Evidence map›Paper›PMID 21274381›Full record

Trial reportWorld journal of gastroenterology2011

Evaluation of Cladribine treatment in refractory celiac disease type II.

Greetje J Tack, Wieke H M Verbeek, Abdul Al-Toma, Dirk J Kuik, Marco W J Schreurs, Otto Visser, Chris J J Mulder

Abstract readClinical Trial
In one paragraph

Trial report in World journal of gastroenterology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. ACG clinical guidelines: diagnosis and management of celiac disease.The American journal of gastroenterology · 2013
    Guideline
  3. Article
  4. Review
  5. Article
  6. Article
  7. Activated CD27Gastro hep advances · 2025
    Article
  8. Refractory Celiac Disease: What the Gastroenterologist Should Know.International journal of molecular sciences · 2024
    Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Novel Therapeutic Strategies for Celiac Disease.Middle East journal of digestive diseases · 2020
    Review
  14. Article
  15. Refractory Celiac Disease.Current gastroenterology reports · 2020
    Review
  16. Review
  17. Article
  18. Review
  19. Celiac Disease: Against the Grain in Gastroenterology.Journal of the Canadian Association of Gastroenterology · 2019
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Greetje J TackDepartment of Gastroenterology and Hepatology, VU University Medical Center, Amsterdam, The Netherlands. g.tack@vumc.nl
Wieke H M Verbeek
Abdul Al-Toma
Dirk J Kuik
Marco W J Schreurs
Otto Visser
Chris J J Mulder

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate cladribine [2-chlorodeoxyadenosine (2-CdA)] therapy in refractory celiac disease (RCD) II.

methodsAn open-label cohort-study of RCD II patients treated with 2-CdA was performed between 2000 and 2010. Survival rate, enteropathy associated T-cell lymphoma (EATL) occurrence, clinical course, and histological and immunological response rates were evaluated.

resultsOverall, 32 patients were included with a median follow-up of 31 mo. Eighteen patients responded well to 2-CdA. Patients responsive to 2-CdA had a statistically significant increased survival compared to those who were unresponsive. The overall 3- and 5-year survival was 83% in the responder and 63% and 22% in the non-responder group, respectively. The overall 2-year clinical, histological and immunological response rates were 81%, 47% and 41%, respectively. Progression into EATL was reported in 16%, all of these patients died.

conclusionTreatment of RCD II with 2-CdA holds promise, showing excellent clinical and histological response rates, and probably less frequent transition into EATL.

Indexed as

AdultAgedCeliac DiseaseCladribineCohort StudiesDisease ProgressionFemaleHumansImmunosuppressive AgentsKaplan-Meier EstimateMaleMiddle AgedRemission InductionCladribineImmunosuppressive AgentsCladribineClinical courseEnteropathy associated T-cell lymphomaRefractory celiac diseaseSurvival

Identifiers

PMID21274381
PMCPMC3027018

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.