Cochrane · systematic review · CD013611

Vedolizumab for induction and maintenance of remission in Crohn's disease

Hui, S, Sinopoulou, V, Gordon, M, et al. · Cochrane Database of Systematic Reviews · 2023 · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 2 · 28.6%High 3 · 42.9%

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

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

Population: children or adults with Crohn's disease
4 questions
OutcomeEffectEvidenceStatus / GRADE
Induction of clinical remission (6–10 weeks)
Vedolizumab vs placebo
RR 1.61 [1.2, 2.17]4 studies · 1126 participantsHigh
Induction of clinical response (6–10 weeks)
Vedolizumab vs placebo
RR 1.43 [1.19, 1.71]4 studies · 1126 participantsHigh
Adverse events (6–10 weeks)
Vedolizumab vs placebo
RR 1.01 [0.93, 1.11]4 studies · 1126 participantsModerate
Downgraded: risk of bias, imprecision
Serious adverse events (6–10 weeks)
Vedolizumab vs placebo
RR 0.91 [0.62, 1.33]4 studies · 1126 participantsLow
Downgraded: risk of bias, imprecision

Vedolizumab compared to placebo for maintenance of remission in Crohn's disease

Population: children or adults with Crohn's disease
3 questions
OutcomeEffectEvidenceStatus / GRADE
Maintenance of clinical remission (52–60 weeks)
Vedolizumab vs placebo
RR 1.52 [1.24, 1.87]3 studies · 894 participantsHigh
Adverse events (52–60 weeks)
Vedolizumab vs placebo
RR 1 [0.94, 1.07]3 studies · 894 participantsModerate
Downgraded: imprecision
Serious adverse events (52–60 weeks)
Vedolizumab vs placebo
RR 0.98 [0.68, 1.39]3 studies · 894 participantsLow
Downgraded: imprecision