Table 1.
Clinical remission induction | |||||||||||
Study name and setting | Cycles (n) | Randomisation* | Patients analysed (n) |
Patients achieving response | Patients achieving remission | Time of assessment | Outcome criteria | Concomitant medication | |||
% | n | % | n | Remission | Response | ||||||
Bresci et al 200818 single centre study |
5 | GMA | 40 | 92.5 | 37 | 72.5 | 29 | 5 weeks | CAI<6; EI <4 | CAI<6; EI>4 | Oral 5-ASA |
Steroid | 40 | 65.0 | 26 | 50.0 | 20 | ||||||
Doménechet al 201819 multi-centre study |
7 | GMA+steroid | 62 1 | 58.1 | 36 | 19.4 | 12 | 12 weeks | Mayo≤2 and no steroid use | Mayo score decrease ≥3 or at least 30% from baseline | Stable dose AZA and steroid were allowed if started before randomisation |
Steroid | 61 2 | 49.2 | 30 | 18.0 | 11 | ||||||
Eberhardson et al 201720 single centre study |
5 | GMA | 14 | 57.1 | 8 | 35.7 | 5 | 12 days | Mayo score ≤3 | Mayo score decrease ≥3 or at least 30% from baseline | Stable dose of steroid; 5-ASA and/or thiopurines were allowed |
Sham | 8 3 | 37.5 | 3 | 12.5 | 1 | ||||||
Hanai et al 200422 single centre study |
7 | GMA | 46 | 93.5 | 43 | 82.6 | 38 | 12 weeks | CAI≤4 | CAI had fallen, but still 4< | Steroids and/or 5-ASA |
Steroid | 23 | 78.3 | 18 | 65.2 | 15 | ||||||
Hanai et al 200821 multi-centre study |
11 | GMA | 35 | 80.0 | 28 | 74.3 | 26 | 12 weeks | CAI≤4 | CAI decreased by ≥5 points, but remained ≥5 | All patients were on salicylates and the majority were on low dose steroid as well |
Steroid | 35 | 62.9 | 22 | 48.6 | 17 | ||||||
Nakamura et al 200423 single centre study |
5 | GMA | 10 | N/A | N/A | 80.0 | 8 | 6 weeks | Based on CAI, but not specified | All patients received steroid; 5-ASA was unchanged | |
No GMA | 10 | N/A | N/A | 20.0 | 2 | ||||||
Sands et al 20087 A study multi-centre study | 10 | GMA | 31 | 67.7 | 21 | 16.1 | 5 | 12 weeks | Mayo score ≤2; 0–1 endoscopic score | Mayo score decrease ≥3 | One or more of the following: 5-ASA agents, steroid, 6-MP or AZA |
Sham | 16 | 62.5 | 10 | 18.8 | 3 | ||||||
Sands et al 20087 B study multi-centre study | 10 | GMA | 112 | 60.7 | 68 | 17.0 | 19 | 12 weeks | Mayo score ≤2; 0–1 endoscopic score | Mayo score decrease ≥3 | One or more of the following: 5-ASA, steroid, 6-MP or AZA |
Sham | 56 | 50.0 | 28 | 10.7 | 6 | ||||||
Sawada 200517 multi-centre study |
7 | GMA | 10 | 80.0 | 8 | 20.0 | 2 | 10 weeks | CAI=0 | CAI improved >3 | Except for steroid, other medications remained unchanged |
Sham | 9 | 33.3 | 3 | 11.1 | 1 | ||||||
Clinical remission maintenance | |||||||||||
Study name | Cycles (n) | Randomisation | Patients analysed (n) | Patients in clinical remission at the end of the study | Close-out examination | Outcome criteria for remission | Concomitant medication | ||||
% | n | ||||||||||
Emmrich et al 200624 single centre study |
5 | GMA | 8 | 62.5 | 5 | 6 months | CAI≤4 | All patients were on steroid; 5-ASA was allowed; AZA given at baseline remained unchanged | |||
No GMA | 5 | 20.0 | 1 | ||||||||
Fukunaga et al 20129 single centre study |
12 | GMA | 10 | 40.0 | 4 | 12 months | CAI≤4 | Stable dose of AZA and steroids were allowed if started before randomisation | |||
Sham | 11 | 9.1 | 1 | ||||||||
Maiden et al 200825 single centre study |
5 | GMA | 18 | 77.8 | 14 | 6 months | CAI≤6 | Only 5-ASA or oral steroid | |||
No GMA | 19 | 26.3 | 5 |
*All patients received standard of care added to investigator/comparator. 1: one patient was excluded from analysis because of protocol deviations; 2: one patient was excluded from analysis because of protocol deviations; 3: one patient was excluded due to failure to return blood from the column; 4: minimisation may be implemented without a random element, and this is considered to be equivalent to being random.
5-ASA, 5-aminosalicylic acid; AZA, azathioprine; CAI, Clinical Activity Index; EI, Endoscopic Index; GMA, granulocyte and monocyte apheresis; 6-MP, 6-mercaptopurine; n, number.