Evidence map›Paper›PMID 34584975›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2021

Clinical response of vedolizumab at week 6 predicted endoscopic remission at week 24 in ulcerative colitis.

Daisuke Saito, Minoru Matsuura, Ryo Ozaki, Sotaro Tokunaga, Shintaro Minowa, Tatsuya Mitsui, Miki Miura, Akihito Sakuraba, Mari Hayashida, Jun Miyoshi and 1 more

Open access · goldAbstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

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

11 authors at 1 institution in 1 country.

Daisuke SaitoDepartment of Gastroenterology and Hepatology Kyorin University School of Medicine Tokyo Japan.
Minoru MatsuuraDepartment of Gastroenterology and Hepatology Kyorin University School of Medicine Tokyo Japan.
Ryo OzakiDepartment of Gastroenterology and Hepatology Kyorin University School of Medicine Tokyo Japan.
Sotaro TokunagaDepartment of Gastroenterology and Hepatology Kyorin University School of Medicine Tokyo Japan.
Shintaro MinowaDepartment of Gastroenterology and Hepatology Kyorin University School of Medicine Tokyo Japan.
Tatsuya MitsuiDepartment of Gastroenterology and Hepatology Kyorin University School of Medicine Tokyo Japan.
Miki MiuraDepartment of Gastroenterology and Hepatology Kyorin University School of Medicine Tokyo Japan.
Akihito SakurabaDepartment of Gastroenterology and Hepatology Kyorin University School of Medicine Tokyo Japan.
Mari HayashidaDepartment of Gastroenterology and Hepatology Kyorin University School of Medicine Tokyo Japan.
Jun MiyoshiDepartment of Gastroenterology and Hepatology Kyorin University School of Medicine Tokyo Japan.
Tadakazu HisamatsuDepartment of Gastroenterology and Hepatology Kyorin University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-1178-3536
Kyorin University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimVedolizumab is a humanized monoclonal antibody that selectively inhibits the migration of gut-homing memory T cells into the intestinal submucosa by antagonizing the interaction of α

methodsThis was a single-center, retrospective, observational study that enrolled patients with ulcerative colitis at Kyorin University Hospital. Fifty-two consecutive patients who started vedolizumab induction therapy and were tracked for minimum 14 weeks between August 2018 and February 2021 were included. Clinical and endoscopic disease activities were scored at baseline and at weeks 2, 6, and 14 with the Lichtiger index and at baseline and week 24 with the Mayo endoscopic subscore, respectively. Clinical remission, clinical response, and endoscopic remission were defined as Lichtiger index of ≤3, Lichtiger index of ≤10 with a reduction of minimum 3 points from baseline, and Mayo endoscopic subscore of ≤1, respectively.

resultsIn these cases, clinical response/remission rates at weeks 2, 6, and 14 were 26.9%/15.3%, 50.0%/46.3%, and 57.6%/50.0%, respectively. The endoscopic remission rate at week 24 was 60%. The clinical response at week 6 was significantly associated with endoscopic remission at week 24 after starting vedolizumab.

conclusionsIn vedolizumab treatment for ulcerative colitis, the clinical response at week 6 can be a predictor for endoscopic remission at week 24.

Indexed as

colonoscopyinflammatory bowel diseaseulcerative colitis

Identifiers

PMID34584975
PMCPMC8454470
OpenAlexW3196624156

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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.