Efficacy and safety of etrolizumab in the treatment of inflammatory bowel disease: a meta-analysis

• Published in: PeerJ (San Francisco, CA) CA), 2024-08, Vol.12, p.e17945
• Main Authors: Dai, Yong Gang, Sun, Dajuan, Liu, Jiahui, Wei, Xiunan, Chi, Lili, Wang, Hongya
• Format: Article
• Language: English
• Subjects: Allergy and Clinical Immunology; Analysis; Antibodies, Monoclonal, Humanized - administration & dosage; Antibodies, Monoclonal, Humanized - adverse effects; Crohn’s disease; Drugs and Devices; Etrolizumab; Evidence Based Medicine; Gastroenterology and Hepatology; Gastrointestinal diseases; Humans; Inflammatory bowel disease; Inflammatory Bowel Diseases - drug therapy; Information management; Meta-analysis; Pharmacology; Randomized Controlled Trials as Topic; Treatment Outcome; Ulcerative colitis
• ISSN: 2167-8359; 2167-8359
• DOI: 10.7717/peerj.17945

To explore the efficacy and safety of etrolizumab in treating inflammatory bowel disease (IBD) through meta-analysis. A comprehensive exploration encompassed randomized controlled trials examining the efficacy of etrolizumab in treating IBD across PubMed, Embase, Cochrane library, and Web of Science, with a search deadline of 1 December 2023. Quality assessment leaned on the Cochrane manual's risk-of-bias evaluation, while Stata 15 undertook the data analysis. Five randomized controlled studies involving 1682 individuals were finally included, Meta-analysis results suggested that compared with placebo, etrolizumab could improve clinical response (RR = 1.26, 95% CI [1.04-1.51]), clinical remission (RR = 1.26, 95% CI [1.04-1.51]) in IBD patients. Endoscopic alleviate (RR = 2.10, 95% CI [1.56-2.82]), endoscopic improvement (RR = 2.10, 95% CI [1.56-2.82]), endoscopic remission (RR = 2.10, 95% CI [1.56-2.82]), Endoscopic improvement (RR = 1.56, 95% CI [1.30-1.89]), histological remission (RR = 1.62, 95% CI [1.26-2.08]), and did not increase any adverse events (RR = 0.95, 95% CI [0.90-1.01]) and serious adverse events (RR = 0.94, 95% CI [0.68-1.31]). According to our current study, etrolizumab is a promising drug in IBD.