Evidence map›Paper›PMID 32328546›Full record

ArticleJournal of the Canadian Association of Gastroenterology2020

Ulcerative Colitis Patients Continue to Improve Over the First Six Months of Vedolizumab Treatment: 12-Month Clinical and Mucosal Healing Effectiveness.

Petros Zezos, Boyko Kabakchiev, Adam V Weizman, Geoffrey C Nguyen, Neeraj Narula, Kenneth Croitoru, A Hillary Steinhart, Mark S Silverberg

Open access · goldAbstract read
In one paragraph

Article in Journal of the Canadian Association of Gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
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  3. 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 1 institution in 1 country.

Petros ZezosDivision of Gastroenterology, Mount Sinai Hospital, University of Toronto, Toronto, Canada.ORCID 0000-0001-8877-7583
Boyko KabakchievZane Cohen Centre for Digestive Diseases, Mount Sinai Hospital, Toronto, Canada.
Adam V WeizmanDivision of Gastroenterology, Mount Sinai Hospital, University of Toronto, Toronto, Canada.
Geoffrey C NguyenDivision of Gastroenterology, Mount Sinai Hospital, University of Toronto, Toronto, Canada.
Neeraj NarulaDivision of Gastroenterology, Mount Sinai Hospital, University of Toronto, Toronto, Canada.
Kenneth CroitoruDivision of Gastroenterology, Mount Sinai Hospital, University of Toronto, Toronto, Canada.
A Hillary SteinhartDivision of Gastroenterology, Mount Sinai Hospital, University of Toronto, Toronto, Canada.
Mark S SilverbergDivision of Gastroenterology, Mount Sinai Hospital, University of Toronto, Toronto, Canada.
Mount Sinai Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVedolizumab (VDZ) is a humanized monoclonal IgG1 antibody which inhibits leukocyte vascular adhesion and migration into the gastrointestinal tract through α4β7 integrin blockade.

aimsWe retrospectively assessed the 12-month, real-world efficacy and safety of VDZ as induction and maintenance therapy in adult patients with ulcerative colitis (UC).

methodsThe rates of clinical remission (CR, partial Mayo score < 2), steroid-free clinical remission (SFCR), and mucosal healing were assessed with nonresponder imputation analysis. Baseline independent predictors of clinical remission were investigated, and adverse events were recorded.

resultsWe analyzed outcomes in 74 patients; 32% were anti-TNF naïve, 68% had pancolitis, and 46% were on systemic steroids at baseline. At week six, week 14, six months and one year, the CR rates were 26%, 34%, 39% and 39% respectively, and the SFCR rates were 24%, 31%, 38% and 39%, respectively. Among patients not in CR after induction, the probability of remission at six months was 20%. Sustained SFCR between weeks 14 and 52 and between weeks 22 and 52 was found in 69% and 86% of the patients, respectively. Steroid-free clinical remission at 12 months was significantly associated with remission after the induction phase (OR = 30.4; 95% CI, 6 to 150;

conclusionsIncreasing remission rates were observed over the first six months of VDZ treatment. One-fifth of patients not in remission post-induction achieved remission by six months of continued therapy. Mucosal healing was associated with higher rates of one-year steroid-free remission and VDZ treatment continuation.

Indexed as

Crohn’s diseasemucosal healingremissionsteroid-freeulcerative colitisvedolizumab

Identifiers

PMID32328546
PMCPMC7165264
OpenAlexW2900639482

What OpenQuestion holds

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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.