Evidence map›Paper›PMID 31381615›Full record

Trial reportPloS one2019

Middle-term prognosis in patients with ulcerative colitis who achieved clinical and endoscopic remission by budesonide rectal foam.

Makoto Naganuma, Fumihito Hirai, Kiyonori Kobayashi, Kenji Watanabe, Ken Takeuchi, Nobuo Aoyama, Hiroshi Nozawa, Satoshi Motoya, Toshihide Ohmori, Akio Harada and 8 more

RetractedOpen access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 10 institutions in 1 country.

Makoto NaganumaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-4244-3243
Fumihito HiraiDepartment of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
Kiyonori KobayashiDepartment of Research and Development Center for New Medical Frontiers, Kitasato University School of Medicine, Kanagawa, Japan.
Kenji WatanabeDepartment of Intestinal Inflammation Research, Hyogo College of Medicine, Nishinomiya, Japan.ORCID 0000-0002-3781-4724
Ken TakeuchiDivision of Gastroenterology and Hepatology, IBD Center, Tsujinaka Hospital Kashiwanoha, Chiba, Japan.
Nobuo AoyamaGastrointestinal Endoscopy and Inflammatory Bowel Disease Center, Aoyama Medical Clinic, Hyogo, Japan.
Hiroshi NozawaMatsushima Clinic, Kanagawa, Japan.
Satoshi MotoyaIBD Center, Sapporo Kosei General Hospital, Hokkaido, Japan.
Toshihide OhmoriOhmori Toshihide Gastro-Intestinal Clinic, Ageo, Japan.
Akio HaradaYokoyama Memorial Hospital, Nagoya, Japan.
Yushi NagaiData Management Office, Clinical and Translational Research Center, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-4477-9744
Takayuki AbeSchool of Data Science, Yokohama City University, Yokohama, Japan.
Yoji YamadaClinical Development Department, EA Pharma Co., Ltd., Tokyo, Japan.
Katsutoshi InagakiMedical Science Group, Medical Department, EA Pharma Co., Ltd., Tokyo, Japan.
Naoki ShimizuMedical Research Department, Kissei Pharmaceutical Co., Ltd., Tokyo, Japan.
Takanori KanaiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.
Mamoru WatanabeTMDU Advanced Research Institute, Tokyo Medical and Dental University, Tokyo, Japan.
ESCORT study Group
Keio University · JPEA Pharma (Japan) · JPFukuoka University · JPHyogo Medical University · JPKissei Pharmaceutical (Japan) · JPKitasato University · JPMatsushiro Seismological Observatory · JPSapporo Kosei General Hospital · JPShiga Medical Center for Adults · JPTokyo Medical and Dental University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBudesonide foam is effective in inducing clinical remission in ulcerative colitis (UC) patients with active proctosigmoiditis. The aim of this study was to evaluate the duration of remission and predictors of relapse in UC patients who achieved clinical remission and mucosal healing by 6-week treatment with topical budesonide.

methodsThis is a retrospective, observational, multicenter study with a 2-year follow-up period. UC patients who were treated with budesonide foam in phase 2 or phase 3 clinical trials and achieved both clinical remission and mucosal healing were enrolled.

resultsAmong 84 patients who met the eligibility criteria, 60 participated in the study. Eighteen of the 60 patients (30.0%; 95% confidence interval [CI]: 18.9-43.2) experienced no relapse (i.e., maintenance of remission) during the 2-year follow-up period. The median relapse-free survival time was 0.82 years (95% CI: 0.51-1.52). Of 37 patients with a Mayo endoscopic subscore of 0 after inducing remission with budesonide foam, 25 (67.6%) relapsed within 2 years. Patients with a disease duration of <1 year experienced a worse clinical outcome than patients with a disease duration of >5 years, and the hazard ratio was 2.38 (95% CI: 1.04-5.45).

conclusionThis is the first study to evaluate the short- to middle-term prognosis in UC patients who achieved mucosal healing with topical preparations. After inducing remission by budesonide foam, treatment for maintaining remissions and strict follow-up may be needed for patients with shorter disease duration.

Indexed as

AdultAnti-Inflammatory AgentsBudesonideColitis, UlcerativeEndoscopyFemaleHumansMaleMiddle AgedPrognosisRemission InductionRetrospective StudiesTreatment OutcomeAnti-Inflammatory AgentsBudesonide

Identifiers

PMID31381615
PMCPMC6681969
OpenAlexW2965935112

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.