Evidence map›Paper›PMID 34289648›Full record

ArticleIntestinal research2022

Clinical outcomes and predictors of response for adalimumab in patients with moderately to severely active ulcerative colitis: a KASID prospective multicenter cohort study.

Seung Yong Shin, Soo Jung Park, Young Kim, Jong Pil Im, Hyo Jong Kim, Kang-Moon Lee, Ji Won Kim, Sung-Ae Jung, Jun Lee, Sang-Bum Kang and 15 more

Open access · diamondAbstract read
In one paragraph

Article in Intestinal research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.6field-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.

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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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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

25 authors at 13 institutions in 1 country.

Seung Yong ShinDepartment of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Soo Jung ParkDepartment of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.
Young KimDepartment of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Jong Pil ImDepartment of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Hyo Jong KimDepartment of Gastroenterology, Kyung Hee University Hospital, Seoul, Korea.
Kang-Moon LeeDepartment of Gastroenterology, The Catholic University of Korea St. Vincent's Hospital, Suwon, Korea.
Ji Won KimDepartment of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Sung-Ae JungDepartment of Gastroenterology, Ewha Womans University College of Medicine, Seoul, Korea.
Jun LeeDepartment of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea.
Sang-Bum KangDepartment of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Daejeon, Korea.
Sung Jae ShinDepartment of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
Eun Sun KimDepartment of Gastroenterology, Korea University Anam Hospital, Seoul, Korea.
You Sun KimDepartment of Gastroenterology, Inje University Seoul Paik Hospital, Seoul, Korea.
Tae Oh KimDepartment of Gastroenterology, Inje University Haeundae Paik Hospital, Busan, Korea.
Hyun-Soo KimDepartment of Gastroenterology, Chonnam National University Hospital, Gwangju, Korea.
Dong Il ParkDepartment of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Hyung Kil KimDepartment of Gastroenterology, Inha University Hospital, Incheon, Korea.
Eun Soo KimDepartment of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
Young-Ho KimDepartment of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Do Hyun KimAbbVie Ltd., Seoul, Korea.
Dennis TengAbbVie Pte. Ltd., Singapore.
Jong-Hwa KimDepartment of Microbiology, Chung-Ang University College of Medicine, Seoul, Korea.
Wonyong KimDepartment of Microbiology, Chung-Ang University College of Medicine, Seoul, Korea.
Chang Hwan ChoiDepartment of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
IBD Research Group of the Korean Association for the Study of Intestinal Diseases
Kyung Hee University · KRSamsung Medical Center · KRSeoul National University · KRAjou University · KRChung-Ang University · KRKorea University Medical Center · KRChosun University · KREwha Womans University · KRInje University Haeundae Paik Hospital · KRKangbuk Samsung Hospital · KRThe Catholic University of Korea Daejeon St. Mary's Hospital · KRThe Catholic University of Korea St. Vincent's Hospital · KRYonsei University · KR

Funding

AbbVie Ltd.National Research Foundation of Korea 2020R1F1A1075489
6 · The paper itself

Abstract

BACKGROUND/

aimsThis study assessed the efficacy and safety of adalimumab (ADA) and explored predictors of response in Korean patients with ulcerative colitis (UC).

methodsA prospective, observational, multicenter study was conducted over 56 weeks in adult patients with moderately to severely active UC who received ADA. Clinical response, remission, and mucosal healing were assessed using the Mayo score.

resultsA total of 146 patients were enrolled from 17 academic hospitals. Clinical response rates were 52.1% and 37.7% and clinical remission rates were 24.0% and 22.0% at weeks 8 and 56, respectively. Mucosal healing rates were 39.0% and 30.1% at weeks 8 and 56, respectively. Prior use of anti-tumor necrosis factor-α (anti-TNF-α) did not affect clinical and endoscopic responses. The ADA drug level was significantly higher in patients with better outcomes at week 8 (P<0.05). In patients with lower endoscopic activity, higher body mass index, and higher serum albumin levels at baseline, the clinical response rate was higher at week 8. In patients with lower Mayo scores and C-reactive protein levels, clinical responses, and mucosal healing at week 8, the clinical response rate was higher at week 56. Serious adverse drug reactions were identified in 2.8% of patients.

conclusionsADA is effective and safe for induction and maintenance in Korean patients with UC, regardless of prior anti-TNF-α therapy. The ADA drug level is associated with the efficacy of induction therapy. Patients with better short-term outcomes were predictive of those with an improved long-term response.

Indexed as

Inflammatory bowel diseaseTreatment outcomeTumor necrosis factor inhibitors

Identifiers

PMID34289648
PMCPMC9344242
OpenAlexW3112689589

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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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.