Evidence map›Paper›PMID 24562382›Full record

Trial reportNature medicine2014

In vivo imaging using fluorescent antibodies to tumor necrosis factor predicts therapeutic response in Crohn's disease.

Raja Atreya, Helmut Neumann, Clemens Neufert, Maximilian J Waldner, Ulrike Billmeier, Yurdagül Zopf, Marcus Willma, Christine App, Tino Münster, Hermann Kessler and 12 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Nature medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 178 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
178citing papers in PubMed, 3 pooled it
34.1field-weighted citation impact, top 1% of its field
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

178 citing papers in PubMed, 3 syntheses or guidelines pooled it, 383 citations in OpenAlex.

  1. Pooled it
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  8. Adipocyte-Derived Leptolin Enhances Energy Expenditure and Prevents Obesity.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
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  10. Observational
  11. New Technologies for IBD Endoscopy.Journal of clinical medicine · 2026
    Review
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118 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 4 institutions in 2 countries.

Raja AtreyaMedical Clinic 1, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Helmut NeumannMedical Clinic 1, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Clemens NeufertMedical Clinic 1, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Maximilian J WaldnerMedical Clinic 1, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Ulrike BillmeierMedical Clinic 1, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Yurdagül ZopfMedical Clinic 1, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Marcus WillmaMedical Clinic 1, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Christine AppDepartment of Biochemistry, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Tino MünsterDepartment of Anesthesiology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Hermann KesslerDepartment of Surgery, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Stefanie MaasCenter for Clinical Studies, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Bernd GebhardtCenter for Clinical Studies, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Ralph Heimke-BrinckDepartment of Pharmacy, Erlangen University Hospital, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Eva ReuterDepartment of Pharmacy, Erlangen University Hospital, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Frank DörjeDepartment of Pharmacy, Erlangen University Hospital, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Tilman T RauDepartment of Pathology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Wolfgang UterDepartment of Medical Informatics, Biometry and Epidemiology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Thomas D WangDivision of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA.
Ralf KiesslichMedical Clinic, St. Mary's Hospital, Frankfurt, Germany.
Michael ViethInstitute of Pathology, Klinikum Bayreuth, Bayreuth, Germany.
Ewald HannappelDepartment of Biochemistry, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Markus F NeurathMedical Clinic 1, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEBayreuth Medical Center · DEGoethe University Frankfurt · DEUniversity of Michigan–Ann Arbor · US

Funding

Small Animal Imaging CoreP50CA093990 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ROSS, BRIAN D. · 2002 to 2012
$19.0M
Validation & Pathology CoreU54CA163059 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RUBENSTEIN, JOEL H, WANG, THOMAS D · 2011 to 2022
$12.1M
Task Specific Project 4U54CA136429 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KURBAYASHI, KATSUO · 2008 to 2012
$5.2M
Targeted Multi-Spectral Dual Axes Confocal Imaging of In Vivo Molecular ExpressioR01CA142750 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KURABAYASHI, KATSUO, LUKER, GARY D · 2010 to 2014
$2.4M
NCI NIH HHS P50 CA093990NCI NIH HHS R01 CA142750NCI NIH HHS U54 CA136429NCI NIH HHS U54 CA163059
6 · The paper itself

Abstract

As antibodies to tumor necrosis factor (TNF) suppress immune responses in Crohn's disease by binding to membrane-bound TNF (mTNF), we created a fluorescent antibody for molecular mTNF imaging in this disease. Topical antibody administration in 25 patients with Crohn's disease led to detection of intestinal mTNF(+) immune cells during confocal laser endomicroscopy. Patients with high numbers of mTNF(+) cells showed significantly higher short-term response rates (92%) at week 12 upon subsequent anti-TNF therapy as compared to patients with low amounts of mTNF(+) cells (15%). This clinical response in the former patients was sustained over a follow-up period of 1 year and was associated with mucosal healing observed in follow-up endoscopy. These data indicate that molecular imaging with fluorescent antibodies has the potential to predict therapeutic responses to biological treatment and can be used for personalized medicine in Crohn's disease and autoimmune or inflammatory disorders.

Indexed as

AdalimumabAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCrohn DiseaseEndoscopy, GastrointestinalFemaleFluorescent Antibody TechniqueFluorescent DyesHumansImmunoglobulin GImmunotherapyInflammationIntestinal MucosaIntestinesMaleAdalimumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedFluorescent DyesImmunoglobulin GTumor Necrosis Factor-alpha

Identifiers

PMID24562382
PMCPMC4479137
OpenAlexW2059452572

What OpenQuestion holds

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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.