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Takeda and Takeda employees had no role in data collection and did not have access to patient-level data used for analyses, which were performed independently.\nIcahn School of Medicine at Mount Sinai, New York, NY, United States \n Cleveland Clinic Foundation, Cleveland, OH, United States \n University of California - San Diego, La Jolla, CA, United States \n Montefiore Medical Center, Bronx, NY, United States \n Mayo Clinic, Rochester, MN, United States \n Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States \n University of Minnesota, Minneapolis, MN, United States \n Lenox Hill Hospital, New York, NY, United States \n Takeda Pharmaceuticals U.S.A., Inc., Deerfield, IL, United States \n Indiana University, Indianapolis, IN, United States \n New York University, New York, NY, United States \n North Shore University Hospital, Manhasset, NY, United States \n University of Mississippi, Jackson, MS, United States \n Cited By :10 \n Export Date: 1 October 2020 \n CODEN: CGHLA \n Correspondence Address: Dulai, P.S.; University of California at San Diego, Division of Gastroenterology, 9500 Gilman Drive, United States; email: pdulai@ucsd.edu \n Chemicals/CAS: vedolizumab, 943609-66-3\nIcahn School of Medicine at Mount Sinai, New York, NY, United States \n Cleveland Clinic Foundation, Cleveland, OH, United States \n University of California - San Diego, La Jolla, CA, United States \n Montefiore Medical Center, Bronx, NY, United States \n Mayo Clinic, Rochester, MN, United States \n Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States \n University of Minnesota, Minneapolis, MN, United States \n Lenox Hill Hospital, New York, NY, United States \n Takeda Pharmaceuticals U.S.A., Inc., Deerfield, IL, United States \n Indiana University, Indianapolis, IN, United States \n New York University, New York, NY, United States \n North Shore University Hospital, Manhasset, NY, United States \n University of Mississippi, Jackson, MS, United States \n Cited By :13 \n Export Date: 29 December 2020 \n CODEN: CGHLA \n Correspondence Address: Dulai, P.S.; University of California at San Diego, Division of Gastroenterology, 9500 Gilman Drive, United States; email: pdulai@ucsd.edu \n Chemicals/CAS: vedolizumab, 943609-66-3\nFunding Agency and Grant Number: Takeda Pharmaceuticals U.S.A., Inc.; NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASESUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) [K23DK111995] Funding Source: NIH RePORTER\n Funding text: This study was supported in part by Takeda Pharmaceuticals U.S.A., Inc. 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"snippet" : true } ], "journal" : { "otype" : "Journal", "mtid" : 10006933, "link" : "/api/journal/10006933", "label" : "CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 1542-3565 1542-7714", "pIssn" : "1542-3565", "eIssn" : "1542-7714", "reviewType" : "REVIEWED", "noIF" : false, "sciIndexed" : true, "scopusIndexed" : true, "lang" : "FOREIGN", "hungarian" : false, "published" : true, "oldId" : 10006933, "snippet" : true }, "volume" : "17", "issue" : "12", "firstPage" : "2497", "lastPage" : "249+", "firstPageOrInternalIdForSort" : "2497", "pageLength" : 10, "publishedYear" : 2019, "abstractText" : "BACKGROUND & AIMS: Patients with Crohn's disease (CD), but not ulcerative colitis (UC), of shorter duration have higher rates of response to tumor necrosis factor (TNF) antagonists than patients with longer disease duration. Little is known about the association between disease duration and response to other biologic agents. We aimed to evaluate response of patients with CD or UC to vedolizumab, stratified by disease duration. METHODS: We analyzed data from a retrospective, multicenter, consortium of patients with CD (n = 650) or UC (n = 437) treated with vedolizumab from May 2014 through December 2016. Using time to event analyses, we compared rates of clinical remission, corticosteroid-free remission (CSFR), and endoscopic remission between patients with early-stage (<= years duration) and later-stage (>2 years) CD or UC. We used Cox proportional hazards models to identify factors associated with outcomes. RESULTS: Within 6 months initiation of treatment with vedolizumab, significantly higher proportions of patients with early-stage CD, vs later-stage CD, achieved clinical remission (38% vs 23%), CSFR (43% vs 14%), and endoscopic remission (29% vs 13%) (P < .05 for all comparisons). After adjusting for disease-related factors including previous exposure to TNF antagonists, patients with early-stage CD were significantly more likely than patients with later-stage CD to achieve clinical remission (adjusted hazard ratio [aHR], 1.59; 95% CI, 1.02-2.49), CSFR (aHR, 3.39; 95% CI, 1.66-6.92), and endoscopic remission (aHR, 1.90; 95% CI, 1.06-3.39). In contrast, disease duration was not a significant predictor of response among patients with UC. CONCLUSIONS: Patients with CD for 2 years or less are significantly more likely to achieve a complete response, CSFR, or endoscopic response to vedolizumab than patients with longer disease duration. Disease duration does not associate with response vedolizumab in patients with UC.", "keywords" : [ { "otype" : "Keyword", "mtid" : 307, "link" : "/api/keyword/307", "label" : "RISK", "published" : true, "oldId" : 307, "snippet" : true }, { "otype" : "Keyword", "mtid" : 3107, "link" : "/api/keyword/3107", "label" : "Inflammatory bowel disease", "published" : true, "oldId" : 3107, "snippet" : true }, { "otype" : "Keyword", "mtid" : 4571, "link" : "/api/keyword/4571", "label" : "azathioprine", "published" : true, "oldId" : 4571, "snippet" : true }, { "otype" : "Keyword", "mtid" : 6021, "link" : "/api/keyword/6021", "label" : "MAINTENANCE", "published" : true, "oldId" : 6021, "snippet" : true }, { "otype" : "Keyword", "mtid" : 19450, "link" : "/api/keyword/19450", "label" : "integrin", "published" : true, "oldId" : 19450, "snippet" : true }, { "otype" : "Keyword", "mtid" : 21202, "link" : "/api/keyword/21202", "label" : "Fibrosis", "published" : true, "oldId" : 21202, "snippet" : true }, { "otype" : "Keyword", "mtid" : 1204859, "link" : "/api/keyword/1204859", "label" : "microbiome", "published" : true, "oldId" : 1204859, "snippet" : true }, { "otype" : "Keyword", "mtid" : 1474692, "link" : "/api/keyword/1474692", "label" : "monoclonal antibody therapy", "published" : true, "oldId" : 1474692, "snippet" : true }, { "otype" : "Keyword", "mtid" : 1506782, "link" : "/api/keyword/1506782", "label" : "colorectal neoplasia", "published" : true, "snippet" : true }, { "otype" : "Keyword", "mtid" : 1506935, "link" : "/api/keyword/1506935", "label" : "conventional management", "published" : true, "snippet" : true }, { "otype" : "Keyword", "mtid" : 1641829, "link" : "/api/keyword/1641829", "label" : "Therapeutic goals", "published" : true, "snippet" : true }, { "otype" : "Keyword", "mtid" : 1825761, "link" : "/api/keyword/1825761", "label" : "REMISSION RATES", "published" : true, "snippet" : true } ], "digital" : null, "printed" : null, "sourceYear" : 2019, "foreignEdition" : true, "foreignLanguage" : true, "fullPublication" : true, "conferencePublication" : false, "nationalOrigin" : null, "missingAuthor" : false, "oaType" : "NONE", "oaCheckDate" : "2023-11-08", "oaFree" : false, "citationCount" : 0, "citationCountUnpublished" : 0, "citationCountWoOther" : 0, "independentCitCountWoOther" : 0, "doiCitationCount" : 0, "wosCitationCount" : 0, "scopusCitationCount" : 0, "independentCitationCount" : 0, "unhandledCitationCount" : 0, "citingPubCount" : 0, "independentCitingPubCount" : 0, "unhandledCitingPubCount" : 0, "citedPubCount" : 3, "citedCount" : 3, "ratings" : [ { "otype" : "SjrRating", "mtid" : 10805316, "link" : "/api/sjrrating/10805316", "label" : "sjr:D1 (2019) Scopus - Gastroenterology CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 1542-3565 1542-7714", "listPos" : 11, "rankValue" : 0.1, "type" : "journal", "ratingType" : { "otype" : "RatingType", "mtid" : 10002, "link" : "/api/ratingtype/10002", "label" : "sjr", "code" : "sjr", "published" : true, "snippet" : true }, "subject" : { "otype" : "ClassificationExternal", "mtid" : 2715, "link" : "/api/classificationexternal/2715", "label" : "Scopus - Gastroenterology", "published" : true, "oldId" : 2715, "snippet" : true }, "ranking" : "D1", "calculation" : "DIRECT", "published" : true, "snippet" : true } ], "ratingsForSort" : "D1", "hasCitationDuplums" : false, "userChangeableUntil" : "2020-03-03T11:03:26.549+0000", "directInstitutesForSort" : "", "ownerAuthorCount" : 12, "ownerInstituteCount" : 27, "directInstituteCount" : 0, "authorCount" : 34, "contributorCount" : 0, "hasQualityFactor" : true, "link" : "/api/publication/30947229", "label" : "Faleck David M. et al. 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