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. 2021 May 19;11(5):e042374. doi: 10.1136/bmjopen-2020-042374

Table 1.

Characteristics of the studies included

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.