Evidence map›Paper›PMID 30304717›Full record

ArticleDigestive diseases (Basel, Switzerland)2019

Pregnancy Outcomes of Patients Exposed to Adalimumab in Japan.

Yumi Kawai, Tsuyoshi Tsuchiya, Shigeru Aoki

Abstract read
In one paragraph

Article in Digestive diseases (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 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.

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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. TNF-Expert reviews in molecular medicine · 2022
    Review
  8. Review
  9. Fertility and infertility implications in rheumatoid arthritis; state of the art.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2020
    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

3 authors.

Yumi KawaiMedical, AbbVie GK, Tokyo, Japanyumi.kawai@abbvie.com.
Tsuyoshi TsuchiyaMedical, AbbVie GK, Tokyo, Japan.
Shigeru AokiPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, Yokohama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis is the first retrospective report of pregnancy outcomes after exposure to adalimumab treatment in Japan.

methodsUsing the AbbVie safety database, we analyzed pregnancy outcome data from patients who received adalimumab treatment from April 16, 2008, to May 15, 2017.

resultsData were extracted retrospectively for 74 pregnancies in 73 patients. More than half of the patients included in the study received adalimumab for the treatment of Crohn's disease (37.8%) or ulcerative colitis (20.3%), while 9.5% received adalimumab for rheumatoid arthritis. Of the 53 pregnancies with available outcome data, 45 newborns (45/53 [84.9%]) were delivered. Of these births, 30 were full-term, 2 were preterm, and 13 were unknown. Apgar scores were available for 11 of the 16 newborns whose mothers were exposed to adalimumab in the third trimester; all scores were within the normal range. Low birth weight was observed in 5 infants out of the 30 full-term deliveries. There were also 5 miscarriages (5/53 [9.4%]), 2 induced abortions (2/53 [3.8%]), and 1 stillbirth (1/53 [1.9%]). Eight maternal adverse events were observed in 5 pregnancies; no serious adverse events occurred.

conclusionAlthough safety concerns were inconclusive, these data do not report additional risk to pregnancy outcomes with adalimumab exposure.

Indexed as

Pregnancy OutcomeAdalimumabAdolescentAdultChildFemaleFetusHumansInfant, NewbornJapanLive BirthMiddle AgedPregnancyPregnancy Trimester, ThirdRetrospective StudiesYoung AdultAdalimumabAdalimumabInflammatory bowel diseasePregnancyRheumatoid arthritisSafety

Identifiers

PMID30304717
PMCPMC6381873

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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.