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Vedolizumab and anti-TNF therapies: a real-world comparison

Presented By
Dr G. Mantzaris , Evangelismos Hospital, Greece
ECCO 2020
In a real-world comparison of vedolizumab and anti-TNF therapies in biologic-naïve ulcerative colitis (UC) patients, vedolizumab was associated with higher persistence, lower likelihood of exacerbations and a better safety profile [1]. However, sample size limitations necessitate further study. The EVOLVE study is one of the first to compare a biological with anti-TNF as early treatment of UC. It was a real-world, multi-country, retrospective chart review study in Canada, Greece, and the USA. The clinical effectiveness and safety of vedolizumab or an anti-TNF (adalimumab, infliximab, or golimumab) as a first-line biologic initiated within 2 years after diagnosis were assessed. A total of 176 UC patients from 37 sites were included in the analysis: 86 using vedolizumab and 90 using anti-TNF. The mean age in both groups was 41.4 and 36.8 years, respectively. The proportion of men was 58.1% and 56.7%, respectively. At 12 months, 72.9% and 58.1% still u...

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