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. 2021 Nov 17;9(11):e003277. doi: 10.1136/jitc-2021-003277

Table 2.

IMDC-related characteristics in patients treated with vedolizumab and infliximab alone (N=156)

Characteristic Vedolizumab n=62 Infliximab n=94 P value
Median length of ICI treatment, days (IQR), n=156 73 (28–247) 70 (28–151) 0.846
Median time from ICI initiation-IMDC onset, days (IQR), n=156 104 (53–212) 96 (33–188) 0.065
No of ICI treatments before IMDC, mean (SD) 7 (8) 7 (6) 0.235
Diarrhea grade, no (%) 0.583
1–2 20 (32) 33 (35)
3–4 42 (68) 61 (65)
Colitis grade, no (%) 0.246
1–2 30 (48) 57 (61)
3–4 32 (52) 37 (39)
Median duration of initial IMDC symptoms, days (IQR), n=156 56 (27–80) 50 (31–69) 0.054
Endoscopy evaluation, no (%) 60 (96) 65 (69) <0.001
Endoscopic presentation, no (%) 0.265
Mucosal ulceration 17 (28) 19 (29)
Non-ulcerative inflammation 32 (54) 37 (57)
Normal 11 (18) 9 (14)
Histology features–no (%) 0.105
Acute active colitis 12 (20) 24 (37)
Chronic active colitis 35 (58) 31 (48)
Microscopic colitis 13 (22) 10 (15)
IV steroids, no (%) 36 (58) 58 (62) 0.237
Median duration of steroids for initial IMDC, days (IQR), n=156 35 (27–43) 51 (41–68) <0.001
No of steroid tapering attempts prior to SIT use, median (IQR), n=156 1 (1–3) 2 (2–3) 0.016
Median duration from IMDC to first dose of SIT- days (IQR), n=156 11 (9–48) 23 (19–37) <0.001
No of SIT doses (%) <0.001
1–2 21 (34) 77 (82)
≥3 41 (66) 17 (18)
Doses of SIT, mean (SD) 3 (2) 2 (1) <0.001
Median duration from first dose of SIT to symptom remission or improvement to grade 1, days (IQR), n=138 18 (10–40) 13 (8–29) 0.012
Hospitalization, no (%) 40 (65) 67 (71) 0.367
Median duration of hospitalization, days (IQR), n=107 10 (5–15) 14 (8–19.8) 0.043
Multiple hospitalizations, no (%) 10 (16) 26 (28) 0.005
Clinical remission, no (%) 55 (89) 83 (88) 0.785
Recurrent IMDC, no. (%) 8 (14) 27 (29) 0.007
Immunosuppressant-associated infection, no (%) 12 (19) 23 (25) 0.184

ICI, immune checkpoint inhibitor; IMDC, immune-mediated diarrhea and colitis; IV, intravenous; SIT, selective immunosuppressive therapy.