Evidence map›Paper›PMID 34165201›Full record

ArticleAlimentary pharmacology & therapeutics2021

The impact of body mass index on efficacy and safety in the tofacitinib OCTAVE ulcerative colitis clinical programme.

Francis A Farraye, Taha Qazi, Paulo G Kotze, Gregory T Moore, Rajiv Mundayat, Nervin Lawendy, Puza P Sharma, Donna T Judd

3 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article 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 3 registered trials, which are not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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.

NCT01458574 phase3completednot on this map

A Multicentre, Randomized, Double-blind, Placebo-controlled, Parallel-group Study Of Oral Cp-690,550 As A Maintenance Therapy In Subjects With Ulcerative Colitis

TypeinterventionalSponsorPfizerRan2012 to 2016Enrolled593ConditionsUlcerative ColitisArmsPlacebo, CP690,550, CP-690,550
NCT01458951 phase3completednot on this map

A Multicentre, Randomized, Double-blind, Placebo-controlled, Parallel-group Study Of Oral Cp-690,550 As An Induction Therapy In Subjects With Moderate To Severe Ulcerative Colitis.

TypeinterventionalSponsorPfizerRan2012 to 2015Enrolled547ConditionsUlcerative ColitisArmstofacitinib, Placebo
NCT01465763 phase3completednot on this map

A Multicentre, Randomized, Double-blind, Placebo-controlled, Parallel-group Study Of Oral Cp-690,550 As An Induction Therapy In Subjects With Moderate To Severe Ulcerative Colitis

TypeinterventionalSponsorPfizerRan2012 to 2015Enrolled614ConditionsUlcerative ColitisArmstofacitinib, Placebo
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Impact of Obesity and Metabolic Syndrome on IBD Outcomes.Digestive diseases and sciences · 2024
    Review
  12. Assessing anorectal function in patients with recurrent ulcerative colitis.International journal of colorectal disease · 2024
    Article
  13. Article
  14. Article
  15. Obesity and novel management of inflammatory bowel disease.World journal of gastroenterology · 2023
    Review
  16. Article
  17. Article
  18. Tools for managing IBD in obese patients: Get JAK in the box!Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Francis A FarrayeInflammatory Bowel Disease Center, Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0001-6371-2441
Taha QaziDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Paulo G KotzeIBD Outpatient Clinics, Colorectal Surgery Unit, Cajuru University Hospital, Pontifical Catholic University of Paraná (PUCPR), Curitiba, Brazil.ORCID 0000-0002-9632-6691
Gregory T MooreDepartment of Gastroenterology, Monash Health, Melbourne, Vic., Australia.ORCID 0000-0002-3689-8858
Rajiv MundayatPfizer Inc, New York, NY, USA.
Nervin LawendyPfizer Inc, Collegeville, PA, USA.
Puza P SharmaPfizer Inc, New York, NY, USA.
Donna T JuddPfizer Inc, Collegeville, PA, USA.
Pfizer (United States) · USCleveland Clinic · USJacksonville College · USMonash Health · AUPontifícia Universidade Católica do Paraná · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity may affect efficacy and safety of biologic treatments for ulcerative colitis (UC). Tofacitinib is an oral, small molecule Janus kinase inhibitor for the treatment of UC.

aimsTo assess efficacy and safety of tofacitinib in patients with UC, by baseline body mass index (BMI).

methodsThis post hoc analysis evaluated patients with UC receiving placebo or tofacitinib from the 8-week OCTAVE Induction 1 and 2 (NCT01465763, NCT01458951) and 52-week OCTAVE Sustain (NCT01458574) studies. Patients were stratified by BMI at OCTAVE Induction 1 and 2 baseline (<25, 25 to <30 and ≥30 kg/m

resultsAt Week 8 of OCTAVE Induction 1 and 2, and Week 52 of OCTAVE Sustain, higher proportions of patients receiving tofacitinib 5 or 10 mg twice daily (b.d.) achieved clinical response vs placebo, regardless of baseline BMI subgroup (all P < 0.05). Proportions of patients achieving efficacy endpoints were generally similar across BMI subgroups; in univariate and multivariate regression analyses, BMI was not a significant predictor (all P ≥ 0.05; univariate BMI [continuous] odds ratio for remission: 0.98 [95% confidence interval 0.95, 1.02]). There was no consistent trend between BMI and adverse events. Among patients receiving tofacitinib 10 mg b.d. in OCTAVE Induction 1 and 2, serious infections were numerically greater in the BMI ≥30 subgroup (3.2%) vs other subgroups (0.4%). Limitations included small patient numbers in the BMI ≥30 subgroup.

conclusionsEfficacy and safety of tofacitinib were similar in patients with UC regardless of baseline BMI.

Indexed as

Colitis, UlcerativeBody Mass IndexHumansPiperidinesPyrimidinesPyrrolesPiperidinesPyrimidinesPyrrolestofacitinib

Identifiers

PMID34165201
PMCPMC8362064
OpenAlexW3175958891

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.