Clinical use of Infliximab in Crohn's disease: the Edinburgh experience

Introduction: Infliximab is an established treatment for steroid-resistant and fistulating Crohn's disease. Although efficacy has been shown in clinic al trials, financial implications often limit its use and limited data exis t regarding clinical practice. Aims: To audit the clinical effectiveness of Infliximab. Methods: We prospectively audited 50 consecutive patients [28 females; medi an age, 34 years (17-70 years)]. Disease activity and response rates were a ssessed by the Harvey-Bradshaw index. Clinical and disease data were collec ted and blood was taken for inflammatory markers, complement and double-str anded DNA antibodies. Patients received Infliximab at 5 mg/kg and were foll owed for 12 weeks. Results: Indications for Infliximab were refractory Crohn's disease in 39 p atients, fistulating Crohn's disease in six, pyoderma gangrenosum in one, p ouchitis in two and coeliac disease in two. Thirty-one (79%) of the refract ory Crohn's disease patients and four (66%) of the fistulating patients res ponded at 4 weeks. Twenty-one (54%) of the refractory Crohn's disease patie nts had a continued response at 12 weeks. Perianal disease was more prevale nt in non-responders (7/8 vs. 12/31, P<0.02). Conclusions: Response rates to Infliximab in our group are comparable to th ose of clinical trials. Despite the expense, it remains a useful adjunct to treatment in this otherwise difficult group of patients. Patients with per ianal disease responded less well in our cohort.