Table 5

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 analysisNumber of cohortsHazard ratio
[95% confidence interval]
I2p-value
Secondary loss of response [overall]62.21 [1.69 − 2.88]0%<0.001
Patient population
 Crohn’s disease patients only21.79 [0.81 − 3.95]52%0.15
Type of TNF-a antagonist
 Infliximab exclusively52.01 [1.36 − 2.97]44%<0.001
 Adalimumab exclusively22.46 [1.42 − 4.28]0%0.001
Publication type
 Abstracts42.39 [1.69 − 3.37]0%<0.001
 Full papers21.94 [1.20 − 3.13]23%0.007
Risk of bias
 Studies with low/moderate risk of bias42.00 [1.48 − 2.70]0%<0.001
 Studies with high risk of bias23.12 [1.78 − 5.48]0%<0.001
Treatment discontinuation [overall]61.72 [1.10 − 2.70]68%0.002
Patient population
 Adult patients only21.84 [1.15 − 2.93]44%0.01
 Crohn’s disease patients only22.14 [1.32 − 3.47]0%0.002
Type of TNF-a antagonist
 Infliximab exclusively52.11 [1.63 − 2.74]0%<0.001
Publication type
 Full papers41.43 [0.74 − 2.77]79%0.29
 Abstracts22.39 [1.53 − 3.75]0%<0.001
Risk of bias
 Excluding high-risk bias studies51.64 [0.98 − 2.72]74%0.06
Subgroup analysisNumber of cohortsHazard ratio
[95% confidence interval]
I2p-value
Secondary loss of response [overall]62.21 [1.69 − 2.88]0%<0.001
Patient population
 Crohn’s disease patients only21.79 [0.81 − 3.95]52%0.15
Type of TNF-a antagonist
 Infliximab exclusively52.01 [1.36 − 2.97]44%<0.001
 Adalimumab exclusively22.46 [1.42 − 4.28]0%0.001
Publication type
 Abstracts42.39 [1.69 − 3.37]0%<0.001
 Full papers21.94 [1.20 − 3.13]23%0.007
Risk of bias
 Studies with low/moderate risk of bias42.00 [1.48 − 2.70]0%<0.001
 Studies with high risk of bias23.12 [1.78 − 5.48]0%<0.001
Treatment discontinuation [overall]61.72 [1.10 − 2.70]68%0.002
Patient population
 Adult patients only21.84 [1.15 − 2.93]44%0.01
 Crohn’s disease patients only22.14 [1.32 − 3.47]0%0.002
Type of TNF-a antagonist
 Infliximab exclusively52.11 [1.63 − 2.74]0%<0.001
Publication type
 Full papers41.43 [0.74 − 2.77]79%0.29
 Abstracts22.39 [1.53 − 3.75]0%<0.001
Risk of bias
 Excluding high-risk bias studies51.64 [0.98 − 2.72]74%0.06

I2, statistic inconsistency.

Table 5

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 analysisNumber of cohortsHazard ratio
[95% confidence interval]
I2p-value
Secondary loss of response [overall]62.21 [1.69 − 2.88]0%<0.001
Patient population
 Crohn’s disease patients only21.79 [0.81 − 3.95]52%0.15
Type of TNF-a antagonist
 Infliximab exclusively52.01 [1.36 − 2.97]44%<0.001
 Adalimumab exclusively22.46 [1.42 − 4.28]0%0.001
Publication type
 Abstracts42.39 [1.69 − 3.37]0%<0.001
 Full papers21.94 [1.20 − 3.13]23%0.007
Risk of bias
 Studies with low/moderate risk of bias42.00 [1.48 − 2.70]0%<0.001
 Studies with high risk of bias23.12 [1.78 − 5.48]0%<0.001
Treatment discontinuation [overall]61.72 [1.10 − 2.70]68%0.002
Patient population
 Adult patients only21.84 [1.15 − 2.93]44%0.01
 Crohn’s disease patients only22.14 [1.32 − 3.47]0%0.002
Type of TNF-a antagonist
 Infliximab exclusively52.11 [1.63 − 2.74]0%<0.001
Publication type
 Full papers41.43 [0.74 − 2.77]79%0.29
 Abstracts22.39 [1.53 − 3.75]0%<0.001
Risk of bias
 Excluding high-risk bias studies51.64 [0.98 − 2.72]74%0.06
Subgroup analysisNumber of cohortsHazard ratio
[95% confidence interval]
I2p-value
Secondary loss of response [overall]62.21 [1.69 − 2.88]0%<0.001
Patient population
 Crohn’s disease patients only21.79 [0.81 − 3.95]52%0.15
Type of TNF-a antagonist
 Infliximab exclusively52.01 [1.36 − 2.97]44%<0.001
 Adalimumab exclusively22.46 [1.42 − 4.28]0%0.001
Publication type
 Abstracts42.39 [1.69 − 3.37]0%<0.001
 Full papers21.94 [1.20 − 3.13]23%0.007
Risk of bias
 Studies with low/moderate risk of bias42.00 [1.48 − 2.70]0%<0.001
 Studies with high risk of bias23.12 [1.78 − 5.48]0%<0.001
Treatment discontinuation [overall]61.72 [1.10 − 2.70]68%0.002
Patient population
 Adult patients only21.84 [1.15 − 2.93]44%0.01
 Crohn’s disease patients only22.14 [1.32 − 3.47]0%0.002
Type of TNF-a antagonist
 Infliximab exclusively52.11 [1.63 − 2.74]0%<0.001
Publication type
 Full papers41.43 [0.74 − 2.77]79%0.29
 Abstracts22.39 [1.53 − 3.75]0%<0.001
Risk of bias
 Excluding high-risk bias studies51.64 [0.98 − 2.72]74%0.06

I2, statistic inconsistency.

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