Evidence map›Paper›PMID 34935945›Full record

ArticleJournal of Crohn's & colitis2022

Transitioning from Intravenous to Subcutaneous Vedolizumab in Patients with Inflammatory Bowel Disease [TRAVELESS].

Esther Ventress, David Young, Sohail Rahmany, Clare Harris, Marion Bettey, Trevor Smith, Helen Moyses, Magdalena Lech, Markus Gwiggner, Richard Felwick and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Choosing Therapies in Ulcerative Colitis.Journal of the Canadian Association of Gastroenterology · 2024
    Article
  11. Transition from intravenous to subcutaneous biological therapies in inflammatory bowel disease: An online survey of patients.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
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  19. Review
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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

11 authors at 2 institutions in 1 country.

Esther VentressPharmacy Department, University Hospital Southampton NHS Foundation Trust [UHS], Southampton, UK.
David YoungPharmacy Department, University Hospital Southampton NHS Foundation Trust [UHS], Southampton, UK.
Sohail RahmanyDepartment of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Clare HarrisFaculty of Medicine, University of Southampton, Southampton, UK.
Marion BetteyDepartment of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Trevor SmithDepartment of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Helen MoysesNIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Magdalena LechFaculty of Medicine, University of Southampton, Southampton, UK.
Markus GwiggnerDepartment of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Richard FelwickDepartment of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
J R Fraser CummingsFaculty of Medicine, University of Southampton, Southampton, UK.
University Hospital Southampton NHS Foundation Trust · GBUniversity of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsSubcutaneous [SC] vedolizumab presents the opportunity for inflammatory bowel disease [IBD] patients to manage their treatment at home. There are currently no data on the process of transitioning patients established on intravenous [IV] to SC vedolizumab as part of routine clinical care. The aim of this programme is to evaluate the clinical and biochemical outcomes of switching a cohort of IBD patients established on IV vedolizumab to SC, at 12 weeks following the transition.

methodsIn all, 178 adult patients were offered the opportunity to transition to SC vedolizumab. Patients who agreed were reviewed prior to switching and at Week 12 [W12] after their first SC dose. Evaluation outcomes included disease activity scores, the IBD-Control Patient-Reported Outcome Measures [PROMs], and faecal calprotectin [FCP]. Reasons for patients declining or accepting transitioning, pharmacokinetics, adverse drug reactions, and risk factors for a poor outcome in SARS-CoV-2 infection were also assessed.

resultsA total of 124 patients agreed to transition, of whom 106 patients had been on IV vedolizumab for at least 4 months. There were no statistically significant differences in disease activity scores or IBD-Control PROMs between baseline and W12. A statistically significant increase in FCP was observed [31 µg/g vs. 47 µg/g; p = 0.008], although this was unlikely to be clinically relevant. The most common adverse drug reaction reported was injection site reactions [15%]. Based on this cohort of patients, an expected reduction of £572,000 per annum is likely to be achieved.

conclusionsTransitioning patients established on IV vedolizumab to SC appears to be safe and effective, with high patient satisfaction and multiple benefits for the health service.

Indexed as

Colitis, UlcerativeCOVID-19Inflammatory Bowel DiseasesAdultAntibodies, Monoclonal, HumanizedGastrointestinal AgentsHumansLeukocyte L1 Antigen ComplexSARS-CoV-2Treatment OutcomeAntibodies, Monoclonal, HumanizedGastrointestinal AgentsLeukocyte L1 Antigen ComplexvedolizumabInflammatory bowel diseaseTRAVELESSvedolizumab

Identifiers

PMID34935945
PMCPMC9383144
OpenAlexW4200522887

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.