Risks of secondary loss of clinical response to anti-tumour necrosis factor-alpha drugs and treatment discontinuation in inflammatory bowel disease patients carrying HLA DQA1*05 versus non-carriers. Overall data and subgroup analysis results are provided.
Subgroup analysis . | Number of cohorts . | Hazard ratio [95% confidence interval] . | I2 . | p-value . |
---|---|---|---|---|
Secondary loss of response [overall] | 6 | 2.21 [1.69 − 2.88] | 0% | <0.001 |
Patient population | ||||
Crohn’s disease patients only | 2 | 1.79 [0.81 − 3.95] | 52% | 0.15 |
Type of TNF-a antagonist | ||||
Infliximab exclusively | 5 | 2.01 [1.36 − 2.97] | 44% | <0.001 |
Adalimumab exclusively | 2 | 2.46 [1.42 − 4.28] | 0% | 0.001 |
Publication type | ||||
Abstracts | 4 | 2.39 [1.69 − 3.37] | 0% | <0.001 |
Full papers | 2 | 1.94 [1.20 − 3.13] | 23% | 0.007 |
Risk of bias | ||||
Studies with low/moderate risk of bias | 4 | 2.00 [1.48 − 2.70] | 0% | <0.001 |
Studies with high risk of bias | 2 | 3.12 [1.78 − 5.48] | 0% | <0.001 |
Treatment discontinuation [overall] | 6 | 1.72 [1.10 − 2.70] | 68% | 0.002 |
Patient population | ||||
Adult patients only | 2 | 1.84 [1.15 − 2.93] | 44% | 0.01 |
Crohn’s disease patients only | 2 | 2.14 [1.32 − 3.47] | 0% | 0.002 |
Type of TNF-a antagonist | ||||
Infliximab exclusively | 5 | 2.11 [1.63 − 2.74] | 0% | <0.001 |
Publication type | ||||
Full papers | 4 | 1.43 [0.74 − 2.77] | 79% | 0.29 |
Abstracts | 2 | 2.39 [1.53 − 3.75] | 0% | <0.001 |
Risk of bias | ||||
Excluding high-risk bias studies | 5 | 1.64 [0.98 − 2.72] | 74% | 0.06 |
Subgroup analysis . | Number of cohorts . | Hazard ratio [95% confidence interval] . | I2 . | p-value . |
---|---|---|---|---|
Secondary loss of response [overall] | 6 | 2.21 [1.69 − 2.88] | 0% | <0.001 |
Patient population | ||||
Crohn’s disease patients only | 2 | 1.79 [0.81 − 3.95] | 52% | 0.15 |
Type of TNF-a antagonist | ||||
Infliximab exclusively | 5 | 2.01 [1.36 − 2.97] | 44% | <0.001 |
Adalimumab exclusively | 2 | 2.46 [1.42 − 4.28] | 0% | 0.001 |
Publication type | ||||
Abstracts | 4 | 2.39 [1.69 − 3.37] | 0% | <0.001 |
Full papers | 2 | 1.94 [1.20 − 3.13] | 23% | 0.007 |
Risk of bias | ||||
Studies with low/moderate risk of bias | 4 | 2.00 [1.48 − 2.70] | 0% | <0.001 |
Studies with high risk of bias | 2 | 3.12 [1.78 − 5.48] | 0% | <0.001 |
Treatment discontinuation [overall] | 6 | 1.72 [1.10 − 2.70] | 68% | 0.002 |
Patient population | ||||
Adult patients only | 2 | 1.84 [1.15 − 2.93] | 44% | 0.01 |
Crohn’s disease patients only | 2 | 2.14 [1.32 − 3.47] | 0% | 0.002 |
Type of TNF-a antagonist | ||||
Infliximab exclusively | 5 | 2.11 [1.63 − 2.74] | 0% | <0.001 |
Publication type | ||||
Full papers | 4 | 1.43 [0.74 − 2.77] | 79% | 0.29 |
Abstracts | 2 | 2.39 [1.53 − 3.75] | 0% | <0.001 |
Risk of bias | ||||
Excluding high-risk bias studies | 5 | 1.64 [0.98 − 2.72] | 74% | 0.06 |
I2, statistic inconsistency.
