Evidence map›Paper›PMID 29372476›Full record

Observational studyDigestive diseases and sciences2018

Identification of Candidate Biomarkers Associated with Response to Vedolizumab in Inflammatory Bowel Disease.

Elisa K Boden, Donna M Shows, Michael V Chiorean, James D Lord

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Digestive diseases and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03802214 (A Case-control Study to Evaluate the Immunoinflammatory Effect of Prior Exposure to Anti-TNF Therapy in Patients With Ulcerative Colitis Starting Vedolizumab Therapy), which is not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
5.8field-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.

NCT03802214 terminatednot on this mapstarted 2020, after this paper: background citation

A Case-control Study to Evaluate the Immunoinflammatory Effect of Prior Exposure to Anti-TNF Therapy in Patients With Ulcerative Colitis Starting Vedolizumab Therapy

TypeobservationalSponsorStanford UniversityRan2020 to 2020Enrolled1ConditionsUlcerative ColitisArmsVedolizumab
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 59 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Precision medicine in inflammatory bowel disease.Precision clinical medicine · 2023
    Review
  13. Article
  14. Review
  15. Molecular medicine-based IBD treatment strategies-we take it personally!Frontiers in gastroenterology (Lausanne, Switzerland) · 2023
    Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Elisa K BodenDivision of Gastroenterology, Virginia Mason Medical Center, Seattle, WA, 98101, USA.
Donna M ShowsTranslational Program, Benaroya Research Institute at Virginia Mason Mailstop, IN-RC 1201 Ninth Avenue, Seattle, WA, 98101, USA.
Michael V ChioreanDivision of Gastroenterology, Virginia Mason Medical Center, Seattle, WA, 98101, USA.
James D LordDivision of Gastroenterology, Virginia Mason Medical Center, Seattle, WA, 98101, USA. James.Lord@virginiamason.org.
Virginia Mason Medical Center · USBenaroya Research Institute

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsVedolizumab is an anti-α4β7 monoclonal antibody approved for the treatment of inflammatory bowel disease (IBD). This exploratory study aimed to identify biomarkers associated with vedolizumab response.

methodsTwenty-six IBD patients (15 with Crohn's, 11 with ulcerative or indeterminate colitis) initiating vedolizumab at a single center between 2014 and 2016 underwent sampling of serum and peripheral blood mononuclear cells (PBMCs) before and during vedolizumab therapy. Response was defined as steroid-free improvement in endoscopic score or Harvey-Bradshaw index/simple clinical colitis activity index (reduction greater than 3 or total less than 3). PBMCs were evaluated for immunophenotype and expression of α4β7 integrin on lymphocytes before and during vedolizumab therapy. Serum vedolizumab levels and α4β7 saturation were measured serially after induction.

resultsFourteen out of 26 (54%) patients treated with vedolizumab responded to therapy. Pretreatment α4β7 expression was higher in responders on multiple subsets of T, B, and NK cells, with terminal effector memory (p = .0009 for CD4 and .0043 for CD8) and NK cells (p = .0047) best discriminating between responders and nonresponders. During therapy, log

conclusionsPretreatment α4β7 expression and α4β7 receptor saturation during maintenance therapy were identified as candidate biomarkers for vedolizumab response.

Indexed as

AdultAntibodies, Monoclonal, HumanizedBiomarkersCell SeparationColitis, UlcerativeCrohn DiseaseEndoscopy, GastrointestinalFemaleFlow CytometryGastrointestinal AgentsHumansImmunophenotypingIntegrinsLymphocyte SubsetsMaleMiddle AgedAntibodies, Monoclonal, HumanizedBiomarkersGastrointestinal Agentsintegrin alpha4beta7IntegrinsvedolizumabAnti-integrinBiomarkersInflammatory bowel diseasePersonalized medicine

Identifiers

PMID29372476
OpenAlexW2794186149

What OpenQuestion holds

Textmetadata
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.