Evidence map›Paper›PMID 32213026›Full record

ArticleUnited European gastroenterology journal2020

Safety and effectiveness of ustekinumab for induction of remission in patients with Crohn's disease: A multicenter Israeli study.

Ariella Bar-Gil Shitrit, Ami Ben-Ya'acov, Matan Siterman, Matti Waterman, Ayal Hirsh, Doron Schwartz, Eran Zittan, Yehonatan Adler, Benjamin Koslowsky, Irit Avni-Biron and 11 more

Erratum issuedOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in United European gastroenterology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Ustekinumab is safe and effective in pediatric patients with Crohn's disease.Journal of pediatric gastroenterology and nutrition · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Refractory Crohn's Disease: Perspectives, Unmet Needs and Innovations.Clinical and experimental gastroenterology · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Ustekinumab in Crohn's disease: Real-world outcomes from the Sicilian network for inflammatory bowel diseases.JGH open : an open access journal of gastroenterology and hepatology · 2021
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 8 institutions in 1 country.

Ariella Bar-Gil ShitritDigestive Diseases Institute, Shaare Zedek Medical Center, affiliated with Faculty of Medicine, The Hebrew University, Jerusalem, Israel.
Ami Ben-Ya'acovDigestive Diseases Institute, Shaare Zedek Medical Center, affiliated with Faculty of Medicine, The Hebrew University, Jerusalem, Israel.
Matan SitermanDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Matti WatermanDepartment of Gastroenterology, Rambam Health Care Campus, Haifa, Israel.
Ayal HirshInflammatory Bowel Disease Center, Department of Gastroenterology and Liver Diseases, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Doron SchwartzDepartment of Gastroenterology, Soroka Medical Center, Beer Sheva, Israel.
Eran ZittanInflammatory Bowel Disease Unit, Ellen and Pinchas Mamber Institute of Gastroenterology and Liver Diseases, Emek Medical Center, Afula, Israel.
Yehonatan AdlerDepartment of Gastroenterology, Sheba Medical Center, Tel Hashomer, Israel.
Benjamin KoslowskyDigestive Diseases Institute, Shaare Zedek Medical Center, affiliated with Faculty of Medicine, The Hebrew University, Jerusalem, Israel.
Irit Avni-BironDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Yehuda ChowersDepartment of Gastroenterology, Rambam Health Care Campus, Haifa, Israel.
Yulia RonInflammatory Bowel Disease Center, Department of Gastroenterology and Liver Diseases, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Eran IsraeliInstitute of Gastroenterology, Hebrew University Hadassah Medical Center, Jerusalem, Israel.
Bella UngarDepartment of Gastroenterology, Sheba Medical Center, Tel Hashomer, Israel.
Henit YanaiDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Nitsan MaharshakInflammatory Bowel Disease Center, Department of Gastroenterology and Liver Diseases, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Shomron Ben-HorinDepartment of Gastroenterology, Sheba Medical Center, Tel Hashomer, Israel.
Rami EliakimDepartment of Gastroenterology, Sheba Medical Center, Tel Hashomer, Israel.
Iris DotanDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Eran GoldinDigestive Diseases Institute, Shaare Zedek Medical Center, affiliated with Faculty of Medicine, The Hebrew University, Jerusalem, Israel.
Uri KopylovDepartment of Gastroenterology, Sheba Medical Center, Tel Hashomer, Israel.
Sheba Medical Center · ILShaare Zedek Medical Center · ILTel Aviv University · ILTel Aviv Sourasky Medical Center · ILRambam Health Care Campus · ILEmek Medical Center · ILHadassah Medical Center · ILSoroka Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUstekinumab is an effective treatment of Crohn's disease (CD). Real-world data addressing the efficacy and safety of ustekinumab are scarce.

aimOur aim was to assess the safety and efficacy of ustekinumab in a large national patient cohort.

methodsA prospective multicenter study, in which we followed patients with active CD treated with ustekinumab for 24 weeks. Induction dose was intravenous ranging from 260 to 520 mg, according to body weight, followed by 90 mg doses given subcutaneously every 8 weeks. Clinical response was defined as a reduction of at least 1 severity category, as defined by Harvey-Bradshaw index (HBI). Patients with HBI < 5 were considered to be in clinical remission. Patients who stopped needing steroids at week 24 were defined as being in steroid-free clinical remission.

resultsA total of 106 CD patients from eight Israeli centers were included. All patients were previously exposed to at least one biological agent. Our cohort consisted of 65 (61.3%) females. Mean age was 41 ± 14 years with an average disease duration of 12.2 ± 8 years. A total of 96 (90.5%) patients continued treatment throughout week 24. Clinical response was observed in 52% of these patients with mean HBI reduction from 8.34 ± 3.8 to 6.8 ± 4.4 at week 24 (

conclusionsIn a large real-world Israeli cohort of non-naïve-to-biological-treatment CD patients, ustekinumab was effective and safe in induction of clinical remission with a significant reduction in the number of patients requiring steroid treatment.

Indexed as

Administration, IntravenousAdultBiological ProductsCrohn DiseaseDrug Administration ScheduleFemaleFollow-Up StudiesHumansInjections, SubcutaneousIsraelMaleMiddle AgedProspective StudiesRemission InductionSeverity of Illness IndexTreatment OutcomeBiological ProductsUstekinumabCrohn’s diseasegastroenterologyIBDinflammationinflammatory bowel disease

Identifiers

PMID32213026
PMCPMC7226695
OpenAlexW3001878407

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.