Evidence map›Paper›PMID 26019471›Full record

SynthesisWorld journal of gastroenterology2015

Infliximab is superior to other biological agents for treatment of active ulcerative colitis: A meta-analysis.

Wei-Qun Mei, Hui-Zhen Hu, Ying Liu, Zhi-Chen Li, Wei-Guo Wang

Open access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
3.2field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Wei-Qun MeiWei-Qun Mei, Hui-Zhen Hu, Wei-Guo Wang, Department of Gastroenterology, No. 117 Hospital of PLA, Hangzhou 310021, Zhejiang Province, China.
Hui-Zhen HuWei-Qun Mei, Hui-Zhen Hu, Wei-Guo Wang, Department of Gastroenterology, No. 117 Hospital of PLA, Hangzhou 310021, Zhejiang Province, China.
Ying LiuWei-Qun Mei, Hui-Zhen Hu, Wei-Guo Wang, Department of Gastroenterology, No. 117 Hospital of PLA, Hangzhou 310021, Zhejiang Province, China.
Zhi-Chen LiWei-Qun Mei, Hui-Zhen Hu, Wei-Guo Wang, Department of Gastroenterology, No. 117 Hospital of PLA, Hangzhou 310021, Zhejiang Province, China.
Wei-Guo WangWei-Qun Mei, Hui-Zhen Hu, Wei-Guo Wang, Department of Gastroenterology, No. 117 Hospital of PLA, Hangzhou 310021, Zhejiang Province, China.
Hanalei Watershed Hui · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare the efficacy and safety of biological agents for the treatment of active ulcerative colitis (UC).

methodsPubMed, MEDLINE, EMBASE and the Cochrane library were searched to screen relevant articles from January 1996 to August 2014. The mixed treatment comparison meta-analysis within a Bayesian framework was performed using WinBUGS14 software. The proportions of patients reaching clinical response, clinical remission and mucosal healing in induction and maintenance phases were analyzed as efficacy indicators. Serious adverse events in maintenance phase were analyzed as safety indicators.

resultsThe meta-analysis results showed that biological agents achieved better clinical response, clinical remission and mucosal healing than placebo. Indirect comparison indicated that in induction phase, infliximab was more effective than adalimumab in inducing clinical response (OR = 0.41, 95%CI: 0.29-0.57), clinical remission (OR = 0.33, 95%CI: 0.19-0.56) and mucosal healing (OR = 0.33, 95%CI: 0.19-0.56), and golimumab in inducing clinical response (OR = 0.66, 95%CI: 0.39-2.33) and mucosal healing (OR = 2.15, 95%CI: 1.18-4.22). No significant difference was found between placebo and biological agents regarding their safety.

conclusionAll biological agents were superior to placebo for UC treatment in both induction and maintenance phases with a similar safety profile, and infliximab had a better clinical effect than the other biological agents.

Indexed as

AdultBiological ProductsColitis, UlcerativeColonHumansImmunosuppressive AgentsInfliximabIntestinal MucosaMiddle AgedOdds RatioRemission InductionRisk FactorsTime FactorsTreatment OutcomeTumor Necrosis Factor-alphaWound HealingBiological ProductsImmunosuppressive AgentsInfliximabTumor Necrosis Factor-alphaBiological agentsDrug safetyEfficacyMeta-analysisUlcerative colitis

Identifiers

PMID26019471
PMCPMC4438041
OpenAlexW2396317088

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.