Evidence map›Paper›PMID 33210333›Full record

Trial reportAlimentary pharmacology & therapeutics2021

Vedolizumab treatment persistence and safety in a 2-year data analysis of an extended access programme.

Silvio Danese, Kavitha Subramaniam, Jan Van Zyl, Shashi Adsul, Dirk Lindner, Jeannine Roth, Séverine Vermeire

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIClinical Trial, Phase IVMulticenter Study
In one paragraph

Trial report in Alimentary pharmacology & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02743806 (Entyvio), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
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.

NCT02743806 phase4terminatednot on this map

Entyvio (Vedolizumab IV) Extended Access Program in Ulcerative Colitis and Crohn's Disease

TypeinterventionalSponsorTakedaRan2016 to 2023Enrolled331ConditionsColitis, Ulcerative, Crohn DiseaseArmsVedolizumab
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 4 countries.

Silvio DaneseDepartment of Biomedical Sciences, Humanitas Clinical and Research Center, IRCCS, Humanitas University, Milan, Italy.ORCID 0000-0001-7341-1351
Kavitha SubramaniamGastroeneterology and Hepatology Unit, Canberra Hospital, Canberra, ACT, Australia.
Jan Van ZylGastroenterology Unit, University of the Free State, Bloemfontein, South Africa.
Shashi AdsulTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Dirk LindnerTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Jeannine RothTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Séverine VermeireDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0001-9942-3019
Takeda (Switzerland) · CHCanberra Hospital · AUHumanitas University · ITUniversity of the Free State · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVedolizumab was shown to be effective and safe for patients with ulcerative colitis (UC) or Crohn's disease (CD) in the GEMINI phase 3 and long-term safety (LTS) studies.

aimTo report treatment persistence and safety results up to 2 years after enrolment in the vedolizumab extended access programme (XAP)

methodsVedolizumab XAP is a phase 3b/4, prospective, open-label, multinational, interventional study. At rollover from GEMINI LTS, patients who were experiencing continued clinical benefit with vedolizumab received reduced dosing frequency from every 4 weeks (Q4W) to every 8 weeks (Q8W). Patient persistence on Q8W dosing, incidence of relapse, and safety 2 years after enrolment were investigated.

resultsWe enrolled 311 patients (142 UC and 169 CD). At baseline, 93.7% (UC) and 89.3% (CD) of patients were in clinical remission; 93.0% (UC) and 84.6% (CD) reduced dosing frequency to Q8W at enrolment. Of those who reduced dosing frequency to Q8W at enrolment, 93.9% (UC) and 91.6% (CD) remained on Q8W dosing; 6.1% (UC) and 8.4% (CD) re-escalated to Q4W dosing. Relapse was reported in 9.1% (UC) and 14.0% (CD) of patients who reduced dosing to Q8W. Adverse events related to vedolizumab were infrequent; no new events were reported.

conclusionWe observed high patient persistence on vedolizumab Q8W in the first 2 years after the reduction of dosing frequency in the XAP along with low rates of Q4W dose re-escalation and relapse. The safety profile was consistent with previous reports. ClinicalTrials.gov: NCT02743806.

Indexed as

Colitis, UlcerativeData AnalysisAntibodies, Monoclonal, HumanizedGastrointestinal AgentsHumansProspective StudiesTreatment OutcomeAntibodies, Monoclonal, HumanizedGastrointestinal Agentsvedolizumab

Identifiers

PMID33210333
PMCPMC7839669
OpenAlexW3104810973

What OpenQuestion holds

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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.