Volume 153, Issue 1, Pages e6 (July 2017)

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Volume 153, Issue 1, Pages 77-86.e6 (July 2017) Efficacy and Safety of MEDI2070, an Antibody Against Interleukin 23, in Patients With Moderate to Severe Crohn’s Disease: A Phase 2a Study  Bruce E. Sands, Jingjing Chen, Brian G. Feagan, Mark Penney, William A. Rees, Silvio Danese, Peter D.R. Higgins, Paul Newbold, Raffaella Faggioni, Kaushik Patra, Jing Li, Paul Klekotka, Chris Morehouse, Erik Pulkstenis, Jörn Drappa, René van der Merwe, Robert A. Gasser  Gastroenterology  Volume 153, Issue 1, Pages 77-86.e6 (July 2017) DOI: 10.1053/j.gastro.2017.03.049 Copyright © 2017 AGA Institute Terms and Conditions

Figure 1 Patient disposition through week 24. aPatient decision (n = 1), adverse events (n = 5); other (n = 2). bPatient decision (n = 1), adverse events (n = 5); other (n = 1). cPatient decision (n = 2), adverse events (n = 1), lack of therapeutic response (n = 2), development of study-specific withdrawal criteria (n = 1), other (n = 3). dPatient decision (n = 3); adverse events (n = 5), lack of therapeutic response (n = 1), other (n = 3). Gastroenterology 2017 153, 77-86.e6DOI: (10.1053/j.gastro.2017.03.049) Copyright © 2017 AGA Institute Terms and Conditions

Figure 2 Efficacy outcomes during the double-blind (weeks 8 and 12) and open-label (week 24) periods. Shown are the proportions of patients who achieved a clinical response (defined as a 100-point decrease in CDAI score from baseline or clinical remission [CDAI score <150]), clinical remission, or the composite outcome of clinical response and a ≥50% reduction in fecal calprotectin or CRP concentration from baseline at week 8 (modified intention-to-treat [mITT] population, n = 119; A) and week 12 (mITT population, n = 119; B) of the double-blind period, and week 24 (open-label population, n = 104; C) of the open-label period. Gastroenterology 2017 153, 77-86.e6DOI: (10.1053/j.gastro.2017.03.049) Copyright © 2017 AGA Institute Terms and Conditions

Figure 3 Percent change from baseline in serum IL22 levels in MEDI2070 and placebo groups (A) and percentage of patients with clinical response (B) and with clinical remission (C) over time, by baseline serum IL22 levels. Error bars represent median absolute deviation (MAD). Gastroenterology 2017 153, 77-86.e6DOI: (10.1053/j.gastro.2017.03.049) Copyright © 2017 AGA Institute Terms and Conditions

Supplementary Figure 1 Mean change from baseline in CDAI scores over time for the double-blind period (modified intention-to-treat population). Error bars represent standard error. Gastroenterology 2017 153, 77-86.e6DOI: (10.1053/j.gastro.2017.03.049) Copyright © 2017 AGA Institute Terms and Conditions

Supplementary Figure 2 Mean change from baseline in CDAI scores over time for the double-blind and open-label periods (open-label population). Gastroenterology 2017 153, 77-86.e6DOI: (10.1053/j.gastro.2017.03.049) Copyright © 2017 AGA Institute Terms and Conditions

Supplementary Figure 3 Mean (SD) serum concentration-time profiles of MEDI2070 after intravenous administration of MEDI2070 700 mg at weeks 0 and 4 or placebo, followed by subcutaneous administration of MEDI2070 210 mg every 4 weeks from week 12. Gastroenterology 2017 153, 77-86.e6DOI: (10.1053/j.gastro.2017.03.049) Copyright © 2017 AGA Institute Terms and Conditions

Supplementary Figure 4 Individual concentration of MEDI2070 by CDAI response (A, B) and CDAI remission (C, D) during the double-blind phase (A, C) and the open-label extension phase (C, D). Gastroenterology 2017 153, 77-86.e6DOI: (10.1053/j.gastro.2017.03.049) Copyright © 2017 AGA Institute Terms and Conditions