Evidence map›Paper›PMID 32964215›Full record

Trial reportInflammatory bowel diseases2021

Safety of Ustekinumab in Inflammatory Bowel Disease: Pooled Safety Analysis of Results from Phase 2/3 Studies.

William J Sandborn, Brian G Feagan, Silvio Danese, Christopher D O'Brien, Elyssa Ott, Colleen Marano, Thomas Baker, Yiying Zhou, Sheri Volger, Ilia Tikhonov and 3 more

Erratum issued 6 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Inflammatory bowel diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 6 registered trials, which are not on this map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
12.1field-weighted citation impact, top 1% 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.

NCT00265122 phase2completednot on this map

A Multicenter, Randomized, Phase 2a Study of Human Monoclonal Antibody to IL-12p40 (CNTO 1275) in Subjects With Moderately to Severely Active Crohn's Disease

TypeinterventionalSponsorCentocor, Inc.Ran2004 to 2006Enrolled131ConditionsCrohn DiseaseArmsUstekinumab 90 mg, Ustekinumab 4.5 mg/kg, Placebo SC, Placebo IV
NCT00771667 phase2completednot on this map

A Phase 2b, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Ustekinumab Therapy in Subjects With Moderately to Severely Active Crohn's Disease Previously Treated With TNF Antagonist Therapy

TypeinterventionalSponsorCentocor, Inc.Ran2008 to 2010Enrolled526ConditionsCrohn's DiseaseArmsPlacebo (IP), Ustekinumab 1mg/kg (IP), Ustekinumab 3 mg/kg (IP), Ustekinumab 6 mg/kg (IP), Placebo IV - Responder - Placebo SC (MP)
NCT01369329 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Safety and Efficacy of Ustekinumab Induction Therapy in Subjects With Moderately to Severely Active Crohn's Disease Who Have Failed or Are Intolerant to TNF Antagonist Therapy (UNITI-1)

TypeinterventionalSponsorJanssen Research & Development, LLCRan2011 to 2013Enrolled769ConditionsCrohn's Disease, IBD, Colitis, Inflammatory Bowel DiseaseArmsGroup 2 ustekinumab 130 mg, Group 3: ustekinumab approximately 6 mg/kg, Group 1: Placebo
NCT01369342 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Safety and Efficacy of Ustekinumab Induction Therapy in Subjects With Moderately to Severely Active Crohn's Disease (UNITI-2)

TypeinterventionalSponsorJanssen Research & Development, LLCRan2011 to 2014Enrolled640ConditionsCrohn's Disease, Inflammatory Bowel Disease, IBD, ColitisArmsGroup 1: Placebo, Group 2 ustekinumab 130 mg, Group 3: ustekinumab approximately 6 mg/kg
NCT01369355 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Safety and Efficacy of Ustekinumab Maintenance Therapy in Subjects With Moderately to Severely Active Crohn's Disease

TypeinterventionalSponsorJanssen Research & Development, LLCRan2011 to 2019Enrolled1,282ConditionsCrohn's Disease, Colitis, IBD, Inflammatory Bowel DiseaseArmsPlacebo SC, Placebo IV, Ustekinumab 90 mg SC q8w, Ustekinumab 130 mg IV, Ustekinumab 90 mg SC q12w
NCT02407236 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Protocol to Evaluate the Safety and Efficacy of Ustekinumab Induction and Maintenance Therapy in Subjects With Moderately to Severely Active Ulcerative Colitis

TypeinterventionalSponsorJanssen Research & Development, LLCRan2015 to 2021Enrolled961ConditionsColitis, Ulcerative, Inflammatory Bowel DiseasesArmsPlacebo IV, Placebo SC, Ustekinumab IV, Ustekinumab SC
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Comparative risk ofTherapeutic advances in gastroenterology · 2026
    Article
  10. Article
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  12. Biomedicines · 2025
    Review
  13. Review
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  15. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 4 countries.

