Description

Criteria for the response to therapy for ulcerative colitis were given in the Active Ulcerative Colitis Trial (ACT). Participants in the trial were from institutions in North America, Europe and Israel.


 

Patient selection: ulcerative colitis

Agent being evaluated: infliximab

 

Measure: Mayo score (see 10.17.06)

 

Parameters:

(1) individual components and the total Mayo score prior to therapy

(2) individual components and the total Mayo score after therapy

 

Criteria for clinical response:

(1) decrease in total score (pretreatment score minus posttreatment) after therapy >= 3

(2) decrease as a decimal fraction >= 0.3

(3) (decrease in rectal bleeding score >= 1) OR (rectal bleeding score after therapy <= 1)

 

decrease in the total score as a decimal fraction =

= ((pretreatment score) - (posttreatment score)) / (pretreatment score)

 

Criteria for clinical remission:

(1) total score after therapy <= 2

(2) all of the component scores (stool frequency, rectal bleeding, endoscopy, global assessment) <= 1

 

Criteria for mucosal healing:

(1) baseline endoscopy score >= 2

(2) endoscopy after therapy <= 1

 


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