Evidence map›Paper›PMID 34901448›Full record

ArticleGE Portuguese journal of gastroenterology

Vedolizumab-Induced Liver Injury.

Miguel Mascarenhas Saraiva, Tiago Ribeiro, Emanuel Dias, Joanne Lopes Lopes, Hélder Cardoso, Guilherme Macedo

Open access · diamondAbstract readCase Reports
In one paragraph

Article in GE Portuguese journal of gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 31% 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, 8 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

6 authors at 2 institutions in 1 country.

Miguel Mascarenhas SaraivaGastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Tiago RibeiroGastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Emanuel DiasGastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Joanne Lopes LopesPathology Department, Centro Hospitalar de São João, Porto, Portugal.
Hélder CardosoGastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Guilherme MacedoGastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Hospital de São João · PTUniversidade do Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug-induced liver injury is an important cause of acute liver injury. Immunomodulatory therapies, such as vedolizumab (VDZ), are being increasingly used for the treatment of several diseases, most importantly inflammatory bowel disease. Several studies have demonstrated the safety of this substance. To date, only one post-marketing study has reported a case of hepatotoxicity attributable to VDZ. The authors present the case of a 41-year-old woman followed at the gastroenterology outpatient clinic for ulcerative colitis (UC) and autoimmune hepatitis (AIH). This patient was being treated with low-dose glucocorticoids for AIH (prednisolone 10 mg), with adequate disease control. Additionally, she was being treated with oral salicylates (mesalamine 3 g/day) and oral budesonide (9 mg/day) for her UC. For uncontrolled UC, she was started on VDZ. Two weeks after the first infusion of VDZ, the patient developed a clinical and analytical phenotype compatible with acute hepatitis. Diagnostic workup for causes of hepatocellular liver injury retrieved no results. A liver biopsy corroborated the diagnosis of toxic hepatitis overlapping chronic liver disease. VDZ was withdrawn and the patient experienced complete recovery of liver tests over the following weeks. In this case report, we present the first post-marketing case of hepatocellular liver injury in probable relation to VDZ.

Indexed as

Acute liver injuryDrug-induced liver injuryHepatotoxicityInflammatory bowel diseaseVedolizumab

Identifiers

PMID34901448
PMCPMC8630383
OpenAlexW3106928955

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.