Early Trough Levels and Antibodies to Infliximab Predict Safety and Success of Reinitiation of Infliximab Therapy  Filip Baert, David Drobne, Ann Gils,

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Presentation transcript:

Early Trough Levels and Antibodies to Infliximab Predict Safety and Success of Reinitiation of Infliximab Therapy  Filip Baert, David Drobne, Ann Gils, Niels Vande Casteele, Scott Hauenstein, Sharat Singh, Steve Lockton, Paul Rutgeerts, Séverine Vermeire  Clinical Gastroenterology and Hepatology  Volume 12, Issue 9, Pages 1474-1481.e2 (September 2014) DOI: 10.1016/j.cgh.2014.01.033 Copyright © 2014 AGA Institute Terms and Conditions

Figure 1 Kaplan–Meier curve analysis for success at retreatment over time (A) by reason for discontinuation and (B) by use of IMM or not at restart. Clinical Gastroenterology and Hepatology 2014 12, 1474-1481.e2DOI: (10.1016/j.cgh.2014.01.033) Copyright © 2014 AGA Institute Terms and Conditions

Figure 2 Response rates (A) short term and (B) at the end of follow-up evaluation, and (C) risk of IR according TL at T+1 in quartiles with and without IMM co-treatment. TLs at T+1 were divided into quartiles (TL Q1, 0.20–0.36 μg/mL; TL Q2, 0.36–5.23 μg/mL; TL Q3, 5.23–17.34 μg/mL; and TL Q4, 17.34–41.2 μg/mL). Response rate and risk of IR are given for each TL quartile both for patients on concomitant IMM or not on concomitant IMM treatment (no IMM). Statistically significant differences were seen for IMM vs no IMM only in the lowest quartile. Clinical Gastroenterology and Hepatology 2014 12, 1474-1481.e2DOI: (10.1016/j.cgh.2014.01.033) Copyright © 2014 AGA Institute Terms and Conditions

Figure 3 Maturation of ATI at the different time points T-1, T0 (disappearing), T+1, and T+2 (reappearing). (A) ATI values of all patients. (B) ATI values of patients with IRs. (C) ATI values for patients without IR. On the y axes, all values above 50 IU/mL were set to 50 IU/mL maximum. Only patients are shown with serum available at T+1. pts, patients. Clinical Gastroenterology and Hepatology 2014 12, 1474-1481.e2DOI: (10.1016/j.cgh.2014.01.033) Copyright © 2014 AGA Institute Terms and Conditions

Supplementary Figure 1 Box plots of TL (median μg/mL + 95% CI) measured early after restart (T+1) comparing responders and nonresponders (A) short term and (B) at the end of the follow-up period. Clinical Gastroenterology and Hepatology 2014 12, 1474-1481.e2DOI: (10.1016/j.cgh.2014.01.033) Copyright © 2014 AGA Institute Terms and Conditions

Supplementary Figure 2 ROC curve for TL and ATI at all time points and long-term response according to Kaplan–Meier analysis. The AUC for TL T+1 was 0.764 (95% CI 0.624–0.904); asymptotic significance was set at P = .003. Clinical Gastroenterology and Hepatology 2014 12, 1474-1481.e2DOI: (10.1016/j.cgh.2014.01.033) Copyright © 2014 AGA Institute Terms and Conditions