Infection risk in inflammatory bowel disease patients treated with vedolizumab: a systematic review and meta-analysis - Takeaways - MDSpire

Infection risk in inflammatory bowel disease patients treated with vedolizumab: a systematic review and meta-analysis

  • By

  • Lidan Zhang

  • Xiaogang Hao

  • Yidan Cui

  • Wenjian Yan

  • Kun Shang

  • Xin Zhang

  • June 11, 2026

  • 0 min

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  • 1

    The systematic review included 66 studies with 24,000 patients to assess infection risk associated with vedolizumab in inflammatory bowel disease.

  • 2

    The overall pooled infection incidence for vedolizumab was 13.08%, with respiratory tract infections being the most common at 4.25%.

  • 3

    Vedolizumab showed no significant difference in infection risk compared to TNF inhibitors or placebo, but had a higher risk compared to ustekinumab.

  • 4

    Serious systemic and rare infections were infrequent among patients treated with vedolizumab.

  • 5

    Meta-regression identified study design and geographic region as significant moderators of infection risk in vedolizumab-treated patients.

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