Evidence map›Paper›PMID 29939254›Full record

Trial reportJournal of Crohn's & colitis2018

Efficacy of Adalimumab for Treatment of Perianal Fistula in Children with Moderately to Severely Active Crohn's Disease: Results from IMAgINE 1 and IMAgINE 2.

Frank M Ruemmele, Joel Rosh, William A Faubion, Marla C Dubinsky, Dan Turner, Andreas Lazar, Samantha Eichner, Jen-Fue Maa, Gabriela Alperovich, Anne M Robinson and 1 more

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of Crohn's & colitis, 2018. 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 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
3.3field-weighted citation impact, top 8% 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.

NCT00409682 phase3completednot on this map

A Multi-Center, Double-Blind Study to Evaluate the Safety, Efficacy and Pharmacokinetics of the Human Anti-TNF Monoclonal Antibody Adalimumab in Pediatric Subjects With Moderate to Severe Crohn's Disease

TypeinterventionalSponsorAbbottRan2007 to 2010Enrolled192ConditionsCrohn's DiseaseArmsAdalimumab
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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Perianal fistulizing Crohn's disease: Clinical practice update from Colitis and Crohn's Foundation (India).Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Guideline
  2. Pooled it
  3. Adalimumab for induction of remission in Crohn's disease.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Pooled it
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Approach to medical therapy in perianal Crohn's disease.World journal of gastroenterology · 2021
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  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

11 authors at 8 institutions in 4 countries.

Frank M RuemmeleUniversité Sorbonne Paris Cité, Paris Descartes, APHP Hôpital Necker-Enfants Malades, Paris, France.
Joel RoshGoryeb Children's Hospital/Atlantic Health, Morristown, NJ, USA.
William A FaubionMayo Clinic, Rochester, MN, USA.
Marla C DubinskyIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Dan TurnerShaare Zedek Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.
Andreas LazarAbbVie Deutschland GmbH & Co. KG, Ludwigshafen, Germany.
Samantha EichnerAbbVie Inc., North Chicago, IL, USA.
Jen-Fue MaaAbbVie Inc., North Chicago, IL, USA.
Gabriela AlperovichAbbVie Inc., North Chicago, IL, USA.
Anne M RobinsonAbbVie Inc., North Chicago, IL, USA.
Jeffrey S HyamsConnecticut Children's Medical Center, Hartford, CT, USA.
AbbVie (United States) · USAbbVie (Germany) · DEAssistance Publique – Hôpitaux de Paris · FRConnecticut Children's Medical Center · USGoryeb Children's Hospital · USHebrew University of Jerusalem · ILIcahn School of Medicine at Mount Sinai · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsAdalimumab has been shown to be more effective than placebo in healing fistulae in adults with moderately to severely active Crohn's disease. The efficacy and safety of adalimumab in healing fistulae in children/adolescents with Crohn's disease from the 52-week IMAgINE 1 clinical trial, and its open-label extension IMAgINE 2, are reported.

methodsChildren/adolescents with perianal fistulae at baseline of IMAgINE 1 were assessed for fistula closure and improvement during IMAgINE 1 [Weeks 0-52] and from Week 0 of IMAgINE 2 [Week 52 of IMAgINE 1] through to Week 240 of IMAgINE 2 using non-responder imputation.

resultsA total of 36 children/adolescents had fistulae at baseline of IMAgINE 1 and were included in the analysis. Fistula closure and improvement were observed in 44.4% and 52.8%, respectively, at Week 12. Rates of closure and improvement were maintained throughout the analysis period to Week 292. No new safety signals were identified.

conclusionsIn children/adolescents with moderately to severely active, fistulizing Crohn's disease, adalimumab induced perianal fistula closure and improvement within 12 weeks of treatment, with rates that were sustained for more than 5 years. The safety profile of adalimumab in patients with fistulae at baseline was similar to that of the overall population in IMAgINE 1/2. ClinicalTrials.gov identifiers: IMAgINE 1 (NCT00409682); IMAgINE 2 (NCT00686374).

Indexed as

AdalimumabCrohn DiseaseRectal FistulaAdolescentAnti-Inflammatory AgentsChildDose-Response Relationship, DrugDouble-Blind MethodDrug MonitoringFemaleHumansMaleRegenerationSeverity of Illness IndexTreatment OutcomeTumor Necrosis Factor-alphaAdalimumabAnti-Inflammatory AgentsTumor Necrosis Factor-alpha

Identifiers

PMID29939254
PMCPMC6225974
OpenAlexW2809469649

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.