Evidence map›Paper›PMID 32868649›Full record

ArticleEuropean journal of gastroenterology & hepatology2020

Objectively assessed disease activity and drug persistence during ustekinumab treatment in a nationwide real-world Crohn's disease cohort.

Clas-Göran Af Björkesten, Tuire Ilus, Taru Hallinen, Erkki Soini, Anja Eberl, Kalle Hakala, Mikko Heikura, Airi Jussila, Ritva Koskela, Inka Koskinen and 14 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of gastroenterology & hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Serial Changes in Intestinal Stenotic Stiffness in Patients with Crohn's Disease Treated with Biologics: A Pilot Study Using Ultrasound Shear Wave Elastography.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Article
  7. Article
  8. Review
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  10. 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
  11. 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

24 authors at 17 institutions in 3 countries.

Clas-Göran Af BjörkestenGastroenterology, University of Helsinki and Helsinki University Hospital, Helsinki.
Tuire IlusDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere.
Taru HallinenESiOR Oy, Kuopio.
Erkki SoiniESiOR Oy, Kuopio.
Anja EberlGastroenterology, University of Helsinki and Helsinki University Hospital, Helsinki.
Kalle HakalaDepartment of Internal Medicine, Kanta-Häme Central Hospital, Hämeenlinna.
Mikko HeikuraDepartment of Gastroenterology, North Karelia Central Hospital, Joensuu.
Airi JussilaDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere.
Ritva KoskelaDepartment of Medicine, Division of Gastroenterology, Oulu University Hospital, Oulu.
Inka KoskinenDepartment of Internal Medicine, Central Finland Central Hospital, Jyväskylä.
Veikko MoilanenDepartment of Internal Medicine, Satakunta Central Hospital, Pori.
Christian NielsenDepartment of Internal Medicine, Vaasa Central Hospital, Vaasa.
Urpo NieminenGastroenterology, University of Helsinki and Helsinki University Hospital, Helsinki.
Heikki NuutinenDivision of Gastroenterology, Department of Medicine, Turku University Hospital, Turku.
Markku HeikkinenDepartment of Internal Medicine, Kuopio University Hospital, Kuopio.
Ulla-Maija SuhonenDepartment of Internal Medicine, Kainuu Central Hospital, Kajaani.
Jyrki TillonenDepartment of Internal Medicine, Päijät-Häme Central Hospital, Lahti.
Karri UtriainenDepartment of Internal Medicine, Turku University Hospital, Salo Hospital, Salo.
Ilkka VihriäläDepartment of Internal Medicine, Central Ostrobothnia Central Hospital, Kokkola, Finland.
Christina WennerströmMedical Affairs, Janssen Cilag AB, Solna, Sweden.
Andras BorsiJanssen Cilag Limited, EMEA HEMAR, High Wycombe, UK.
Riikka NissinenMedical Affairs, Janssen Cilag Oy, Espoo, Finland.
Minni R KoivunenMedical Affairs, Janssen Cilag Oy, Espoo, Finland.
Taina SipponenGastroenterology, University of Helsinki and Helsinki University Hospital, Helsinki.
Helsinki University Hospital · FIESiOR Oy (Finland) · FITurku University Hospital · FICentral Finland Health Care District · FIJanssen (United Kingdom) · GBKajaani University of Applied Sciences · FIKanta-Hämeen Keskussairaala · FIKuopio University Hospital · FINorth Karelia Central Hospital · FIOulu University Hospital · FIPäijät-Hämeen Keskussairaala · FISatakunta Central Hospital · FIStatens Serum Institut · DKTampere University · FITampere University Hospital · FIUniversity of Helsinki · FIVaasa Central Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLong-term evidence on ustekinumab treatment response and persistence in patients with Crohn's disease in a real-world setting is scarce. We performed a retrospective nationwide chart review study of long-term clinical outcomes in Crohn's disease patients treated with ustekinumab.

methodsThe study was conducted in 17 Finnish hospitals and included adult Crohn's disease patients who received an initial intravenous dose of ustekinumab during 2017-2018. Disease activity data were collected at baseline, 16 weeks, and 1 year from health records.

resultsThe study included 155 patients. The disease was stricturing or penetrating in 69 and 59% had prior Crohn's disease-related surgeries, and 97% had a treatment history of at least one biologic agent. Of 93 patients with ≥1 year of follow-up, 77 (83%) were still on ustekinumab at 1 year. In patients with data available, from baseline to the 1-year follow-up the simple endoscopic score for Crohn's disease (SES-CD) decreased from 10 to 3 (P = 0.033), C-reactive protein from 7  to 5 mg/L, (P < 0.001) and faecal calprotectin from 776 to 305 μg/g (P < 0.001).

conclusionsUstekinumab treatment in patients with highly refractory Crohn's disease resulted in high long-term treatment persistence and significantly reduced disease activity, assessed with objective markers for intestinal inflammatory activity.

Indexed as

Crohn DiseasePharmaceutical PreparationsAdultFinlandHumansRemission InductionRetrospective StudiesUstekinumabPharmaceutical PreparationsUstekinumab

Identifiers

PMID32868649
PMCPMC7590962
OpenAlexW3081928722

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.