Cochrane · systematic review · CD012878

Adalimumab for induction of remission in Crohn's disease

Abbass, M, Cepek, J, Parker, CE, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

GutAMSTAR 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
9
current version
GRADE rated
7
No studies
2
Included studies
NR
No studies 2 · 22.2%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 22.2%Moderate 2 · 22.2%High 3 · 33.3%

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

Comparison

Population: Patients with active Crohn's disease
9 questions
OutcomeEffectEvidenceStatus / GRADE
OutcomesAnalysis 1.4
no estimate extractedNRNo studies
Failure to achieve clinical remission
RR 0.85 [0.79, 0.9]3 studies · 714 participantsHigh
Failure to achieve clinical response (70‐point response)
RR 0.68 [0.59, 0.79]3 studies · 714 participantsHigh
Failure to achieve clinical response (100‐point response)
RR 0.77 [0.69, 0.86]3 studies · 714 participantsHigh
Endoscopic response
no estimate extractedNRNo studies
Quality of life (QoL) Inflammatory Bowel Disease Questionnaire (IBDQ) (scale: 32 to 224; higher score = better QoL)
no estimate extracted3 studies · 714 participantsModerate
Downgraded: imprecision, inconsistency
Adverse events
RR 0.9 [0.74, 1.09]3 studies · 531 participantsModerate
Downgraded: imprecision, inconsistency
Serious adverse events
RR 0.44 [0.17, 1.15]3 studies · 531 participantsLow
Downgraded: imprecision, inconsistency
Withdrawals due to adverse events
RR 0.38 [0.11, 1.3]3 studies · 531 participantsLow
Downgraded: imprecision, inconsistency