Vermeire 2014.
Methods | Randomized, double‐blind, placebo‐controlled, phase 2 study comparing SC etrolizumab to matched placebo (N = 124) | |
Participants | Adult patients (18‐75 years) with a diagnosis of UC for > 12 weeks and MCS > 5 points at screening (> 6 points at US sites) and a centrally read MCS > 2, a rectal bleeding subscore > 1, and disease extension > 25 cm from the anal verge Patients failed to respond to prior treatment with immunosuppressants and/or TNF‐α antagonists | |
Interventions | Etrolizumab 100 mg (n = 41): patients received 100 mg at weeks 0, 4 and 8, with placebo administered at week 2 Etrolizumab 300 mg (n = 40): patients received a 420 mg loading dose at week 0, followed by 300 mg at weeks 2, 4 and 8 Placebo (n = 43) |
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Outcomes | Primary outcome: clinical remission at week 10 Secondary outcomes: clinical remission at week 6; achievement of endoscopic subscore of 0 at weeks 6 and 10; achievement of rectal bleeding subscore of 0 at weeks 6 and 10; change from baseline in mucosal healing; histological active disease severity score; pharmacodymamic biomarkers in the peripheral blood and colonic tissue | |
Notes | 124 patients were randomly assigned to placebo (n = 43), etrolizumab 100 mg (n = 41) or etrolizumab 300 mg (n = 40) 5 patients had an endoscopic subscore of 0 or 1, and were excluded from the modified intention‐to‐treat population (MITT = 119; 41 patients in the placebo group; 39 patients in the 100 mg group; 39 patients in the 300 mg group) | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomization was conducted with an interactive voice and web response system |
Allocation concealment (selection bias) | Low risk | Randomization was conducted with an interactive voice and web response system |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | All patients, assessing physicians, the funder and its agents and study personnel were masked to treatment assignment, except for site pharmacists who prepared drugs but did not interact with patients |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | All patients, assessing physicians, the funder and its agents and study personnel were masked to treatment assignment, except for site pharmacists who prepared drugs but did not interact with patients |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Withdrawals were similar across groups |
Selective reporting (reporting bias) | Low risk | All primary and secondary outcomes were reported |
Other bias | Low risk | No other apparent sources of bias |