Review Article

A Meta-Analysis of Efficacy and Safety of Infliximab for Prevention of Postoperative Recurrence in Patients with Crohn’s Disease

Table 1

The characteristics of the 7 included trials.

StudyDrug RegimenFollow-upType of Ileocolonic ResectionTiming of Initiation of TreatmentRecurrence DefinitionPatients(n)Endoscopic Recurrence (%)Clinical
(month)Recurrence (%)

Sorrentino et al.IFX 5mg/kg24Macroscopically diseased bowel resected2 weeks postresectionClinical:Hanauer>2,Endoscopic: Rutgeerts scor≥270(0)0(0)
MES2.4g/d1612(75)4(25)
Regueiro et al.IFX 5mg/kg12Macroscopically diseased bowel resectedwithin 4 weeks of resectionClinical:CDAI>150,Endoscopic: Rutgeerts scor≥2111(9)2(18)
Placebo1311(85)6(46)
Yoshida et al.IFX 5mg/kg12Macroscopically diseased bowel resected4 weeks postresectionClinical:CDAI>150,Endoscopic: Rutgeerts scor≥2154(26)2(13)
No treatment1613(81)4(25)
Armuzzi et al.IFX 5mg/kg12Curative ileocolonic resection2-4 weeks postresectionClinical:HBI>8,Endoscopic: Rutgeerts scor≥2111(9)1(9)
AZA 2.5mg/kg/d115(45)2(18)
Tursi et al.IFX 5mg/kg12Curative ileocolonic resectionwithin 4-6 weeks of resectionClinical:HBI>8,Endoscopic: Rutgeerts scor≥2102(20)1(10)
ADA 40mg EOW101(10)1(10)
Regueiro et al.IFX 5mg/kg12Macroscopically diseased bowel resectedwithin 6 weeks of resectionClinical:CDAI>200,Endoscopic: Rutgeerts scor≥214745(31)19(13)
Placebo15090(60)30(20)
Fukushima et al.IFX 5mg/kg24Curative ileocolonic resectionwithin 8 weeks of resectionClinical:CDAI>150,Endoscopic: Rutgeerts scor≥2194(21)4(22)
Placebo1913(68)13(69)

IFX, infliximab; MES, mesalamine; ADA, adalimumab; AZA, azathioprine; CDAI, Crohn’s disease activity index; EOW, every other week; HBI, Harvey-Bradshaw index.