Evidence map›Paper›PMID 33305440›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition2021

Safety Findings in Pediatric Patients During Long-Term Treatment With Teduglutide for Short-Bowel Syndrome-Associated Intestinal Failure: Pooled Analysis of 4 Clinical Studies.

Susan Hill, Beth A Carter, Valeria Cohran, Simon Horslen, Stuart S Kaufman, Samuel A Kocoshis, David F Mercer, Russell J Merritt, Mikko P Pakarinen, Susan Protheroe and 7 more

4 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in JPEN. Journal of parenteral and enteral nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT01952080 phase3completednot on this map

A 12-Week Pharmacokinetic, Safety, and Pharmacodynamic Study of Teduglutide in Pediatric Subjects Aged 1 Year Through 17 Years, With Short Bowel Syndrome Who Are Dependent on Parenteral Support

TypeinterventionalSponsorShireRan2013 to 2015Enrolled42ConditionsShort Bowel SyndromeArmsteduglutide
NCT02682381 phase3completednot on this map

A 24-Week Double-blind, Safety, Efficacy, and Pharmacodynamic Study Investigating Two Doses of Teduglutide in Pediatric Subjects Through 17 Years of Age With Short Bowel Syndrome Who Are Dependent on Parenteral Support

TypeinterventionalSponsorShireRan2016 to 2017Enrolled59ConditionsShort Bowel SyndromeArmsTeduglutide 0.05mg/kg, Teduglutide 0.025 mg/kg, Standard of Care
NCT02949362 phase3completednot on this map

A Retrospective and Prospective, Open-label, Long-term Safety and Efficacy Study of Teduglutide in Pediatric Subjects With Short Bowel Syndrome Who Completed TED-C13-003

TypeinterventionalSponsorShireRan2016 to 2020Enrolled29ConditionsShort Bowel SyndromeArmsTeduglutide, SOC
NCT02954458 phase3completednot on this map

A Prospective, Open-label, Long-term Safety and Efficacy Study of Teduglutide in Pediatric Patients With Short Bowel Syndrome Who Completed TED-C14-006 or SHP633-301

TypeinterventionalSponsorShireRan2017 to 2020Enrolled61ConditionsShort Bowel SyndromeArmsTED, SOC, Syringe, Needle
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. The Development of the International Intestinal Failure Registry and an Overview of its Results.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. 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

17 authors at 14 institutions in 4 countries.

Susan HillGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Beth A CarterChildren's Hospital Los Angeles and Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Valeria CohranAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Simon HorslenSeattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington, USA.
Stuart S KaufmanMedStar Georgetown University Hospital, Washington, DC, USA.
Samuel A KocoshisCincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
David F MercerUniversity of Nebraska Medical Center, Omaha, Nebraska, USA.
Russell J MerrittChildren's Hospital Los Angeles and Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Mikko P PakarinenChildren's Hospital, University of Helsinki, Helsinki, Finland.
Susan ProtheroeBirmingham Children's Hospital NHS Foundation Trust, Birmingham, UK.
John F ThompsonChildren's Hospital at Montefiore, Bronx, New York, USA.
Charles P B VanderpoolRiley Hospital for Children, Indianapolis, Indiana, USA.
Robert S VenickMattel Children's Hospital UCLA California, Los Angeles, California, USA.
Paul W WalesThe Hospital for Sick Children, Toronto, Ontario, Canada.
Sharon E SmithShire Human Genetic Therapies, Inc, a Takeda company, Cambridge, Massachusetts, USA.
MinJung YoonShire Human Genetic Therapies, Inc, a Takeda company, Cambridge, Massachusetts, USA.
Andrew A GrimmShire Human Genetic Therapies, Inc, a Takeda company, Cambridge, Massachusetts, USA.
Takeda (United States) · USUniversity of Southern California · USBirmingham Children's Hospital · GBChildren's Hospital at Montefiore · USCincinnati Children's Hospital Medical Center · USGeorgetown University · USGreat Ormond Street Hospital for Children NHS Foundation Trust · GBHospital for Sick Children · CALurie Children's Hospital · USMattel Children's Hospital · USRiley Hospital for Children · USSeattle Children's Hospital · USUniversity of Helsinki · FIUniversity of Nebraska Medical Center · US

Funding

Shire Human Genetic Therapies, Inc., a Takeda company.
6 · The paper itself

Abstract

backgroundThis analysis assessed combined safety data from 4 clinical studies of teduglutide in pediatric patients with short-bowel syndrome-associated intestinal failure (SBS-IF).

methodsSafety data from teduglutide-treated patients in 4 clinical trials were pooled. The completed 12-week and 24-week phase 3 core studies (NCT01952080/EudraCT 2013-004588-30 and NCT02682381/EudraCT 2015-002252-27) enrolled children aged 1-17 years with SBS-IF. Patients could elect to enroll in ongoing open-label extensions (NCT02949362/EudraCT 2016-000863-17 and NCT02954458/EudraCT 2016-000849-30). Interim data from ongoing studies were included.

resultsSafety data are reported for 89 pediatric patients treated with teduglutide for a median (range) of 51.7 (5.0-94.7) weeks. Adverse events (AEs) were reported in all patients; the most common were vomiting (51.7%), pyrexia (43.8%), upper respiratory tract infection (41.6%), and cough (33.7%). Thirty-five patients (39.3%) had AEs considered related to teduglutide treatment; abdominal pain and vomiting were most frequent (5.6% each). Three serious AEs in 3 patients (3.4%) were considered related to teduglutide treatment: ileus, d-lactic acidosis, and gastrointestinal obstruction due to hard stools. All 3 events resolved. One cecal polyp was detected, which was not biopsied or found on repeat colonoscopy. No cases of neoplasia occurred.

conclusionBased on integrated data from 4 clinical studies, including long-term follow-up for ≤161 weeks, teduglutide had a safety profile consistent with the individual core pediatric studies and as expected for pediatric patients with SBS-IF who never received teduglutide. The most frequent AEs reflected treatment with teduglutide, complications of the underlying disease, and typical childhood illnesses.

Indexed as

Parenteral NutritionShort Bowel SyndromeChildGastrointestinal AgentsHumansPeptidesGastrointestinal AgentsPeptidesteduglutidegastroenterologylong-term careparenteral nutritionpediatricsshort-bowel syndrome

Identifiers

PMID33305440
PMCPMC8647158
OpenAlexW3112326147

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.