Risks of secondary loss of clinical response to anti-tumour necrosis factor-alpha drugs and treatment discontinuation in inflammatory bowel disease patients carrying HLA DQA1*05 versus non-carriers. Overall data and subgroup analysis results are provided.
Subgroup analysis . | Number of cohorts . | Hazard ratio [95% confidence interval] . | I2 . | p-value . |
---|---|---|---|---|
Secondary loss of response [overall] | 6 | 2.21 [1.69 − 2.88] | 0% | <0.001 |
Patient population | ||||
Crohn’s disease patients only | 2 | 1.79 [0.81 − 3.95] | 52% | 0.15 |
Type of TNF-a antagonist | ||||
Infliximab exclusively | 5 | 2.01 [1.36 − 2.97] | 44% | <0.001 |
Adalimumab exclusively | 2 | 2.46 [1.42 − 4.28] | 0% | 0.001 |
Publication type | ||||
Abstracts | 4 | 2.39 [1.69 − 3.37] | 0% | <0.001 |
Full papers | 2 | 1.94 [1.20 − 3.13] | 23% | 0.007 |
Risk of bias | ||||
Studies with low/moderate risk of bias | 4 | 2.00 [1.48 − 2.70] | 0% | <0.001 |
Studies with high risk of bias | 2 | 3.12 [1.78 − 5.48] | 0% | <0.001 |
Treatment discontinuation [overall] | 6 | 1.72 [1.10 − 2.70] | 68% | 0.002 |
Patient population | ||||
Adult patients only | 2 | 1.84 [1.15 − 2.93] | 44% | 0.01 |
Crohn’s disease patients only | 2 | 2.14 [1.32 − 3.47] | 0% | 0.002 |
Type of TNF-a antagonist | ||||
Infliximab exclusively | 5 | 2.11 [1.63 − 2.74] | 0% | <0.001 |
Publication type | ||||
Full papers | 4 | 1.43 [0.74 − 2.77] | 79% | 0.29 |
Abstracts | 2 | 2.39 [1.53 − 3.75] | 0% | <0.001 |
Risk of bias | ||||
Excluding high-risk bias studies | 5 | 1.64 [0.98 − 2.72] | 74% | 0.06 |
Subgroup analysis . | Number of cohorts . | Hazard ratio [95% confidence interval] . | I2 . | p-value . |
---|---|---|---|---|
Secondary loss of response [overall] | 6 | 2.21 [1.69 − 2.88] | 0% | <0.001 |
Patient population | ||||
Crohn’s disease patients only | 2 | 1.79 [0.81 − 3.95] | 52% | 0.15 |
Type of TNF-a antagonist | ||||
Infliximab exclusively | 5 | 2.01 [1.36 − 2.97] | 44% | <0.001 |
Adalimumab exclusively | 2 | 2.46 [1.42 − 4.28] | 0% | 0.001 |
Publication type | ||||
Abstracts | 4 | 2.39 [1.69 − 3.37] | 0% | <0.001 |
Full papers | 2 | 1.94 [1.20 − 3.13] | 23% | 0.007 |
Risk of bias | ||||
Studies with low/moderate risk of bias | 4 | 2.00 [1.48 − 2.70] | 0% | <0.001 |
Studies with high risk of bias | 2 | 3.12 [1.78 − 5.48] | 0% | <0.001 |
Treatment discontinuation [overall] | 6 | 1.72 [1.10 − 2.70] | 68% | 0.002 |
Patient population | ||||
Adult patients only | 2 | 1.84 [1.15 − 2.93] | 44% | 0.01 |
Crohn’s disease patients only | 2 | 2.14 [1.32 − 3.47] | 0% | 0.002 |
Type of TNF-a antagonist | ||||
Infliximab exclusively | 5 | 2.11 [1.63 − 2.74] | 0% | <0.001 |
Publication type | ||||
Full papers | 4 | 1.43 [0.74 − 2.77] | 79% | 0.29 |
Abstracts | 2 | 2.39 [1.53 − 3.75] | 0% | <0.001 |
Risk of bias | ||||
Excluding high-risk bias studies | 5 | 1.64 [0.98 − 2.72] | 74% | 0.06 |
I2, statistic inconsistency.
This PDF is available to Subscribers Only
View Article Abstract & Purchase OptionsFor full access to this pdf, sign in to an existing account, or purchase an annual subscription.