Intest Res.  2018 Jul;16(3):494-498. 10.5217/ir.2018.16.3.494.

Effect of elemental diet combined with infliximab dose escalation in patients with Crohn's disease with loss of response to infliximab: CERISIER trial

Affiliations
  • 1The Third Department of Internal Medicine, Kyorin University School of Medicine, Mitaka, Japan. thisamatsu@ks.kyorin-u.ac.jp
  • 2Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama, Japan.
  • 3Department of Inflammatory Bowel Disease, Hyogo College of Medicine, Nishinomiya, Japan.
  • 4Department of Gastroenterology and Hepatology, National Hospital Organization, Higashi-Ohmi Medical Center, Higashi-Ohmi, Japan.
  • 5Department of Gastroenterology, Fukuoka University Chikushi Hospital, Chikushino, Japan.
  • 6Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine, Sapporo, Japan.
  • 7Division of Gastroenterology, Osaka City General Hospital, Osaka, Japan.
  • 8Department of Intestinal Inflammation Research, Hyogo College of Medicine, Nishinomiya, Japan.
  • 9Department of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Japan.
  • 10Department of Gastroenterology and Hepatology, Tokyo Medical and Dental University, Tokyo, Japan.
  • 11Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.
  • 12Department of Clinical Medicine (Biostatistics), Kitasato University School of Pharmacy, Tokyo, Japan.
  • 13Division of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
  • 14Department of Internal Medicine, Toho University Sakura Medical Centre, Sakura, Japan.
  • 15Yokoyama IBD Clinic, Aichi, Japan.
  • 16Department of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
  • 17Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan.
  • 18Center for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.

Abstract

No abstract available.


MeSH Terms

Crohn Disease*
Food, Formulated*
Humans
Infliximab*
Infliximab

Figure

  • Fig. 1 Percentage of patients with a decrease in CDAI from weeks 8 to 56. (A) The percentage of patients who satisfied the ΔCDAI of ≥50 from weeks 8 to 56 of treatment is shown. Proportions of patients were compared between the groups by Fisher's exact test. Statistical analyses were performed at a two-sided significance level of 0.05. (B) The percentage of patients who achieved clinical remission, as indicated by a CDAI of <150, from weeks 8 to 56 of treatment is shown. Proportions of patients were compared between the groups by Fisher's exact test. Statistical analyses were performed at a two-sided significance level of 0.05. aSignificant difference. ED, elemental diet; IFX, infliximab.

  • Fig. 2 Cumulative rate of successful completion of the scheduled maintenance treatment with IFX infusion at 10 mg/kg every 8 weeks until week 56. (A) The scheduled maintenance treatment continuation rate curve was estimated by the Kaplan-Meier method for each group, and the groups were compared by the generalized Wilcoxon test (per-protocol set). (B) The scheduled maintenance treatment continuation rate curve was estimated by the Kaplan-Meier method for each group, and the groups were compared by the generalized Wilcoxon test (full analysis set). IFX, infliximab; ED, elemental diet.


Cited by  3 articles

Exclusive enteral nutrition for induction of remission in anti-tumor necrosis factor refractory adult Crohn’s disease: the Indian experience
Ajit Sood, Arshdeep Singh, Ritu Sudhakar, Vandana Midha, Ramit Mahajan, Varun Mehta, Yogesh Kumar Gupta, Kirandeep Kaur
Intest Res. 2020;18(2):184-191.    doi: 10.5217/ir.2019.00094.

Enteral nutrition in the biologic era: learn from yesterday, live for today, hope for tomorrow
Tadakazu Hisamatsu
Intest Res. 2020;18(2):139-140.    doi: 10.5217/ir.2019.09192.

Efficacy and tolerability of exclusive enteral nutrition in adult patients with complicated Crohn’s disease
Sanchit Sharma, Arti Gupta, Saurabh Kedia, Samagra Agarwal, Namrata Singh, Sandeep Goyal, Saransh Jain, Vipin Gupta, Pabitra Sahu, Sudheer Kumar Vuyyuru, Bhaskar Kante, Raju Sharma, Rajesh Panwar, Peush Sahni, Govind Makharia, Vineet Ahuja
Intest Res. 2021;19(3):291-300.    doi: 10.5217/ir.2019.09172.


Reference

1. Chan HC, Ng SC. Emerging biologics in inflammatory bowel disease. J Gastroenterol. 2017; 52:141–150. PMID: 27832357.
Article
2. Akobeng AK, Thomas AG. Enteral nutrition for maintenance of remission in Crohn's disease. Cochrane Database Syst Rev. 2007; (3):CD005984. DOI: 10.1002/14651858.CD005984.pub2. PMID: 17636816.
Article
3. Yamamoto T, Nakahigashi M, Umegae S, Matsumoto K. Enteral nutrition for the maintenance of remission in Crohn's disease: a systematic review. Eur J Gastroenterol Hepatol. 2010; 22:1–8. PMID: 19707151.
Article
4. Tsertsvadze A, Gurung T, Court R, Clarke A, Sutcliffe P. Clinical effectiveness and cost-effectiveness of elemental nutrition for the maintenance of remission in Crohn's disease: a systematic review and meta-analysis. Health Technol Assess. 2015; 19:1–138.
Article
5. Hirai F, Ishihara H, Yada S, et al. Effectiveness of concomitant enteral nutrition therapy and infliximab for maintenance treatment of Crohn's disease in adults. Dig Dis Sci. 2013; 58:1329–1334. PMID: 22926500.
Article
6. Kamata N, Oshitani N, Watanabe K, et al. Efficacy of concomitant elemental diet therapy in scheduled infliximab therapy in patients with Crohn's disease to prevent loss of response. Dig Dis Sci. 2015; 60:1382–1388. PMID: 25532505.
Article
7. Sazuka S, Katsuno T, Nakagawa T, et al. Concomitant use of enteral nutrition therapy is associated with sustained response to infliximab in patients with Crohn's disease. Eur J Clin Nutr. 2012; 66:1219–1223. PMID: 23010687.
Article
8. Sugita N, Watanabe K, Kamata N, et al. Efficacy of a concomitant elemental diet to reduce the loss of response to adalimumab in patients with intractable Crohn's disease. J Gastroenterol Hepatol. 2018; 33:631–637. PMID: 28857255.
Article
9. Nguyen DL, Palmer LB, Nguyen ET, McClave SA, Martindale RG, Bechtold ML. Specialized enteral nutrition therapy in Crohn's disease patients on maintenance infliximab therapy: a meta-analysis. Therap Adv Gastroenterol. 2015; 8:168–175.
Article
10. Yamamoto T, Nakahigashi M, Umegae S, Matsumoto K. Prospective clinical trial: enteral nutrition during maintenance infliximab in Crohn's disease. J Gastroenterol. 2010; 45:24–29. PMID: 19798465.
Article
Full Text Links
  • IR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr