Evidence map›Paper›PMID 30772849›Full record

ArticleBMJ open2019

Trial summary and protocol for a phase II randomised placebo-controlled double-blinded trial of Interleukin 1 blockade in Acute Severe Colitis: the IASO trial.

Martin Geoffrey Thomas, Carrie Bayliss, Simon Bond, Francis Dowling, James Galea, Vipul Jairath, Christopher Lamb, Christopher Probert, Elizabeth Timperley-Preece, Alastair Watson and 5 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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.

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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Managing Acute Severe Ulcerative Colitis in 2025 and Beyond.Current gastroenterology reports · 2026
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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

15 authors at 10 institutions in 2 countries.

Martin Geoffrey ThomasCambridge Clinical Trials Unit, Cambridge, UK.
Carrie BaylissCambridge Clinical Trials Unit, Cambridge, UK.
Simon BondCambridge Clinical Trials Unit, Cambridge, UK.
Francis DowlingCambridge Clinical Trials Unit, Cambridge, UK.
James GaleaUniversity of Manchester, Manchester, UK.
Vipul JairathDivision of Gastroenterology, Department of Medicine, Western University, London, Ontario, Canada.
Christopher LambInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Christopher ProbertInstitute of Translational Medicine, University of Liverpool, Liverpool, UK.
Elizabeth Timperley-PreeceCoventry, UK.
Alastair WatsonDepartment of Gastroenterology, University of East Anglia, Norwich, UK.
Lynne WhiteheadClinical Trials Pharmacy Department, Addenbrooke's Hospital, Cambridge, UK.
John G WilliamsSwansea University Medical School, Swansea, UK.
Miles ParkesDivision of Gastroenterology and Hepatology, Department of Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge, UK.
Arthur KaserDivision of Gastroenterology and Hepatology, Department of Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge, UK.
Tim RaineDivision of Gastroenterology and Hepatology, Department of Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge, UK.
MRC Clinical Trials Unit at UCL · GBAddenbrooke's Hospital · GBCambridge University Hospitals NHS Foundation Trust · GBCoventry (United Kingdom) · GBNewcastle University · GBSwansea University · GBUniversity of East Anglia · GBUniversity of Liverpool · GBUniversity of Manchester · GBWestern University · CA

Funding

Department of Health EME/14/201/02Medical Research Council MC_UU_00002/3Medical Research Council MR/M00533X/1Wellcome Trust
6 · The paper itself

Abstract

introductionAcute severe ulcerative colitis (ASUC) is a severe manifestation of ulcerative colitis (UC) that warrants hospitalisation. Despite significant advances in therapeutic options for UC and in the medical management of steroid-refractory ASUC, the initial treatment paradigm has not changed since 1955 and is based on the use of intravenous corticosteroids. This treatment is successful in approximately 50% of patients but failure of this and subsequent medical therapy still occurs, with colectomy rates of up to 40% reported. The METHODS AND ANALYSIS: IASO is a phase II, multicentre, two-arm (parallel group), randomised (1:1), placebo-controlled, double-blinded trial of short-duration anakinra in ASUC. Its primary outcome will be the incidence of medical (eg, infliximab/ciclosporin) or surgical rescue therapy (colectomy) within 10 days following the commencement of intravenous corticosteroid therapy. Secondary outcomes will include disease activity, time to clinical response, time to rescue therapy, colectomy incidence by day 98 post intravenous corticosteroids and safety. The trial aims to recruit 214 patients across 20 sites in the UK. ETHICS AND DISSEMINATION: The trial has received approval from the Cambridge Central Research Ethics Committee (Ref: 17/EE/0347), the Health Research Authority (Ref: 201505) and Clinical Trials Authorisation from the Medicines and Healthcare products Regulatory Agency. We plan to present trial findings at scientific conferences and publish in high-impact peer-reviewed journals. TRIAL REGISTRATION NUMBER: ISRCTN43717130; EudraCT 2017-001389-10.

Indexed as

Administration, IntravenousAdolescentAdrenal Cortex HormonesAdultAgedAged, 80 and overAntirheumatic AgentsClinical Trials, Phase II as TopicColitis, UlcerativeDouble-Blind MethodDrug Therapy, CombinationFemaleHumansInterleukin 1 Receptor Antagonist ProteinMaleMiddle AgedAdrenal Cortex HormonesAntirheumatic AgentsInterleukin 1 Receptor Antagonist Proteingastroenterologyimmunologyinflammatory bowel disease

Identifiers

PMID30772849
PMCPMC6398753
OpenAlexW2911017829

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.