Cochrane · systematic review · CD007572

Anti‐IL‐12/23p40 antibodies for induction of remission in Crohn's disease

MacDonald, JK, Nguyen, TM, Khanna, R, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Gut2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 6 · 42.9%Moderate 4 · 28.6%High 4 · 28.6%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Briakinumab compared to placebo for induction of remission in Crohn's disease

Population: induction of remission in Crohn's disease
CD007572.PUB3 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to induce clinical remission (Mannon 2004) CDAI (≤150 points)
Briakinumab vs placebo
RR 0.86 [0.65, 1.14]1 study · 79 participantsLow
Downgraded: imprecision
Failure to induce clinical remission (Panaccione 2010) CDAI (≤150 points)
Briakinumab vs placebo
RR 0.92 [0.83, 1.03]1 study · 230 participantsLow
Downgraded: imprecision
Failure to induce clinical response (Mannon 2004) CDAI ‐ (≥100 point reduction)
Briakinumab vs placebo
RR 0.65 [0.42, 0.99]1 study · 79 participantsLow
Downgraded: imprecision
Failure to induce clinical response (Panaccione 2010) CDAI ‐ (≥100 point reduction)
Briakinumab vs placebo
RR 0.82 [0.67, 0.99]1 study · 230 participantsModerate
Downgraded: imprecision
Adverse events (Panaccione 2010)
Briakinumab vs placebo
RR 0.9 [0.75, 1.07]1 study · 230 participantsModerate
Downgraded: imprecision
Serious adverse events (Panaccione 2010)
Briakinumab vs placebo
RR 0.52 [0.17, 1.61]1 study · 246 participantsLow
Downgraded: imprecision
Withdrawals due to adverse event** (Pannaccione 2010)
Briakinumab vs placebo
RR 0.69 [0.14, 3.31]1 study · 246 participantsLow
Downgraded: imprecision

Ustekinumab compared to placebo for induction of remission in Crohn's disease

Population: patients with induction of remission in Crohn's disease
CD007572.PUB3 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to induce clinical remission CDAI (≤ 150)
Ustekinumab vs placebo
RR 0.92 [0.88, 0.96]3 studies · 1320 participantsHigh
Failure to induce clinical remission (6 mg/kg subgroup) CDAI (≤ 150)
Ustekinumab vs placebo
RR 0.92 [0.87, 0.97]2 studies · 916 participantsModerate
Downgraded: inconsistency
Failure to induce clinical response CDAI (≥100 point reduction)
Ustekinumab vs placebo
RR 0.82 [0.77, 0.88]3 studies · 1320 participantsHigh
Failure to induce clinical response (6 mg/kg subgroup) CDAI (≥100 point reduction)
Ustekinumab vs placebo
RR 0.83 [0.77, 0.91]2 studies · 916 participantsHigh
Adverse events
Ustekinumab vs placebo
RR 0.97 [0.9, 1.04]4 studies · 2023 participantsHigh
Serious adverse events
Ustekinumab vs placebo
RR 0.83 [0.58, 1.2]4 studies · 2023 participantsModerate
Downgraded: imprecision
Withdrawals due to adverse event
Ustekinumab vs placebo
RR 0.44 [0.18, 1.05]2 studies · 657 participantsLow
Downgraded: imprecision

Briakinumab compared to placebo for induction of remission in Crohn's disease

Population: induction of remission in Crohn's disease
CD007572.PUB2 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to induce clinical remission (Mannon 2004) CDAI (≤150 points)
Briakinumab vs placebo
RR 0.86 [0.65, 1.14]1 study · 79 participantsLow
Downgraded: imprecision
Failure to induce clinical remission (Panaccione 2010) CDAI (≤150 points)
Briakinumab vs placebo
RR 0.92 [0.83, 1.03]1 study · 230 participantsLow
Downgraded: imprecision
Failure to induce clinical response (Mannon 2004) CDAI ‐ (≥100 point reduction)
Briakinumab vs placebo
RR 0.65 [0.42, 0.99]1 study · 79 participantsLow
Downgraded: imprecision
Failure to induce clinical response (Panaccione 2010) CDAI ‐ (≥100 point reduction)
Briakinumab vs placebo
RR 0.82 [0.67, 0.99]1 study · 230 participantsModerate
Downgraded: imprecision
Adverse events (Panaccione 2010)
Briakinumab vs placebo
RR 0.9 [0.75, 1.07]1 study · 230 participantsModerate
Downgraded: imprecision
Serious adverse events (Panaccione 2010)
Briakinumab vs placebo
RR 0.52 [0.17, 1.61]1 study · 246 participantsLow
Downgraded: imprecision
Withdrawals due to adverse event** (Pannaccione 2010)
Briakinumab vs placebo
RR 0.69 [0.14, 3.31]1 study · 246 participantsLow
Downgraded: imprecision

Ustekinumab compared to placebo for induction of remission in Crohn's disease

Population: patients with induction of remission in Crohn's disease
CD007572.PUB2 · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Failure to induce clinical remission CDAI (≤ 150)
Ustekinumab vs placebo
RR 0.94 [0.88, 1.01]2 studies · 579 participantsModerate
Failure to induce clinical response CDAI (≥100 point reduction)
Ustekinumab vs placebo
RR 0.79 [0.71, 0.89]2 studies · 579 participantsModerate
Downgraded: imprecision
Adverse events
Ustekinumab vs placebo
RR 0.92 [0.83, 1.03]2 studies · 657 participantsHigh
Serious adverse events
Ustekinumab vs placebo
RR 0.81 [0.44, 1.49]2 studies · 657 participantsLow
Downgraded: imprecision
Withdrawals due to adverse event
Ustekinumab vs placebo
RR 0.44 [0.18, 1.05]2 studies · 657 participantsLow
Downgraded: imprecision