Evidence map›Paper›PMID 23066316›Full record

ArticleWorld journal of gastroenterology2012

Effectiveness of infliximab after adalimumab failure in Crohn's disease.

María Chaparro, Montserrat Andreu, Manuel Barreiro-de Acosta, Esther García-Planella, Elena Ricart, Eugeni Domènech, María Esteve, Olga Merino, Pilar Nos, Mireia Peñalva and 1 more

Abstract read
In one paragraph

Article in World journal of gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
  2. Choosing Therapy for Moderate to Severe Crohn's Disease.Journal of the Canadian Association of Gastroenterology · 2024
    Article
  3. Article
  4. Review
  5. Observational
  6. Review
  7. Management of Crohn's disease in poor responders to adalimumab.Clinical and experimental gastroenterology · 2014
    Review
  8. 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

11 authors.

María ChaparroDepartment of Gastroenterology, Hospital Universitario de La Princesa, Instituto de Investigación Princesa and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, 28006 Madrid, Spain. mariachs2005@gmail.com
Montserrat Andreu
Manuel Barreiro-de Acosta
Esther García-Planella
Elena Ricart
Eugeni Domènech
María Esteve
Olga Merino
Pilar Nos
Mireia Peñalva
Javier P Gisbert

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the effectiveness of infliximab as a second-line therapy in Crohn's disease patients after adalimumab failure.

methodsA historical cohort study in a community-based gastroenterology practice evaluated Crohn's disease patients treated with infliximab (induction plus maintenance) after adalimumab failure. Patients were identified using a large Spanish database (ENEIDA).

resultsWe included 15 Crohn's disease patients who received infliximab after adalimumab failure. Five patients discontinued adalimumab due to loss of response, 3 due to adverse events and 7 due to partial response. After infliximab therapy was started, all patients who had interrupted adalimumab due to loss of efficacy regained response. All patients who discontinued adalimumab due to adverse events responded to infliximab and maintained this response; one of these patients had an uneventful course on infliximab, but 2 developed adverse events. None of the 7 patients who interrupted adalimumab due to partial response reached remission with infliximab.

conclusionSwitching from adalimumab to infliximab may be useful in patients who develop adverse effects or loss of response, however, the benefit of infliximab in primary nonresponders was not established.

Indexed as

AdalimumabAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsCohort StudiesCrohn DiseaseDatabases, FactualFemaleGastroenterologyGastrointestinal AgentsHumansImmunologic FactorsInfliximabMaleRemission InductionAdalimumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsGastrointestinal AgentsImmunologic FactorsInfliximabAdalimumabBiologicsCrohn’s diseaseInfliximabSwitch

Identifiers

PMID23066316
PMCPMC3468854

What OpenQuestion holds

Textmetadata
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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.