Evidence map›Paper›PMID 26084005›Full record

SynthesisJournal of clinical gastroenterology2015

Use of Biologics in Pouchitis: A Systematic Review.

Hans H Herfarth, Millie D Long, Kim L Isaacs

2 registry-linked trialsOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of clinical gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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.

NCT06312683 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Rifaximin for the Secondary Prevention of Recurrent Pouchitis

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2024 to 2027Enrolled16ConditionsPouchitisArmsRifaximin 550 MG Oral Tablet [XIFAXAN]
NCT06864403 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Mirikizumab in the Treatment of Chronic Inflammatory Conditions of the Pouch

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2025 to 2027Enrolled25ConditionsPouchitis, Pouches, Ileoanal, Pouch, IlealArmsMirikizumab - Intravenous (IV), Mirikizumab - Subcutaneous (SC)
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Managing Refractory Pouchitis: Which Biologic Is Best?Digestive diseases and sciences · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Pouchitis: insight into the pathogenesis and clinical aspects.American journal of translational research · 2022
    Review
  10. Article
  11. Review
  12. Medical treatment of pouchitis: a guide for the clinician.Therapeutic advances in gastroenterology · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Infliximab in inflammatory bowel disease.Therapeutic advances in chronic disease · 2019
    Review
  19. Outcomes and Management of the Ileal Pouch-Anal Anastomosis in the Elderly.Current treatment options in gastroenterology · 2018
    Review
  20. Observational
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

3 authors at 1 institution in 1 country.

Hans H HerfarthDepartment of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, NC.
Millie D Long
Kim L Isaacs
University of North Carolina at Chapel Hill · US

Funding

PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1985 to 2026
$30.5M
MEthotrexate Response in Treatment of UC - MERIT-UCU01DK092239 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HERFARTH, HANS H. · 2011 to 2015
$8.2M
NIDDK NIH HHS 1U01-DK092239-01NIDDK NIH HHS P30 DK034987NIDDK NIH HHS P30 DK3498NIDDK NIH HHS U01 DK092239
6 · The paper itself

Abstract

Data about the effectiveness of biologics, including anti-tumor necrosis factor (TNF) therapy and anti-integrin strategies, in antibiotic refractory pouchitis or Crohn's disease-associated pouch complications are sparse. We performed a systematic review of the literature in Medline and Web of Science. All English language publications and meeting abstracts describing patients with pouchitis treated with anti-TNF or anti-integrin therapies were included. We identified a total of 17 papers and 2 abstracts, most of these retrospective case series, including a total of 192 patients treated either with infliximab (n=140) or adalimumab (n=52). No reports were found for anti-integrin therapies or other anti-TNF agents such as certolizumab pegol or golimumab. Because of the heterogeneity of the studies, small numbers of patients, differing cotreatments, and subjective outcome definitions, the exact efficacy of these biological therapies cannot be assessed in a combined fashion. Overall infliximab appears to have good clinical effectiveness in selected patients achieving up to 80% short-term and around 50% long-term response, whereas the few data available for adalimumab are not sufficient to draw valid conclusions. Larger prospectively collected multicenter data with clearly defined inclusion criteria and outcomes are necessary to better define the clinical value of anti-TNF therapy in patients with antibiotic refractory pouchitis or Crohn's-like complications of the pouch.

Indexed as

AdalimumabBiological ProductsCrohn DiseaseGastrointestinal AgentsHumansImmunosuppressive AgentsInfliximabIntegrinsPouchitisTumor Necrosis Factor-alphaAdalimumabBiological ProductsGastrointestinal AgentsImmunosuppressive AgentsInfliximabIntegrinsTumor Necrosis Factor-alpha

Identifiers

PMID26084005
PMCPMC4532631
OpenAlexW2405550176

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.