Evidence map›Paper›PMID 28129288›Full record

Trial reportInflammatory bowel diseases2017

Long-term Efficacy and Safety of Adalimumab in Pediatric Patients with Crohn's Disease.

William A Faubion, Marla Dubinsky, Frank M Ruemmele, Johanna Escher, Joel Rosh, Jeffrey S Hyams, Samantha Eichner, Yao Li, Nattanan Reilly, Roopal B Thakkar and 2 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Inflammatory bowel diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00686374 (A Multi-center, Open-label Study of the Human Anti-TNF Monoclonal Antibody Adalimumab to Evaluate the Efficacy and the Long-term Safety and Tolerability of Repeated Administration of Adalimumab in Pediatric Subjects With Crohn's Disease Who Have Demonstrated a Clinical Response in the M06-806 Study), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 4% 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.

NCT00686374 phase3completednot on this map

A Multi-center, Open-label Study of the Human Anti-TNF Monoclonal Antibody Adalimumab to Evaluate the Efficacy and the Long-term Safety and Tolerability of Repeated Administration of Adalimumab in Pediatric Subjects With Crohn's Disease Who Have Demonstrated a Clinical Response in the M06-806 Study

TypeinterventionalSponsorAbbVie (prior sponsor, Abbott)Ran2008 to 2017Enrolled100ConditionsCrohn's DiseaseArmsAdalimumab
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Adalimumab for maintenance of remission in Crohn's disease.The Cochrane database of systematic reviews · 2020
    Pooled it
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  7. Observational
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  11. Pediatric uveitis: Role of the pediatrician.Frontiers in pediatrics · 2022
    Review
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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

12 authors at 7 institutions in 3 countries.

William A Faubion*Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota; †Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York; ‡Pediatric Gastroenterology Unit, Department of Pediatrics, Universite Sorbonne Paris-Cite, Hospital Necker-Enfants Malades, Paris, France; §Department of Pediatric Gastroenterology, Erasmus MC-Sophia Children's Hospital, Rotterdam, Netherlands; ‖Pediatric Gastroenterology, Goryeb Children's Hospital/Atlantic Health, Morristown, New Jersey; ¶Division of Digestive Diseases, Connecticut Children's Medical Center, Hartford, Connecticut; **AbbVie Inc., North Chicago, Illinois; and ††AbbVie Deutschland GmbH & Co. KG, Ludwigshafen, Germany.
Marla Dubinsky
Frank M Ruemmele
Johanna Escher
Joel Rosh
Jeffrey S Hyams
Samantha Eichner
Yao Li
Nattanan Reilly
Roopal B Thakkar
Anne M Robinson
Andreas Lazar
AbbVie (United States) · USConnecticut Children's Medical Center · USErasmus MC - Sophia Children’s Hospital · NLGoryeb Children's Hospital · USIcahn School of Medicine at Mount Sinai · USMayo Clinic · USSorbonne Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIMAgINE 1 assessed 52-week efficacy and safety of adalimumab in children with moderate to severe Crohn's disease. Long-term efficacy and safety of adalimumab for patients who entered the IMAgINE 2 extension are reported.

methodsPatients who completed IMAgINE 1 could enroll in IMAgINE 2. Endpoints assessed from weeks 0 to 240 of IMAgINE 2 were Pediatric Crohn's Disease Activity Index remission (Pediatric Crohn's Disease Activity Index ≤ 10) and response (Pediatric Crohn's Disease Activity Index decrease ≥15 from IMAgINE 1 baseline) using observed analysis and hybrid nonresponder imputation (hNRI). For hNRI, discontinued patients were imputed as failures unless they transitioned to commercial adalimumab (with study site closure) or adult care, where last observation was carried forward. Corticosteroid-free remission in patients receiving corticosteroids at IMAgINE 1 baseline, discontinuation of immunomodulators (IMMs) in patients receiving IMMs at IMAgINE 2 baseline, and linear growth improvement were reported as observed. Adverse events were assessed for patients receiving ≥1 adalimumab dose in IMAgINE 1 and 2 through January 2015.

resultsOf 100 patients enrolled in IMAgINE 2, 41% and 48% achieved remission and response (hNRI) at IMAgINE 2 week 240. Remission rates were maintained by 45% (30/67, hNRI) of patients who entered IMAgINE 2 in remission. At IMAgINE 2 week 240, 63% (12/19) of patients receiving corticosteroids at IMAgINE 1 baseline achieved corticosteroid-free remission and 30% (6/20) of patients receiving IMMs at IMAgINE 2 baseline discontinued IMMs. Adalimumab treatment led to growth velocity normalization. No new safety signals were identified.

conclusionsEfficacy and safety profiles of prolonged adalimumab treatment in children with Crohn's disease were consistent with IMAgINE 1 and adult Crohn's disease adalimumab trials.

Indexed as

AdalimumabAdolescentAdrenal Cortex HormonesAnti-Inflammatory AgentsCrohn DiseaseDouble-Blind MethodFemaleHumansInduction ChemotherapyMaleTimeTime FactorsTreatment OutcomeAdalimumabAdrenal Cortex HormonesAnti-Inflammatory Agents

Identifiers

PMID28129288
PMCPMC5319394
OpenAlexW2587731986

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.