Evidence map›Paper›PMID 30739435›Full record

ArticleIntestinal research2019

Efficacy and safety of abrilumab, an α4β7 integrin inhibitor, in Japanese patients with moderate-to-severe ulcerative colitis: a phase II study.

Toshifumi Hibi, Satoshi Motoya, Toshifumi Ashida, Souken Sai, Yukinori Sameshima, Shiro Nakamura, Atsuo Maemoto, Masahiro Nii, Barbara A Sullivan, Robert A Gasser and 1 more

Abstract read
In one paragraph

Article in Intestinal research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Advancing therapeutic frontiers: a pipeline of novel drugs for UC management.Frontiers in gastroenterology (Lausanne, Switzerland) · 2026
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Targeting integrin pathways: mechanisms and advances in therapy.Signal transduction and targeted therapy · 2023
    Review
  11. Review
  12. Review
  13. Emerging therapeutic options in inflammatory bowel disease.World journal of gastroenterology · 2021
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
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.

Toshifumi HibiCenter for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Kitasato University, Tokyo, Japan.
Satoshi MotoyaIBD Center, Sapporo-Kosei General Hospital, Sapporo, Japan.
Toshifumi AshidaIBD Center, Sapporo Tokushukai Hospital, Sapporo, Japan.
Souken SaiDepartment of Gastroenterology and Proctology, Sai Gastroenterology/Proctology Clinic, Osaka, Japan.
Yukinori SameshimaDepartment of Internal Medicine, Sameshima Hospital, Kagoshima, Japan.
Shiro NakamuraDepartment of Inflammatory Bowel Disease, Division of Internal Medicine, Hyogo College of Medicine Hospital, Nishinomiya, Japan.
Atsuo MaemotoIBD Center, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.
Masahiro NiiResearch & Development, AstraZeneca K.K., Osaka, Japan.
Barbara A SullivanAmgen, South San Francisco, CA, USA.
Robert A GasserMedImmune LLC, Gaithersburg, MD, USA.
Yasuo SuzukiDepartment of Internal Medicine, Toho University Sakura Medical Center, Sakura, Japan.

Funding

AstraZeneca
6 · The paper itself

Abstract

BACKGROUND/

aimsInhibition of α4β7 integrin has been shown to be effective for induction and maintenance therapy in patients with ulcerative colitis (UC). We investigated the effects of varying doses of the α4β7 inhibitor abrilumab in Japanese patients with moderate-to-severe UC despite conventional treatments.

methodsIn this randomized, double-blind, placebocontrolled study, 45 UC patients were randomized to abrilumab 21 mg (n=11), 70 mg (n=12), 210 mg (n=9), or placebo (n=13) via subcutaneous (SC) injection for 12 weeks. The double-blind period was followed by a 36-week open-label period, in which all patients received abrilumab 210 mg SC every 12 weeks, and a 28-week safety follow-up period. The primary efficacy variable was clinical remission at week 8 (total Mayo score ≤2 points with no individual subscore >1 point).

resultsClinical remission at week 8 was 4 out of 31 (12.9%) overall in the abrilumab groups versus 0 out of 13 in the placebo group (abrilumab 21 mg, 1/10 [10.0%]; 70 mg, 2/12 [16.7%]; 210 mg, 1/9 [11.1%]). In both the double-blind and open-label periods, fewer patients in the abrilumab groups experienced ≥1 adverse event compared with those in the placebo group. There were no cases of progressive multifocal leukoencephalopathy and no deaths.

conclusionsAbrilumab 70 mg and 210 mg yielded numerically better results in terms of clinical remission rate at Week 8 than placebo, with the 210 mg dose showing more consistent treatment effects. Abrilumab was well tolerated in Japanese patients with UC.

Indexed as

AbrilumabAMG 181Colitis, ulcerativeJapan

Identifiers

PMID30739435
PMCPMC6667363

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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.