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Table 2 Multivariable regression models for objective assessment and TDM performance in the 12 weeks prior to therapy change (either dose change or discontinuation)

From: Objective disease activity assessment and therapeutic drug monitoring prior to biologic therapy changes in routine inflammatory bowel disease clinical practice: TARGET-IBD

 

At least one objective assessmenta

TDM performed

OR

95% CI

p value

OR

95% CI

p value

Sex (female vs. male)

0.849

0.565–1.274

0.4283

1.480

0.929–2.361

0.0993

Race (white vs. nonwhite)

0.657

0.330–1.306

0.2305

1.152

0.540–2.456

0.7147

Age at therapy change (years)

1.004

0.989–1.019

0.6215

0.996

0.979–1.013

0.6164

Previous biologic use (yes vs. no)

1.027

0.639–1.652

0.9120

0.980

0.5840–1.642

0.9378

Disease duration at therapy change (years)

0.987

0.964–1.011

0.2896

0.997

0.969–1.025

0.8133

Site type (academic vs. community)

1.588

1.010–2.495

0.0452

1.114

0.662–1.875

0.6845

Private insurance at enrollment (yes vs. no)

1.044

0.602–1.811

0.8781

1.188

0.626–2.253

0.5979

Drug classb

  

0.0083

   

 Adalimumab

Ref

Ref

–

Ref

Ref

Ref

 Infliximab

0.569

0.360–0.900

0.0159

0.844

0.529–1.348

0.4779

 Other anti-TNF

1.460

0.576–3.705

0.4252

   

 Ustekinumab

0.353

0.137–0.914

0.0320

   

 Vedolizumab

1.359

0.683–2.702

0.3819

   

Disease type (CD vs. UC)

1.181

0.734–1.901

0.4923

0.953

0.567–1.602

0.8566

Therapy change (discontinuation vs. dose change)

1.178

0.776–1.788

0.4417

1.011

0.634–1.613

0.9632

  1. aObjective assessment included fecal calprotectin, C-reactive protein, endoscopy, MRI, or CT scan
  2. bFor TDM model, drug class compared infliximab to adalimumab (reference) as these were the only two biologics included in the TDM assessment population