Evidence map›Paper›PMID 34209880›Full record

ArticleJournal of clinical medicine2021

Effectiveness of Third-Class Biologic Treatment in Crohn's Disease: A Multi-Center Retrospective Cohort Study.

Ahmad Albshesh, Joshua Taylor, Edoardo V Savarino, Marie Truyens, Alessandro Armuzzi, Davide G Ribaldone, Ariella Bar-Gil Shitrit, Morine Fibelman, Pauliina Molander, Claire Liefferinckx and 36 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

46 authors at 20 institutions in 15 countries.

Ahmad AlbsheshSheba Medical Center, Tel Hashomer, Israel, Department of Gastroenterology, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv 52621, Israel.ORCID 0000-0001-8962-4263
Joshua TaylorDepartment of Gastroenterology, Montreal General Hospital, Montreal, QC 1650, Canada.
Edoardo V SavarinoDivision of Gastroenterology, Department of Surgery, Oncology and Gastroenterology, University of Padua, 35128 Padua, Italy.
Marie TruyensIBD Unit, Department of Gastroenterology, Ghent University Hospital, 9000 Ghent, Belgium.
Alessandro ArmuzziIBD Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Davide G RibaldoneDivision of Gastroenterology, Department of Medical Sciences, University of Turin, 10126 Turin, Italy.ORCID 0000-0002-9421-3087
Ariella Bar-Gil ShitritShaare Zedek Medical Center, Faculty of Medicine, Digestive Diseases Institute, Hebrew University of Jerusalem, Jerusalem 9372212, Israel.
Morine FibelmanTel Aviv Medical Center, Department of Gastroenterology and Liver Diseases, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6423906, Israel.
Pauliina MolanderAbdominal Center, Department of Gastroenterology, Helsinki University Hospital, 00101 Helsinki, Finland.
Claire LiefferinckxDepartment of Gastroenterology, Erasme University Hopital, 1070 Brussels, Belgium.
Stephane NanceyDepartment of Gastroenterology, Hospices Civils de Lyon, University Claude Bernard Lyon, 69495 Lyon, France.
Mohamed KoraniDivision of Gastroenterology, The Pennine Acute Hospitals NHS Trust, Manchester M8 6RB, UK.
Mariann RutkaFirst Department of Medicine, University of Szeged, H-6720 Szeged, Hungary.
Manuel Barreiro-de AcostaIBD Unit, Gastroenterology Department, University Hospital of Santiago de Compostela, 15706 Santiago, Spain.ORCID 0000-0001-5915-1477
Viktor DomislovicDepartment of Gastroenterology, Hepatology, and Nutrition, University Hospital Centre Zagreb, 10000 Zagreb, Croatia.
Gerard SurisDigestive System Service, Bellvitge University Hospital, Catalan Institute of Health, 08907 Barcelona, Spain.
Carl ErikssonDepartment of Gastroenterology, Faculty of Medicine and Health, Örebro University, SE-70182 Örebro, Sweden.ORCID 0000-0002-1046-383X
Catarina AlvesDepartment of Gastroenterology, Centro Hospitalar São João, 4200319 Porto, Portugal.
Afroditi MpitouliDepartment of Gastroenterology, Venizeleion General Hospital, Heraklion, 71409 Crete, Greece.
Caroline di JiangDepartment of Gastroenterology, Addenbrooke's Hospital, Cambridge University Hospitals, Cambridge CB2 0QQ, UK.
Katja TepešUniversity Medical Centre Ljubljana, Department of Gastroenterology, Medical Faculty, University of Ljubljana, 1231 Ljubljana, Slovenia.
Marina ColettaDepartment of Hepatology and Clinical Gastroenterology, ASST Santi Paolo e Carlo-Ospedale San Polo Universitario Milano Mariabeatrice, 20142 Milan, Italy.
Kalliopi FoteinogiannopoulouDepartment of Gastroenterology, University Hospital of Heraklion, 71500 Crete, Greece.ORCID 0000-0003-0554-5256
Javier P GisbertCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid, 28001 Madrid, Spain.ORCID 0000-0003-2090-3445
Hadar Amir-BarakIBD Center, Division of Gastroenterology, Rabin Medical Center, Beilinson Campus, Petah Tikva, Israel and the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv 49100, Israel.
Mohamed AttauabiCopenhagen Center for Inflammatory Bowel Disease in Children, Adolescents and Adults, Hvidovre Hospital, University of Copenhagen, 2650 Copenhagen, Denmark.ORCID 0000-0003-0323-7030
Jakob SeidelinDepartment of Gastroenterology, Herlev University Hospital, 3400 Copenhagen, Denmark.
Waqqas AfifDepartment of Gastroenterology, Montreal General Hospital, Montreal, QC 1650, Canada.ORCID 0000-0001-6869-0982
Carla MarinelliDivision of Gastroenterology, Department of Surgery, Oncology and Gastroenterology, University of Padua, 35128 Padua, Italy.
