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©The Author(s) 2025.
World J Gastroenterol. Jan 14, 2025; 31(2): 101292
Published online Jan 14, 2025. doi: 10.3748/wjg.v31.i2.101292
Published online Jan 14, 2025. doi: 10.3748/wjg.v31.i2.101292
Total (n = 62) | Withdrawal group (n = 42) | Continuation group (n = 20) | |
Demographics | |||
Female sex | 26 (41.9) | 21 (50) | 5 (25) |
Age (years) | 43.4 ± 18.0 | 43.7 ± 19.0 | 42.8 ± 16.1 |
Current/ex-smoker | 16 (25.8) | 11 (26.2) | 5 (25) |
Disease extent | |||
Left sided colitis | 41 (66.1) | 27 (64.3) | 14 (70) |
Pancolitis | 21 (33.9) | 15 (35.7) | 6 (30) |
Disease duration (years) | 7.5 (4-12) | 8 (3-13) | 6.5 (4-11.8) |
Prior treatments | |||
Corticosteroids | 57 (91.9) | 39 (92.9) | 18 (90) |
Immunomodulators | 62 (100) | 42 (100) | 20 (100) |
Anti-TNF | 14 (22.6) | 10 (23.8) | 4 (20) |
Baseline assessment | |||
Partial mayo score | 0 (0-0) | 0 (0-0) | 0 (0-0) |
Mayo endoscopic score, 0-1 (n = 57) | 57 (100) | 42 (100) | 20 (100) |
Histologic remission (n = 54) | 41 (75.9) | 25 (69.4) (n = 36) | 16 (88.9) (n = 18) |
Laboratory values at baseline | |||
Hemoglobin (g/L) | 139.6 ± 12.9 | 137.8 ± 13.8 | 143.2 ± 10.5 |
Fecal calprotectin (µg/g) | 23.7 (7.9-65) | 17.7 (6.7-51.8) | 44.3 (10.5-124.6) |
Albumin (g/L) | 41.4 ± 4.5 | 41.4 ± 5.0 | 41.2 ± 3.2 |
CRP (mg/L) | 1.25 (0.5-3) | 1.3 (0.5-3.3) | 0.9 (0.2-2.5) |
Vedolizumab serum trough concentrations | |||
Week 0 (µg/mL) | 15.6 (10.8-20.8) | 16.2 (11.5-22.2) | 15.2 (10.3-16.9) |
Week 24 (µg/mL) (n= 57) | 16.9 (12.0-22.1) | 17.8 (10.5-25.7) | 14.7 (12.2-19.7) |
Week 48 (µg/mL) (n= 61) | 15.4 (11.3-21.7) | 15.9 (10.3-22.5) | 14.7 (12.4-18.4) |
Outcomes at week 48 | |||
Partial mayo score | 0 (0-0) | 0 (0-0) | 0 (0-0) |
Clinical remission | 51 (82.3) | 33 (78.6) | 18 (90) |
CRP (mg/L) | 1.2 (0-3.4) | 2.4 (0-6.4) (n = 32) | 1.2 (0-2.8) (n = 17) |
CRP remission | 39 (79.6) | 24 (75) | 15 (88.2) |
Fecal calprotectin (µg/g) | 15.4 (5.5-47.7) | 15.3 (5.5-43.2) (n = 31) | 17.5 (6.4-48.2) (n = 16) |
Fecal calprotectin remission | 43 (91.5) | 27 (87.1) | 16 (100) |
Endoscopic improvement (n = 57) | 39 (68.4) | 23 (62.6) (n = 37) | 16 (80) (n = 20) |
Histologic remission (n = 55) | 32 (58.2) | 18 (48.7) (n = 37) | 14 (77.8) (n = 18) |
Histo-endoscopic remission (n = 55) | 25 (45.5) | 12 (32.4) (n = 37) | 13 (72.2) (n = 18) |
Clinical remission at 2 years | 48 (77.4) | 30 (71.4) | 18 (90) |
- Citation: Chaemsupaphan T, Pudipeddi A, Lin HY, Paramsothy S, Kariyawasam VC, Kermeen M, Leong RW. Vedolizumab serum trough concentrations with and without thiopurines in ulcerative colitis: The prospective VIEWS pharmacokinetics study. World J Gastroenterol 2025; 31(2): 101292
- URL: https://www.wjgnet.com/1007-9327/full/v31/i2/101292.htm
- DOI: https://dx.doi.org/10.3748/wjg.v31.i2.101292