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. 2015 Oct 26;2015(10):CD007698. doi: 10.1002/14651858.CD007698.pub3

Comparison 1. Budesonide MMX® 9 mg versus placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Remission (combined clinical and endoscopic remission) 3 900 Risk Ratio (M‐H, Fixed, 95% CI) 2.25 [1.50, 3.39]
2 Remission (combined clinical and endoscopic remission): subgroup by mesalamine use 3 900 Risk Ratio (M‐H, Fixed, 95% CI) 2.25 [1.50, 3.39]
2.1 Concurrent mesalamine 1 458 Risk Ratio (M‐H, Fixed, 95% CI) 1.75 [0.99, 3.08]
2.2 No mesalamine 2 442 Risk Ratio (M‐H, Fixed, 95% CI) 2.89 [1.59, 5.25]
3 Remission (combined clinical and endoscopic remission) subgroup by disease location 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
3.1 Combined proctosigmoiditis and left‐sided disease 2 289 Risk Ratio (M‐H, Fixed, 95% CI) 2.98 [1.56, 5.67]
3.2 Extensive disease 2 145 Risk Ratio (M‐H, Fixed, 95% CI) 2.41 [0.61, 9.56]
4 Clinical Improvement (without remission) at 4 weeks 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
5 Clinical remission or reduction in CAI of at least 50% at 4 weeks 1   Risk Ratio (M‐H, Random, 95% CI) Totals not selected
6 No change or worsening of disease at 4 weeks 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
7 Endoscopic Improvement at 4 weeks 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8 Histologic Improvement at 4 weeks 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
9 Morning Cortisol Suppression at 4 weeks 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
10 Clinical improvement 2 442 Risk Ratio (M‐H, Fixed, 95% CI) 1.30 [0.99, 1.70]
11 Symptom resolution 2 442 Risk Ratio (M‐H, Fixed, 95% CI) 1.86 [1.25, 2.77]
12 Endoscopic improvement 2 442 Risk Ratio (M‐H, Fixed, 95% CI) 1.29 [1.01, 1.66]
13 Histologic remission 3 900 Risk Ratio (M‐H, Fixed, 95% CI) 1.51 [1.11, 2.06]
14 Histologic remission: sensitivity analysis 2 442 Risk Ratio (M‐H, Fixed, 95% CI) 1.44 [0.75, 2.75]
15 Endoscopic remission 2 695 Risk Ratio (M‐H, Fixed, 95% CI) 1.56 [1.13, 2.16]
16 Endoscopic remission: sensitivity analysis 1 237 Risk Ratio (M‐H, Fixed, 95% CI) 1.48 [0.91, 2.40]
17 Endoscopic remission according to disease location 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
17.1 Proctosigmoiditis 1 75 Risk Ratio (M‐H, Fixed, 95% CI) 1.66 [0.75, 3.65]
17.2 Left‐sided disease 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 1.53 [0.76, 3.09]
17.3 Extensive disease 1 105 Risk Ratio (M‐H, Fixed, 95% CI) 1.97 [0.65, 6.00]
18 Adverse events 3 971 Risk Ratio (M‐H, Fixed, 95% CI) 1.09 [0.95, 1.26]
19 Serious adverse events 2 513 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.33, 2.40]
20 Treatment‐related serious adverse events 2 513 Risk Ratio (M‐H, Fixed, 95% CI) 3.04 [0.32, 28.99]
21 Potential glucocorticoid effects 2 513 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.53, 1.53]
22 Withdrawal due to adverse events 3 971 Risk Ratio (M‐H, Fixed, 95% CI) 0.99 [0.68, 1.43]