Evidence map›Paper›PMID 31839954›Full record

SynthesisUnited European gastroenterology journal2019

Efficacy and safety of biologic agents and tofacitinib in moderate-to-severe ulcerative colitis: A systematic overview of meta-analyses.

Katerina Pantavou, Anneza I Yiallourou, Daniele Piovani, Despo Evripidou, Silvio Danese, Laurent Peyrin-Biroulet, Stefanos Bonovas, Georgios K Nikolopoulos

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in United European gastroenterology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.9field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Positioning biologics in the treatment of IBD: A practical guideCurrent research in pharmacology and drug discovery · 2022
    Review
  8. Article
  9. User's guide to JAK inhibitors in inflammatory bowel disease.Current research in pharmacology and drug discovery · 2022
    Review
  10. Review
  11. Review
  12. 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

8 authors at 3 institutions in 3 countries.

Katerina PantavouMedical School, University of Cyprus, Nicosia, Cyprus.
Anneza I YiallourouMedical School, University of Cyprus, Nicosia, Cyprus.
Daniele PiovaniDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Despo EvripidouMedical School, University of Cyprus, Nicosia, Cyprus.
Silvio DaneseDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Laurent Peyrin-BirouletDepartment of Hepato-Gastroenterology and Inserm U954, Nancy University Hospital, Lorraine University, Vandoeuvre-lès-Nancy, France.
Stefanos BonovasDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.ORCID 0000-0001-6102-6579
Georgios K NikolopoulosMedical School, University of Cyprus, Nicosia, Cyprus.
University of Cyprus · CYHumanitas University · ITInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ulcerative colitis (UC) is an inflammatory disease of the colon and rectum. Treatment options include biologics and tofacitinib. Objectives: We aim to summarize the evidence on efficacy and safety of biologics and tofacitinib in moderate-to-severe UC. Methods: PubMed, Embase, Scopus, and the Cochrane Library were systematically searched to identify meta-analyses of randomized controlled trials assessing adalimumab, golimumab, infliximab, vedolizumab, and tofacitinib in UC. Efficacy outcomes included induction and maintenance of clinical response, clinical remission and mucosal healing. Safety outcomes included adverse events and serious adverse events. Results: The overview involved 31 meta-analyses. All four biologics and tofacitinib were superior to placebo regarding efficacy. Indirect comparisons suggested that infliximab may be better than adalimumab and golimumab to induce clinical response and mucosal healing. Safety analyses indicated no increased rates of adverse events, except for infliximab. Conclusions: Biologics and tofacitinib are efficacious and safe for treating UC. These findings can support clinical decision-making.

Indexed as

Biological FactorsBiomarkersClinical Trials as TopicColitis, UlcerativeDrug Therapy, CombinationHumansMolecular Targeted TherapyPiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolesSeverity of Illness IndexTreatment OutcomeBiological FactorsBiomarkersPiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolestofacitinibadverse effectanti-TNFefficacyinflammatory bowel diseaseserious adverse effectsmall moleculeulcerative colitis

Identifiers

PMID31839954
PMCPMC6894001
OpenAlexW2981019309

What OpenQuestion holds

Textmetadata
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.