Table S1. Adverse events of study-drug–related Study Adverse events of study-drug–related Vedolizumab Placebo Sands et al. 2014 Serious adverse event(13/209), serious infection(2), Nasopharyngitis(9), Headache(11), Nasopharyngitis(9), Upper respiratory tract infection(9), Arthralgia(10), Nausea(12), Abdominal pain(9), Anemia(5), Fatigue(6), Crohn’s disease exacerbation(6), Vomiting(9), Pyrexia(7), Dizziness(5), Aphthous stomatitis(4), Urinary tract infection(6), Musculoskeletal pain(4), Any cancer(0), death(0). Serious adverse event(13/207), serious infection(0), Nasopharyngitis(9), Headache(15/207), Nasopharyngitis(8), Upper respiratory tract infection(5), Arthralgia(9), Nausea(5), Abdominal pain(6), Anemia(1), Fatigue(2), Crohn’s disease exacerbation(21), Vomiting(5), Pyrexia(13), Dizziness(4), Aphthous stomatitis(3), Urinary tract infection(0), Musculoskeletal pain(0), Any cancer(0), death(0). Feagan et al. 2013 Serious adverse event(77/209), serious infection(12), Nasopharyngitis(80), Headache(80/620), Nasopharyngitis(80), Upper respiratory tract infection(52), Arthralgia(56), Nausea(38), Abdominal pain(35), Anemia(35), Fatigue(33), Cough(36), Ulcerative colitis(97), Any cancer(1), death(1). Serious adverse event(37/207), serious infection(8), Nasopharyngitis(26), Headache(28/275), Nasopharyngitis(26), Upper respiratory tract infection(21), Arthralgia(25), Nausea(19), Abdominal pain(10), Anemia(16), Fatigue(10), Cough(13), Ulcerative colitis(58), Any cancer(3), death(0). Sandborn et al. 2013 Serious adverse event(199/814), serious infection(45), Nasopharyngitis(100), Headache(97/814), Nasopharyngitis(100), Upper respiratory tract infection(54), Arthralgia(110), Nausea(90), Abdominal pain(79), Fatigue(53), Vomiting(49), Back pain(38), Pyrexia(103), Crohn’s disease exacerbation (164), Any cancer(4), death(4). Serious adverse event(46/301), serious infection(9), Nasopharyngitis(24), Headache(47/301),Nasopharyngitis(24), Upper respiratory tract infection(17), Arthralgia(40), Nausea(30), Abdominal pain(39), Fatigue(14), Vomiting(23), Back pain(12), Pyrexia(40), Crohn’s disease exacerbation (65), Any cancer(1), death(1). Parikh et al. 2012 Serious adverse event(2/37), Nasopharyngitis(7), Headache(7), Nasopharyngitis(1), Upper respiratory tract infection(3), Pharyngolaryngeal pain(2), Pyrexia(2), Colitis ulcerative(3), Cough(2), Hypertension(2), Influenza-like illness(2), Constipation(1), Dizziness(1), Any cancer(0), death(0). Serious adverse event(0/9), Nasopharyngitis(3), Headache(1), Nasopharyngitis(3), Upper respiratory tract infection(3), Pharyngolaryngeal pain(0), Pyrexia(0), Colitis ulcerative(4), Cough(0), Hypertension(0), Influenzalike illness(0), Constipation(1), Dizziness(1), Any cancer(0), death(0). Feagan et al. 2008 Serious adverse event(37/127), serious infection(1), Nasopharyngitis(19), Headache(46), Nasopharyngitis(19), Pyrexia(14), Crohn’s disease aggravated(10), Abdominal pain(19), Fatigue(23), Nausea(23), Any cancer(0), death(0). Serious adverse event(19/58), serious infection(2), Nasopharyngitis(3), Headache(14), Nasopharyngitis(3), Pyrexia(4), Crohn’s disease aggravated(5), Abdominal pain(11), Fatigue(11), Nausea(7), Any cancer(0), death(0). Feagan et al. 2005 Serious adverse event(18/118), serious infection(1), Nasopharyngitis(19), Headache(23), Nasopharyngitis(16), Arthralgia(11), Nausea(26), Abdominal pain(11), Fatigue(13), Ulcerative colitis aggravated(51), Dizziness(10), Rash(10), Vomiting(8), Blood in stool(9), Frequent bowel movements(15), Abdominal tenderness(5), Any cancer(0), death(0). Serious adverse event(6/63), serious infection(2), Nasopharyngitis(3), Headache(13), Nasopharyngitis(5), Arthralgia(5), Nausea(10), Abdominal pain(8), Fatigue(7), Ulcerative colitis aggravated(24), Dizziness(1), Rash(4), Vomiting(5), Blood in stool(8), Frequent bowel movements(10), Abdominal tenderness(8), Any cancer(0), death(0). Table S2. Definitions of clinical response and clinical remission among included studies Study, year Diseases Clinical/ CDAI-100 response Clinical remission Feagan et al. 2013 UC Defined as a reduction in the Mayo Clinic score of at least 3 points and a decrease of at least 30% from the baseline score, with a decrease of at least 1 point on the rectal bleeding subscale or an absolute rectal bleeding score of 0 or 1. Defined as a Mayo Clinic score of 2 or lower and no subscore higher than 1. Parikh et al. 2012 UC Defined as a PMS of ≤2 with no individual subscore >1. Feagan et al. 2005 UC Defined as a decrease from baseline in the PMS of ≥2 points and ≥25%, with an accompanying decrease in the subscore for rectal bleeding of≥1 point or an absolute subscore for rectal bleeding of 0 or 1. Defined as a reduction in the Mayo Clinic score of at least 3 points. Sands et al. 2014 Sandborn et al. 2013 Feagan et al. 2008 CD CDAI score≥100-point decrease in the CDAI score. Defined as an ulcerative colitis clinical score of 0 or 1 and a modified Baron score of 0 or 1 with no evidence of rectal bleeding. CDAI score ≤150 points. CD CDAI score≥100-point decrease in the CDAI score. CDAI score ≤150 points. CD CDAI score≥100-point decrease in the CDAI score. CDAI score ≤150 points. UC, Ulcerative colitis; CD, Crohn’s disease; PMS, partial Mayo score; CDAI, Crohn’s Disease Activity Index