Evidence map›Paper›PMID 25478568›Full record

ArticleBioMed research international2014

Therapeutic efficacy of pH-dependent release formulation of mesalazine on active ulcerative colitis resistant to time-dependent release formulation: analysis of fecal calprotectin concentration.

Kousaku Kawashima, Shunji Ishihara, Takafumi Yuki, Koji Onishi, Yoshinori Kushiyama, Hirofumi Fujishiro, Youichi Miyaoka, Mika Yuki, Yoshinori Komazawa, Takashi Tanimura and 8 more

Abstract read
In one paragraph

Article in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

18 authors.

Kousaku KawashimaDepartment of Internal Medicine II, Shimane University School of Medicine, 89-1 Enya-cho, Izumo 6938501, Japan.
Shunji IshiharaDepartment of Internal Medicine II, Shimane University School of Medicine, 89-1 Enya-cho, Izumo 6938501, Japan.
Takafumi YukiDepartment of Internal Medicine II, Shimane University School of Medicine, 89-1 Enya-cho, Izumo 6938501, Japan.
Koji OnishiDivision of Internal Medicine, Matsue Seikyo Hospital, 8-8-8 Nishitsuda, Matsue 6908522, Japan.
Yoshinori KushiyamaDivision of Gastroenterology, Matsue Red Cross Hospital, 200 Horo-cho, Matsue 6908506, Japan.
Hirofumi FujishiroDivision of Gastroenterology, Shimane Prefectural Central Hospital, 4-1-1 Himebara-cho, Izumo 6938553, Japan.ORCID 0000-0002-9105-6637
Youichi MiyaokaDivision of Gastroenterology, Shimane Prefectural Central Hospital, 4-1-1 Himebara-cho, Izumo 6938553, Japan.
Mika YukiDivision of Internal Medicine, Izumo City General Medical Center, 613 Nadabunn-cho, Izumo 6910003, Japan.
Yoshinori KomazawaDivision of Internal Medicine, Izumo City General Medical Center, 613 Nadabunn-cho, Izumo 6910003, Japan.
Takashi TanimuraDivision of Gastroenterology, Matsue City Hospital, 32-1 Noshira-cho, Matsue 6908509, Japan.
Hiroki SonoyamaDepartment of Internal Medicine II, Shimane University School of Medicine, 89-1 Enya-cho, Izumo 6938501, Japan.
Yasumasa TadaDepartment of Internal Medicine II, Shimane University School of Medicine, 89-1 Enya-cho, Izumo 6938501, Japan.
Ryusaku KusunokiDepartment of Internal Medicine II, Shimane University School of Medicine, 89-1 Enya-cho, Izumo 6938501, Japan.
Akihiko OkaDepartment of Internal Medicine II, Shimane University School of Medicine, 89-1 Enya-cho, Izumo 6938501, Japan.ORCID 0000-0001-6451-8413
Nobuhiko FukubaDepartment of Internal Medicine II, Shimane University School of Medicine, 89-1 Enya-cho, Izumo 6938501, Japan.
Naoki OshimaDepartment of Internal Medicine II, Shimane University School of Medicine, 89-1 Enya-cho, Izumo 6938501, Japan.
Ichiro MoriyamaDivision of Cancer Center, Shimane University Hospital, 89-1 Enya-cho, Izumo 6938501, Japan.
Yoshikazu KinoshitaDepartment of Internal Medicine II, Shimane University School of Medicine, 89-1 Enya-cho, Izumo 6938501, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFew reports have compared the clinical efficacy of a pH-dependent release formulation of mesalazine (pH-5-ASA) with a time-dependent release formulation (time-5-ASA). We examined whether pH-5-ASA is effective for active ulcerative colitis (UC) in patients resistant to time-5-ASA.

methodsWe retrospectively and prospectively analyzed the efficacy of pH-5-ASA in mildly to moderately active UC patients in whom time-5-ASA did not successfully induce or maintain remission. The clinical efficacy of pH-5-ASA was assessed by clinical activity index (CAI) before and after switching from time-5-ASA. In addition, the efficacy of pH-5-ASA on mucosal healing (MH) was evaluated in a prospective manner by measuring fecal calprotectin concentration.

resultsThirty patients were analyzed in a retrospective manner. CAI was significantly reduced at both 4 and 8 weeks after switching to pH-5-ASA. In the prospective study (n=14), administration of pH-5-ASA also significantly reduced CAI scores at 4 and 8 weeks in these patients who were resistant to time-5-ASA. In addition, fecal calprotectin concentration was significantly decreased along with improvement in CAI after switching to pH-5-ASA.

conclusionsOur results suggest that pH-5-ASA has clinical efficacy for mildly to moderately active patients with UC in whom time-5-ASA did not successfully induce or maintain remission.

Indexed as

Administration, OralAdultAnti-Inflammatory Agents, Non-SteroidalChemistry, PharmaceuticalColitis, UlcerativeDelayed-Action PreparationsFecesFemaleHumansHydrogen-Ion ConcentrationLeukocyte L1 Antigen ComplexMaleMesalamineMiddle AgedAnti-Inflammatory Agents, Non-SteroidalDelayed-Action PreparationsLeukocyte L1 Antigen ComplexMesalamine

Identifiers

PMID25478568
PMCPMC4251321

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Registered trials

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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.