Evidence map›Paper›PMID 26966529›Full record

ArticleUnited European gastroenterology journal2016

Alicaforsen, an antisense inhibitor of ICAM-1, as treatment for chronic refractory pouchitis after proctocolectomy: A case series.

Thomas Greuter, Luc Biedermann, Gerhard Rogler, Bernhard Sauter, Frank Seibold

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Article in United European gastroenterology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 56 citations in OpenAlex.

  1. Review
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  3. Article
  4. Article
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  6. Review
  7. Emerging therapeutic options in inflammatory bowel disease.World journal of gastroenterology · 2021
    Review
  8. Review
  9. Medical treatment of pouchitis: a guide for the clinician.Therapeutic advances in gastroenterology · 2021
    Review
  10. Frontiers in immunology · 2020
    Review
  11. Review
  12. Review
  13. Novel Non-biologic Targets for Inflammatory Bowel Disease.Current gastroenterology reports · 2019
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
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 3 institutions in 1 country.

Thomas GreuterDivision of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
Luc BiedermannDivision of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
Gerhard RoglerDivision of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
Bernhard SauterGastrozentrum Hirslanden, Hirslanden Private Clinic Group, Zurich, Switzerland.
Frank SeiboldDivision of Gastroenterology and Hepatology, Tiefenauspital Bern, Bern, Switzerland.
University Hospital of Zurich · CHEngeriedspital · CHGastroZentrum Hirslanden Zürich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe published data about the efficacy of the intercellular adhesion molecule-1 (ICAM-1) antisense oligonucleotide termed alicaforsen in inflammatory bowel disease (IBD) is rather inconsistent. This case series analyzes its efficacy in chronic refractory pouchitis, after proctocolectomy.

methodsWe performed a retrospective analysis on all patients who had received at least one dose of alicaforsen for IBD at three referral centers in Switzerland. We assessed the drug's efficacy in patients treated for chronic refractory pouchitis, by comparing the clinical and/or endoscopic disease activity at baseline with a 2-3-month follow-up visit.

resultsWe identified 22 patients who had received at least one dose. Among them, 13 patients were being treated for chronic refractory pouchitis. These patients had a median age of 38.0 years (95% CI 21.0-69.0) and five were female (38.5%). The median time since pouch surgery was 102.5 months (95% CI 16.0-288.0), with a median pouchitis duration of 16.0 months (95% CI 4.0-216.0). At 2-3 months after therapy, clinical and endoscopic disease activity was significantly reduced (stool frequency 9.0 versus 6.0, the Pouchitis Disease Activity Index (PDAI) clinical subscore was 4.0 versus 1.0, and the endoscopic disease activity was 4.0 versus 2.0). Clinical improvement was achieved in 11 out of 13 pouchitis patients (84.6%); however, a relapse was observed in nine of these patients (81.8%). The median time from clinical improvement to relapse was 16 weeks (95% CI 9.0-23.0).

conclusionsAlicaforsen seemed to be efficacious in inducing clinical and/or endoscopic improvement in chronic refractory pouchitis and may be a promising treatment alternative in those patients; however, given the high proportion of relapse, one 6-week course of alicaforsen may not be sufficient.

Indexed as

Alicaforsenantisense oligonucleotidechronic pouchitisICAM-1inflammatory bowel diseaserelapse

Identifiers

PMID26966529
PMCPMC4766552
OpenAlexW2279894050

What OpenQuestion holds

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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.