Table 1.
Characteristics of the studies included and the use of biologics during pregnancy.
Study | Design | Pregnancies (n) | No. of pregnancies in the drug-exposed group | No. of pregnancies in the control group | Duration of exposure | Study quality |
---|---|---|---|---|---|---|
Kammerlander et al. (17) | R | 120 | 90 anti-TNF | 30 BU | During the third trimester | ✰✰✰✰✰✰✰ |
Zelinkova et al. (18) | P | 50 | 25 anti-TNF (IFX+ADA) | 25 BU | Discontinued the treatment at mean gestational week 22 | ✰✰✰✰✰✰✰ |
Lichtenstein et al. (19) | R | 118 | 78 anti-TNF (IFX) | 40 BU | At any time during pregnancy | ✰✰✰✰✰ |
Wils et al. (20) | R | 158 | 21 anti-integrins (VDZ) 27 anti-interleukins (UST) 60 anti-TNF (IFX) |
50 BU | At any time within the 2 months prior to conception or during pregnancy | ✰✰✰✰✰✰✰ |
Katz et al. (21) | R | 164 | 82 anti-TNF (IFX) | 82 BU | At any time within the 3 months prior to conception or during pregnancy | ✰✰✰✰✰✰ |
Schnitzler et al. (22) | R | 213 | 41 anti-integrins 48 anti-interleukins (UST) 72 anti-TNF (IFX+ADA) |
52 BU | At any time within the 3 months prior to conception or during pregnancy | ✰✰✰✰✰✰ |
Weber-Schoendorfer et al. (23) | P | 222 | 27 anti-integrins 30 anti-interleukins (UST) 85 anti-TNF |
80 BU | At any time during the first 12 weeks | ✰✰✰✰✰✰✰ |
Clowse et al. (24) | P + R | 396 | 53 anti-integrins 47 anti-interleukins 98 anti-TNF (CZP) |
198 BU | At any time during pregnancy | ✰✰✰✰✰✰✰ |
Moens et al. (25) | R | 286 | 136 anti-TNF (IFX) 40 anti-integrins (VDZ) 24 anti-interleukins (UST) |
86 BU | At any time within the 3 months prior to conception or during pregnancy | ✰✰✰✰✰✰✰ |
Casanova et al. (26) | R | 30 | 15 anti-TNF | 15 BU | At any time within the 3 months prior to conception or during pregnancy | ✰✰✰✰✰✰✰ |
de Lima et al. (27) | P | 118 | 63 anti-TNF | 55 BU | At any time during pregnancy | ✰✰✰✰✰✰✰ |
R, Retrospective; P, Prospective; BU, biologic unexposed.