Triana LobatonIBD Unit, Department of Gastroenterology, Ghent University Hospital, 9000 Ghent, Belgium.ORCID 0000-0003-1817-7704
Daniela PuglieseIBD Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Nitsan MaharshakTel Aviv Medical Center, Department of Gastroenterology and Liver Diseases, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6423906, Israel.
Anneline CremerDepartment of Gastroenterology, Erasme University Hopital, 1070 Brussels, Belgium.
Jimmy K LimdiDivision of Gastroenterology, The Pennine Acute Hospitals NHS Trust, Manchester M8 6RB, UK.
Tamás MolnárFirst Department of Medicine, University of Szeged, H-6720 Szeged, Hungary.
Borja Otero-AlvarinIBD Unit, Gastroenterology Department, University Hospital of Santiago de Compostela, 15706 Santiago, Spain.
Zeljko KrznaricDepartment of Gastroenterology, Hepatology, and Nutrition, University Hospital Centre Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0003-3758-4540
Fernando MagroDepartment of Gastroenterology, Centro Hospitalar São João, 4200319 Porto, Portugal.
Konstantinos KarmirisDepartment of Gastroenterology, Venizeleion General Hospital, Heraklion, 71409 Crete, Greece.
Tim RaineDepartment of Gastroenterology, Addenbrooke's Hospital, Cambridge University Hospitals, Cambridge CB2 0QQ, UK.
David DrobneUniversity Medical Centre Ljubljana, Department of Gastroenterology, Medical Faculty, University of Ljubljana, 1231 Ljubljana, Slovenia.
Ioannis KoutroubakisDepartment of Gastroenterology, University Hospital of Heraklion, 71500 Crete, Greece.
Maria ChaparroCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid, 28001 Madrid, Spain.ORCID 0000-0002-9275-4242
Henit YanaiIBD Center, Division of Gastroenterology, Rabin Medical Center, Beilinson Campus, Petah Tikva, Israel and the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv 49100, Israel.
Johan BurischCopenhagen Center for Inflammatory Bowel Disease in Children, Adolescents and Adults, Hvidovre Hospital, University of Copenhagen, 2650 Copenhagen, Denmark.ORCID 0000-0002-3312-5139
Uri KopylovSheba Medical Center, Tel Hashomer, Israel, Department of Gastroenterology, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv 52621, Israel.
Tel Aviv University · ILErasmus Hospital · BEGhent University Hospital · BEHospital de São João · PTHospital Universitario de La Princesa · ESMontreal General Hospital · CAPennine Acute Hospitals NHS Trust · GBThe General Hospital of Heraklion "Venizeleio-Pananio" · GRUniversidade de Santiago de Compostela · ESUniversità Cattolica del Sacro Cuore · ITUniversity Hospital Centre Zagreb · HRUniversity Hospital of Heraklion · GRUniversity of Cambridge · GBUniversity of Copenhagen · DKUniversity of Ljubljana · SIUniversity of Padua · ITUniversity of Szeged · HUAzienda Socio Sanitaria Territoriale Santi Paolo e CarloBellvitge University Hospital · ESHebrew University of Jerusalem · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple studies have described the effectiveness of ustekinumab (UST) and vedolizumab (VDZ) in patients with Crohn's disease (CD) failing anti- Tumor necrosis factors (TNFs); however, the effectiveness of VDZ or UST as a third-class biologic has not yet been described. AIMS AND

methodsIn this retrospective multicenter cohort study, we aimed to investigate the effectiveness of VDZ and UST as a third-class biologic in patients with CD.

resultsTwo-hundred and four patients were included; 156/204 (76%) patients received VDZ as a second- and UST as a third-class therapy (group A); the remaining 48/204 (24%) patients received UST as a second- and VDZ as a third-class therapy (group B). At week 16-22, 87/156 (55.5%) patients and 27/48 (56.2%) in groups A and B, respectively, responded to treatment (

conclusionThird-class biological therapy was effective in more than half of the patients with CD. No differences in effectiveness were detected between the use of VDZ and UST as a third-class agent.

Indexed as

anti-TNF failureCrohn’s diseasetreatment failuretreatment responseustekinumabvedolizumab

Identifiers

PMID34209880
PMCPMC8268494
OpenAlexW3176887745

What OpenQuestion holds

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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.