Table 1.
Controlled trials comparing EEN and corticosteroids in adult patients with CD
Ref | Year | Country | No of participants | Remission criteria | % achieving remission (ITT) | P value | % achieving remission (PP) | % EEN discontinued - unpalatable | |||
EEN | CS | EEN | CS | EEN | CS | ||||||
Engelman et al91 | 1993 | England | 7 | 4 | HBI <6.0 | 100 | 100 | NS | 100 | 100 | 0 |
Gassull et al92 | 2002 | Europe | 20 | 19 | VHAI <120 | 20 | 79 | 0.0005 | 27 | 79 | 25 |
Gassull et al92 | 2002 | Europe | 23 | 19 | VHAI <120 | 52 | 79 | NS | 63 | 79 | 17 |
González-Huix et al93 | 1993 | Spain | 15 | 17 | VHAI <120 | 8 | 88 | NS | 80 | 88 | 0 |
Gorard et al94 | 1993 | England | 22 | 20 | HBI-remission not defined, mean<2 | 45 | 85 | <0.05 | 91 | 89 | 41 |
Lindor et al95 | 1992 | USA | 9 | 10 | CDAI decrease >100 points | 50 | 33 | NS | 60 | 63 | 33 |
Lochs et al96 | 1991 | Europe | 55 | 52 | CDAI decrease >100 points or >40% | 53 | 79 | <0.01 | 60 | 85 | 13 |
Malchow et al77 | 1990 | Europe | 51 | 44 | CDAI decrease >100 points or >40% | 41 | 71 | <0.05 | 71 | 91 | 39 |
Mantzaris et al97 | 1996 | Greece | 10 | 10 | CDAI <150 or decrease >100 points | 40 | 70 | NS | 40 | 70 | 0 |
Okada et al98 | 1990 | Japan | 10 | 10 | HBI <1 | 80 | 30 | <0.01 | 80 | 30 | 0 |
O’Morain et al99 | 1984 | England | 11 | 10 | HBI-remission not defined, mean <3 | 82 | 80 | NS | 100 | 100 | 18 |
Zoli et al100 | 1997 | Italy | 12 | 10 | HBI <3 | 67 | 50 | NS | 80 | 60 | 8 |
Adapted from wall et al6
CDAI, Crohn’s Disease Activity Index; CS, corticosteroids; EEN, exclusive enteral nutrition; HBI, Harvey Bradshaw Index; ITT, intention to treat; NS, not significant; PP, per-protocol; VHAI, Van Hees Activity Index.