Evidence map›Paper›PMID 28323276›Full record

ArticleThe American journal of gastroenterology2017

Open-Capsule Budesonide for Refractory Celiac Disease.

Saurabh S Mukewar, Ayush Sharma, Alberto Rubio-Tapia, Tsung-Teh Wu, Bana Jabri, Joseph A Murray

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in The American journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03866538 (Open-label Withdrawal Trial of Budesonide in Patients With Immune Mediated Enteropathies), which is not on this map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
–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.

NCT03866538 phase4terminatednot on this mapstarted 2019, after this paper: background citation

Open-label Withdrawal Trial of Budesonide in Patients With Immune Mediated Enteropathies

TypeinterventionalSponsorMayo ClinicRan2019 to 2021Enrolled1ConditionsEnteropathy, Celiac Disease, CVID Enteropathy, Collagenous SprueArmsWithdrawal of Oral Budesonide
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Activated CD27Gastro hep advances · 2025
    Article
  9. Article
  10. Refractory Celiac Disease: What the Gastroenterologist Should Know.International journal of molecular sciences · 2024
    Review
  11. Immune checkpoint inhibitor-induced diarrhea and colitis: an overview.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. New Developments in Celiac Disease Treatment.International journal of molecular sciences · 2023
    Review
  19. Review
  20. 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

6 authors.

Saurabh S MukewarDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Ayush SharmaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Alberto Rubio-TapiaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Tsung-Teh WuDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Bana JabriDepartment of Medicine, University of Chicago, Chicago, Illinois, USA.
Joseph A MurrayDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRefractory celiac disease (RCD) is a rare condition often associated with poor prognosis. Various immunosuppressive medications (IMs) have been used with modest success. We describe outcomes in patients treated with open-capsule budesonide (OB), including those for whom IM treatment failed.

methodsWe identified RCD patients treated with OB at Mayo Clinic, Rochester, Minnesota from 2003 to 2015. Demographic, serologic, and clinical variables were analyzed.

resultsWe identified 57 patients who received OB for suspected RCD. Based on clonal T-cell receptor gamma gene rearrangement or aberrant phenotype of intraepithelial lymphocytes (IELs), 13 patients (23%) were classified as having RCD-2 and 43 (75%) as RCD-1. In one patient (2%) TCR gene rearrangement status was unknown. Most patients were women (69%), mean (s.d.) age was 60.5 (3.5) years and body mass index was 28.4 (4.5) kg/m

conclusionsMost patients with RCD show clinical and histopathologic improvement with OB therapy, including those with failure of IMs. OB is a promising therapeutic option for management of RCD.

Indexed as

Administration, OralAgedAged, 80 and overBudesonideCapsulesCD3 ComplexCD4 AntigensCD8 AntigensCeliac DiseaseFemaleGene Rearrangement, T-LymphocyteGenes, T-Cell ReceptorGlucocorticoidsHumansImmunosuppressive AgentsMaleBudesonideCapsulesCD3 ComplexCD4 AntigensCD8 AntigensGlucocorticoidsImmunosuppressive Agents

Identifiers

PMID28323276

What OpenQuestion holds

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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.