Evidence map›Paper›PMID 33599720›Full record

Trial reportJournal of Crohn's & colitis2021

Long-term Safety and Efficacy of the Anti-MAdCAM-1 Monoclonal Antibody Ontamalimab [SHP647] for the Treatment of Ulcerative Colitis: The Open-label Study TURANDOT II.

Walter Reinisch, William J Sandborn, Silvio Danese, Xavier Hébuterne, Maria Kłopocka, Dino Tarabar, Tomáš Vaňásek, Miloš Greguš, Paul A Hellstern, Joo Sung Kim and 8 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of Crohn's & colitis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01771809 (A Multicenter Open-Label Extension Study To Assess Long-Term Safety Of PF-00547659 In Subjects With Ulcerative Colitis), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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.

NCT01771809 phase2completednot on this map

A Multicenter Open-Label Extension Study To Assess Long-Term Safety Of PF-00547659 In Subjects With Ulcerative Colitis (TURANDOT II)

TypeinterventionalSponsorShireRan2013 to 2017Enrolled330ConditionsUlcerative ColitisArms75mg SHP647 (PF-00547659), 225mg SHP647 (PF-00547659)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. The roles and heterogeneity of CD8International journal of molecular medicine · 2026
    Review
  4. Article
  5. Advancing therapeutic frontiers: a pipeline of novel drugs for UC management.Frontiers in gastroenterology (Lausanne, Switzerland) · 2026
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. [Old and New Biologics and Small Molecules in Inflammatory Bowel Disease: Anti Integrins].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Small Molecule Drugs in Inflammatory Bowel Diseases.Pharmaceuticals (Basel, Switzerland) · 2021
    Review
  20. 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

18 authors at 14 institutions in 11 countries.

Walter ReinischDepartment of Internal Medicine, Medical University of Vienna, Vienna, Austria.
William J SandbornDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Silvio DaneseInflammatory Bowel Diseases Center, Humanitas University, Milan, Italy.
Xavier HébuterneUniversity of Nice Sophia Antipolis, CHU of Nice, Nice, France.
Maria KłopockaNicolaus Copernicus University, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.
Dino TarabarClinic of Gastroenterology and Hepatology, Military Medical Academy, Belgrade, Serbia.
Tomáš VaňásekFaculty of Medicine, Charles University Hospital, Hradec Králové, Czech Republic.
Miloš GregušGastroenterology Centre, Nitra, Slovakia.
Paul A HellsternGastroenterology, Nature Coast Clinical Research, Inverness, FL, USA.
Joo Sung KimSeoul National University College of Medicine, Seoul, South Korea.
Miles P SparrowInflammatory Bowel Disease Clinic, Alfred Hospital, Melbourne, VIC, Australia.
Kenneth J GorelickZymo Consulting Group, Newtown Square, PA, USA.
Michael HoyShire, a Takeda company, Lexington, MA, USA.
Martina GoetschShire, a Takeda company, Zug, Switzerland.
Caleb BlissShire, a Takeda company, Lexington, MA, USA.
Charu GuptaCytel Inc., Cambridge, MA, USA.
Fabio CataldiShire, a Takeda company, Lexington, MA, USA.
Séverine VermeireDepartment of Gastroenterology, University Hospitals Leuven, Leuven, Belgium.
Takeda (United States) · USAnimal Production Research Centre · SKClinical Research Atlanta · USCollegium Medicum in Bydgoszcz · PLCytel (United States) · USHumanitas University · ITMedical University of Vienna · ATMilitary Medical Academy · RSSeoul National University · KRTakeda (Switzerland) · CHThe Alfred Hospital · AUUniversité Côte d'Azur · FRUniversity Hospital Hradec Králové · CZUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsOntamalimab, a fully-human monoclonal antibody targeting MAdCAM-1, induced remission in patients with moderate-to-severe ulcerative colitis [UC] in the TURANDOT study. We aimed to assess long-term safety, tolerability, and efficacy of ontamalimab in TURANDOT II.

methodsTURANDOT II was a phase 2, multicentre, open-label [OL] study in patients with moderate-to-severe UC who completed TURANDOT on placebo or ontamalimab (NCT01771809). Patients were randomised to 75 mg or 225 mg ontamalimab every 4 weeks for 72 weeks [OL1]. The dosage could be increased to 225 mg from Week 8 at the investigator's discretion. All patients then received 75 mg every 4 weeks for 72 weeks [OL2], followed by 6-month safety follow-up. The primary objective was safety, measured by adverse events [AEs], serious AEs [SAEs], and AEs leading to withdrawal. Mucosal healing [MH; centrally read endoscopy] was assessed.

resultsOf 330 patients, 180 completed OL1; 94 escalated to 225 mg; 127 completed OL2. Overall, 36.1% experienced drug-related AEs. The most common SAE [10.0%] was worsening/ongoing UC; 5.5% of patients had serious infections, the most common being gastroenteritis [0.9%]. One death and four cancers [all unrelated to ontamalimab] occurred. No PML [progressive multifocal leukoencephalopathy]/lymphoproliferative disorders occurred. Geometric mean high-sensitivity C-reactive protein [hsCRP] and faecal calprotectin decreased across OL1 in both dose groups. The proportion of patients assigned to placebo in TURANDOT achieving MH increased from 8.8% [6/68] at baseline to 35.3% at Week 16 [24/68; non-responder imputation]. The corresponding increase in the ontamalimab group was from 23.3% [61/262] to 26.7% [70/262].

conclusionsOntamalimab was well tolerated up to 144 weeks in patients with moderate-to-severe UC, with good safety and efficacy.

Indexed as

Antibodies, Monoclonal, HumanizedColitis, UlcerativeDrug MonitoringAdultCell Adhesion MoleculesC-Reactive ProteinDose-Response Relationship, ImmunologicEndoscopy, GastrointestinalFemaleGastrointestinal AgentsHumansLeukocyte L1 Antigen ComplexMaleMucoproteinsTreatment OutcomeAntibodies, Monoclonal, HumanizedCell Adhesion MoleculesC-Reactive ProteinGastrointestinal AgentsLeukocyte L1 Antigen ComplexMADCAM1 protein, humanMucoproteinsontamalimabMAdCAM-1phase 2Ulcerative colitis

Identifiers

PMID33599720
PMCPMC8218706
OpenAlexW3130229582

What OpenQuestion holds

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LicenceCC BY-NC
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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.