Evidence map›Paper›PMID 33094957›Full record

Observational studyClinical and translational gastroenterology2020

Serological Biomarkers of Tissue Turnover Identify Responders to Anti-TNF Therapy in Crohn's Disease: A Pilot Study.

Wouter T van Haaften, Joachim H Mortensen, Anders K Dige, Henning Grønbæk, Christian L Hvas, Anne-Christine Bay-Jensen, Morten A Karsdal, Peter Olinga, Tina Manon-Jensen, Gerard Dijkstra

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical and translational gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Biomarkers of Extracellular Matrix Fragments in Patients with Psoriasis.International journal of molecular sciences · 2024
    Article
  9. Article
  10. Article
  11. Network pharmacology and molecular docking reveal the mechanism of Qinghua Xiaoyong Formula in Crohn's disease.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
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

10 authors at 4 institutions in 2 countries.

Wouter T van HaaftenDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Joachim H MortensenBiomarkers and Research, Nordic Bioscience, Herlev, Denmark.
Anders K DigeDepartment of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
Henning GrønbækDepartment of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
Christian L HvasDepartment of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
Anne-Christine Bay-JensenBiomarkers and Research, Nordic Bioscience, Herlev, Denmark.
Morten A KarsdalBiomarkers and Research, Nordic Bioscience, Herlev, Denmark.
Peter OlingaDepartment of Pharmaceutical Technology and Biopharmacy, University of Groningen, Groningen, the Netherlands.
Tina Manon-JensenBiomarkers and Research, Nordic Bioscience, Herlev, Denmark.
Gerard DijkstraDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Nordic Bioscience (Denmark) · DKAarhus University Hospital · DKUniversity Medical Center Groningen · NLUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnti-tumor necrosis factor (TNF) therapy is effective in inducing remission in Crohn's disease in 60% of patients. No serological biomarkers are available, which can predict response to anti-TNF. We aimed to investigate serological markers of collagen turnover reflecting tissue inflammation as predictors of response to anti-TNF.

methodsIn 2 retrospective observational cohorts, markers for matrix metalloproteinase-degraded type III and IV collagens (C3M and C4M, respectively) and for formation of type III and IV collagens (PRO-C3 and PRO-C4, respectively) were measured in serum and compared with standard C-reactive protein in patients with active Crohn's disease who started infliximab (IFX, n = 21) or adalimumab (ADA, n = 21). Disease activity was classified by the Harvey-Bradshaw index (active disease ≥5); response was defined as clinical remission.

resultsSeventeen patients (81%) treated with IFX were in remission at week 14; 15 patients (71%) treated with ADA were in remission at week 8. Serum C4M at baseline was increased in nonresponders compared with responders (IFX: 35.0 ± 2.4 vs 23.2 ± 2.6, P = 0.04, ADA: 53.0 ± 3.2 vs 34.1 ± 2.8, P = 0.006). C4M levels at baseline predicted response in both cohorts (IFX: odds ratio 39 [95% confidence interval, 2.4-523.9] P = 0.02, cutoff 35.2 nmol/L; ADA: odds ratio 26 [95% confidence interval, 1.8-332.5], P = 0.01, cutoff 46.9 nmol/L). C-reactive protein was not able to predict response to anti-TNF. DISCUSSION: Response to anti-TNF therapy within the first 14 weeks of treatment can be predicted based on baseline levels of basement membrane marker C4M. This marker could be used as biomarker for response to anti-TNF and could aid in early therapy decision making. Validation in larger well-defined cohorts is needed.

Indexed as

AdalimumabAdultAgedAnti-Inflammatory AgentsBiomarkersCollagen Type IVCrohn DiseaseExtracellular MatrixFemaleHumansInfliximabIntestinal MucosaMaleMetalloproteasesMiddle AgedPilot ProjectsAdalimumabAnti-Inflammatory AgentsBiomarkersCollagen Type IVInfliximabMetalloproteasesTNF protein, humanTumor Necrosis Factor-alpha

Identifiers

PMID33094957
PMCPMC7494148
OpenAlexW3093590643

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.