The charities Core and the Ileostomy Association provided funding that supported the preparation of the article. Study partly funded by an unrestricted educational grant from Schering-Plough UK. Schering-Plough UK had no knowledge of the nature, content, or results of the study.
Version of Record online: 4 JAN 2012
Copyright © 2012 Crohn's & Colitis Foundation of America, Inc.
Inflammatory Bowel Diseases
Volume 18, Issue 10, pages 1825–1834, October 2012
How to Cite
Tozer, P., Ng, S. C., Siddiqui, M. R., Plamondon, S., Burling, D., Gupta, A., Swatton, A., Tripoli, S., Vaizey, C. J., Kamm, M. A., Phillips, R. and Hart, A. (2012), Long-term MRI-guided combined anti-TNF-α and thiopurine therapy for crohn's perianal fistulas. Inflamm Bowel Dis, 18: 1825–1834. doi: 10.1002/ibd.21940
Disclosures: Dr. Hart has served as a consultant/speaker for MSD, Shire and Abbott, and has received research/educational grants from Abbott. Michael Kamm has acted as consultant to, speaker for, or received research support from, Abbott, Centocor, Schering-Plough, and UCB.
- Issue online: 13 SEP 2012
- Version of Record online: 4 JAN 2012
- Manuscript Accepted: 11 OCT 2011
- Manuscript Received: 1 OCT 2011
- Crohn's disease;
- anal fistula;
- Anti-TNF-α drugs;
Anti-tumor necrosis factor (TNF) therapy heals many Crohn's disease (CD) anal fistulas clinically but the rate, extent, and durability of deep tissue healing and factors influencing long-term outcome are unknown.
Consecutive patients with CD-related perianal (anal, rectovaginal, anolabial) fistulas treated with infliximab or adalimumab were monitored prospectively both clinically and radiologically using magnetic resonance imaging (MRI).
Forty-one consecutive patients with CD-related perianal fistulas were treated with infliximab (n = 32) or adalimumab (n = 9; following infliximab failure) in combination with a thiopurine (unless intolerant). Fifty-eight percent of all patients, comprising 66% and 43% of infliximab and adalimumab-treated patients, respectively, demonstrated remission or response at 3 years. Thirty-three percent of infliximab treated patients maintained clinical remission at 3 years. Radiological healing lagged behind clinical remission by a median of 12 months. The likelihood of clinical remission at any time was five times greater in patients who had early clinical response within 6 weeks than those without. A higher number of fistula tracts was associated with reduced clinical remission. All patients who achieved radiological healing maintained healing on infliximab treatment, while only 43% maintained healing after cessation of anti-TNF therapy.
Combination anti-TNF and thiopurine therapy provides sustained benefit in patients with perianal CD fistula. Early clinical response is associated with subsequent clinical remission. Radiological healing is slower than clinical healing. Radiologically healed fistula tracts maintain healing on infliximab but can recur after cessation of therapy. (Inflamm Bowel Dis 2012)