | 13 | 10.0% | 35 | 10.6% | 0.840 |
Diarrhoea | 41 | 19.8% | 289 | 22.1% | 0.449 | 30 | 23.1% | 80 | 24.3% | 0.779 |
Nausea | 12 | 5.8% | 84 | 6.4% | 0.726 | 10 | 7.7% | 15 | 4.6% | 0.183 |
Vomiting | 6 | 2.9% | 43 | 3.3% | 0.765 | 5 | 3.8% | 8 | 2.4% | 0.532 |
Other | 4 | 1.9% | 41 | 3.1% | 0.341 | 3 | 2.3% | 11 | 3.3% | 0.766 |
Any GI symptom | 49 | 23.7% | 353 | 27.0% | 0.556 | 37 | 28.5% | 95 | 28.9% | 0.875 |
Among patients with IBD in remission a | ||||||||||
Abdominal pain | 18 | 7.9% | 93 | 5.3% | 0.109 | 17 | 9.0% | 23 | 3.4% | 0.001 |
Diarrhoea | 46 | 20.2% | 292 | 16.6% | 0.183 | 43 | 22.9% | 82 | 12.3% | <0.001 |
Nausea | 20 | 8.8% | 77 | 4.4% | 0.004 | 19 | 10.1% | 23 | 3.4% | <0.001 |
Vomiting | 8 | 3.5% | 38 | 2.2% | 0.205 | 7 | 3.7% | 10 | 1.5% | 0.072 |
Other | 5 | 2.2% | 39 | 2.2% | 0.977 | 5 | 2.7% | 7 | 1.0% | 0.150 |
Any GI symptom | 64 | 28.1% | 374 | 21.3% | 0.027 | 60 | 31.9% | 99 | 14.8% | <0.001 |
Abbreviations: COVID-19 = coronavirus disease 2019; SECURE-IBD = Surveillance Epidemiology of Coronavirus Under Research Exclusion for Inflammatory Bowel Disease; VDZ = vedolizumab; TNF = tumor necrosis factor.
Statistically significant associations are in bold.
aBased on Physician Global Assessment [PGA].