William J SandbornUniversity of California San Diego, La Jolla, CA, USA.
Brian G FeaganRobarts Clinical Trials, Robarts Research Institute, Western University, London, Ontario, Canada.
Silvio DaneseHumanitas Clinical Research Center-IRCCS and Humanitas University, Department of Biomedical Sciences, Milan, Italy.
Christopher D O'BrienJanssen Research & Development, LLC, Spring House, PA, USA.
Elyssa OttJanssen Scientific Affairs, LLC, Horsham, PA, USA.
Colleen MaranoJanssen Research & Development, LLC, Spring House, PA, USA.
Thomas BakerJanssen Scientific Affairs, LLC, Horsham, PA, USA.
Yiying ZhouJanssen Research & Development, LLC, Spring House, PA, USA.
Sheri VolgerJanssen Research & Development, LLC, Spring House, PA, USA.
Ilia TikhonovJanssen Research & Development, LLC, Spring House, PA, USA.
Christopher GasinkJanssen Scientific Affairs, LLC, Horsham, PA, USA.
Bruce E SandsDr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Subrata GhoshInstitute of Translational Medicine and NIHR Biomedical Research Center, University of Birmingham, United Kingdom.
Janssen (United States) · USJanssen Scientific Affairs (United States)Icahn School of Medicine at Mount Sinai · USIstituti di Ricovero e Cura a Carattere Scientifico · ITRobarts Clinical Trials · CAUniversity of Birmingham · GBUniversity of California, San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUstekinumab is currently approved globally in Crohn's disease (CD) and psoriatic diseases. Recent phase 3 data demonstrate safety/efficacy in ulcerative colitis (UC). Crohn's disease and UC phase 3 programs had similar study designs, facilitating integrated safety analyses.

methodsData from 6 ustekinumab phase 2/3 CD and UC studies were pooled, and safety was evaluated through 1 year. Patients received 1 placebo or ustekinumab (generally 130 mg or ~6 mg/kg) intravenous induction, then subcutaneous (90 mg) maintenance every 8/12 weeks. Analyses incorporated all patients who received ≥1 ustekinumab dose. Safety outcomes are presented as percentages of patients (induction) and as number of patients with events per 100 patient-years of follow-up (through 1 year). For key safety events, 95% confidence intervals (CIs) are provided, as appropriate. Hazard ratios with 95% CIs from time-to-event analyses for serious adverse events and serious infections were also performed.

resultsThrough 1 year, 2574 patients received ustekinumab (1733 patient-years of follow-up). The number of patients with adverse events per 100 patient-years (placebo 165.99 [95% CI, 155.81-176.67] vs ustekinumab 118.32 [95% CI, 113.25-123.55]), serious AEs (27.50 [95% CI, 23.45-32.04] vs 21.23 [95% CI, 19.12-23.51]), infections (80.31 [95% CI, 73.28-87.84] vs 64.32 [95% CI, 60.60-68.21]), serious infections (5.53 [95% CI, 3.81-7.77] vs 5.02 [95% CI, 4.02-6.19]), and malignancies excluding nonmelanoma skin cancer (0.17 [95% CI, 0.00-0.93] vs 0.40 [95% CI, 0.16-0.83]) were similar between placebo and ustekinumab.

conclusionsThe safety profile of ustekinumab across the pooled inflammatory bowel disease population through 1 year was favorable and generally comparable to placebo. These data are consistent with the established safety profile of ustekinumab across indications. CLINICALTRIALS.GOV NUMBERS: NCT00265122; NCT00771667; NCT01369329; NCT01369342; NCT01369355; NCT02407236.

Indexed as

Colitis, UlcerativeCrohn DiseaseHumansRemission InductionTreatment OutcomeUstekinumabUstekinumabinflammatory bowel diseasesafetyustekinumab

Identifiers

PMID32964215
PMCPMC8205635
OpenAlexW3088624338

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.