Evidence map›Paper›PMID 32702894›Full record

Observational studyMedicine2020

The effect of early trough level of infliximab on subsequent disease course in patients with Crohn disease: A prospective cohort study.

Natsuki Ishida, Takahiro Miyazu, Tomohiro Sugiyama, Satoshi Tamura, Takuma Kagami, Shinya Tani, Mihoko Yamade, Moriya Iwaizumi, Yasushi Hamaya, Satoshi Osawa and 2 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Infliximab: a single-centre, prospective, observational evaluation of TDM data in patients with IBD.European journal of hospital pharmacy : science and practice · 2023
    Observational
  2. 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

12 authors at 1 institution in 1 country.

Natsuki IshidaFirst Department of Medicine.
Takahiro MiyazuFirst Department of Medicine.
Tomohiro SugiyamaFirst Department of Medicine.
Satoshi TamuraFirst Department of Medicine.
Takuma KagamiFirst Department of Medicine.
Shinya TaniDepartment of Endoscopic and Photodynamic Medicine.
Mihoko YamadeFirst Department of Medicine.
Moriya IwaizumiDepartment of Laboratory Medicine.
Yasushi HamayaFirst Department of Medicine.
Satoshi OsawaDepartment of Endoscopic and Photodynamic Medicine.
Takahisa FurutaCenter for Clinical Research, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Ken SugimotoFirst Department of Medicine.ORCID 0000-0001-9586-1097
Hamamatsu University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Decreased trough level of infliximab (TLI) is associated with diminished efficacy in patients with Crohn disease (CD). We examined whether TLI at 14 weeks subsequent to the start of infliximab (IFX) treatment would impact long-term clinical course.Serum IFX levels and antibodies to IFX (ATI) at 14 and 54 weeks after IFX administration were measured in 12 patients with mild to moderate CD. We examined patient background, clinical severity, blood test values, and the relationship between ATI and TLI up to 108 weeks.We compared the group with TLI < 3 μg/mL at 14 weeks (TLI(14) < 3 group) the group with TLI > 3 μg/mL (TLI(14) ≥ 3 group). Patients in the TLI(14) ≥ 3 group were significantly more likely to use immunomodulators before IFX treatment induction (P = .01). At 54 weeks, 2 cases of ATI production were observed in the TLI(14) < 3 group, but no ATI production was observed in the TLI(14) ≥ 3 group. TLI in the TLI(14) ≥ 3 group at 54 weeks was significantly higher than in the TLI(14) < 3 group (6.5 μg/mL vs 1.0 μg/mL; P < .01). Although CD activity index and serum albumin values in the TLI(14) ≥ 3 group at 14, 54, and 108 weeks significantly improved compared to baseline, these improvements were not observed in the TLI(14) < 3 group. The remission maintenance rate at 108 weeks evaluated with the Kaplan-Meier method was significantly higher in the TLI(14) ≥ 3 group than the TLI(14) < 3 group (100% vs 33.3%; P = .02).The TLI 14 weeks after IFX treatment in patients with CD affects long-term outcome.

Indexed as

AdolescentAdultAgedCohort StudiesCrohn DiseaseDisease ProgressionFemaleGastrointestinal AgentsHumansInfliximabMaleMiddle AgedProspective StudiesRemission InductionYoung AdultGastrointestinal AgentsInfliximab

Identifiers

PMID32702894
PMCPMC7373619
OpenAlexW3042802178

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.