Accelerated Infliximab Infusion Safety and Tolerability is Non-Inferior to Standard Infusion Protocol in Inflammatory Bowel Disease Patients – A Randomized Controlled Study
| العنوان: | Accelerated Infliximab Infusion Safety and Tolerability is Non-Inferior to Standard Infusion Protocol in Inflammatory Bowel Disease Patients – A Randomized Controlled Study |
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| المؤلفون: | Suha Abushamma, Ted Walker, Kevin Garza, Ling Chen, Darren Nix, Chien-Huan Chen |
| المصدر: | Crohn's & Colitis 360. |
| بيانات النشر: | Oxford University Press (OUP), 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Gastroenterology |
| الوصف: | Background & Aim Infliximab is typically given over an infusion time of 2 hours, leading to a significant burden in inflammatory bowel disease (IBD) patients. We aimed to determine the safety and cost-effectiveness of an accelerated infliximab infusion of 1 hour, compared to the standard 2 hour infusion. Methods Open label randomized trial where IBD patients receiving maintenance infliximab infusions were randomly assigned to 1 and 2 hour infusion groups, corresponding to study and control groups respectively. The primary outcome was the rate of infusion reactions. Secondary outcomes were assessment of the effect of pre-medications and immunomodulators on the rate of infusion reactions, and cost effectiveness analysis. The cost effectiveness analysis was based on direct nursing costs for the infusion time, indirect infusion center costs and cost of productivity loss for patients. This trial is registered with ClinicalTrials.gov, NCT05340764. Results From November 2020 to November 2021, 96 patients were randomly assigned: 51 (53%) to the 1 hour infusion group and 45 (47%) to the 2 hour infusion group. Over a median time of 1 year, 309 infusions were administered in the control group, and 376 in the study group. 57 (18%) infusions in the control group and 45 (12%) infusions in the study group experienced an infusion reaction. The only infusion reaction was asymptomatic hypotension not requiring infusion discontinuation. No other infusion reactions (mild or moderate/severe) were seen. Diphenhydramine was associated with an increased rate of infusion reactions (OR 2.04 [95% CI 1.18 – 3.52], p=0.01). The average costs were estimated to reduce by 37% in the accelerated infusion group. Conclusion Accelerated 1 hour infusions are non-inferior in safety and superior in cost-effectiveness compared to standard 2 hour infusions in IBD patients receiving maintenance infliximab infusions. |
| تدمد: | 2631-827X 0534-0764 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::e13933d978bda554a4aece5e511380be https://doi.org/10.1093/crocol/otad022 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........e13933d978bda554a4aece5e511380be |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 2631827X 05340764 |
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