Table 2.
At least one objective assessmenta | TDM performed | |||||
---|---|---|---|---|---|---|
OR | 95% CI | p value | OR | 95% CI | p value | |
Sex (female vs. male) | 0.849 | 0.565–1.274 | 0.4283 | 1.480 | 0.929–2.361 | 0.0993 |
Race (white vs. nonwhite) | 0.657 | 0.330–1.306 | 0.2305 | 1.152 | 0.540–2.456 | 0.7147 |
Age at therapy change (years) | 1.004 | 0.989–1.019 | 0.6215 | 0.996 | 0.979–1.013 | 0.6164 |
Previous biologic use (yes vs. no) | 1.027 | 0.639–1.652 | 0.9120 | 0.980 | 0.5840–1.642 | 0.9378 |
Disease duration at therapy change (years) | 0.987 | 0.964–1.011 | 0.2896 | 0.997 | 0.969–1.025 | 0.8133 |
Site type (academic vs. community) | 1.588 | 1.010–2.495 | 0.0452 | 1.114 | 0.662–1.875 | 0.6845 |
Private insurance at enrollment (yes vs. no) | 1.044 | 0.602–1.811 | 0.8781 | 1.188 | 0.626–2.253 | 0.5979 |
Drug classb | 0.0083 | |||||
Adalimumab | Ref | Ref | – | Ref | Ref | Ref |
Infliximab | 0.569 | 0.360–0.900 | 0.0159 | 0.844 | 0.529–1.348 | 0.4779 |
Other anti-TNF | 1.460 | 0.576–3.705 | 0.4252 | |||
Ustekinumab | 0.353 | 0.137–0.914 | 0.0320 | |||
Vedolizumab | 1.359 | 0.683–2.702 | 0.3819 | |||
Disease type (CD vs. UC) | 1.181 | 0.734–1.901 | 0.4923 | 0.953 | 0.567–1.602 | 0.8566 |
Therapy change (discontinuation vs. dose change) | 1.178 | 0.776–1.788 | 0.4417 | 1.011 | 0.634–1.613 | 0.9632 |
aObjective assessment included fecal calprotectin, C-reactive protein, endoscopy, MRI, or CT scan
bFor TDM model, drug class compared infliximab to adalimumab (reference) as these were the only two biologics included in the TDM assessment population