Evidence map›Paper›PMID 31448080›Full record

ReviewF1000Research2019

Biologic therapies for Crohn's disease: optimising the old and maximising the new.

Mark Samaan, Samantha Campbell, Georgina Cunningham, Aravind Gokul Tamilarasan, Peter M Irving, Sara McCartney

Abstract readReview
In one paragraph

Review in F1000Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

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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

6 authors.

Mark SamaanDepartment of Gastroenterology, University College London Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0002-4057-9200
Samantha CampbellDepartment of Gastroenterology, Royal Free London NHS Foundation Trust, London, UK.
Georgina CunninghamDepartment of Gastroenterology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Aravind Gokul TamilarasanDepartment of Gastroenterology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Peter M IrvingDepartment of Gastroenterology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Sara McCartneyDepartment of Gastroenterology, University College London Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0002-4057-9200

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The era of biologic agents for the treatment of Crohn's disease has brought about significant benefits for patients, and since the introduction of infliximab at the turn of the century, the entire field has moved on rapidly. Clinicians now have multiple agents at their disposal and a choice between several different anti-inflammatory mechanisms of action. This has allowed unprecedented improvements not only in symptoms and quality of life for patients previously refractory to conventional treatments but also for demonstrated healing of the intestinal mucosa and resolution of perianal fistulation. However, despite the undisputed efficacy of these agents, there remains a significant proportion of patients who fail to gain a meaningful benefit. Through years of studying infliximab and its counterpart anti-tumour necrosis factor (anti-TNF) agent, adalimumab, we now understand that strategies such as combining use with a conventional immunomodulator or measuring serum levels can help to optimise outcomes and reduce the proportion of patients for whom treatment fails. Work is ongoing to understand whether these principles apply to newer biologics such as vedolizumab and ustekinumab. In addition, novel approaches are being investigated in an attempt to maximise the benefit that these agents could offer. In this article, we summarise these new understandings and consider ways in which they could be integrated into clinical practice for the benefit of patients.

Indexed as

Biological TherapyCrohn DiseaseAntibodies, MonoclonalHumansQuality of LifeTumor Necrosis Factor-alphaAntibodies, MonoclonalTumor Necrosis Factor-alphaAdalimumabBiologicsCrohn’s diseaseInfliximabUstekinumabVedolizumab

Identifiers

PMID31448080
PMCPMC6668046

What OpenQuestion holds

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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.