Evidence map›Paper›PMID 35700276›Full record

ArticleInflammatory bowel diseases2023

Tofacitinib Response in Ulcerative Colitis (TOUR): Early Response After Initiation of Tofacitinib Therapy in a Real-world Setting.

Millie D Long, Anita Afzali, Monika Fischer, David Hudesman, Maisa Abdalla, Robert McCabe, Benjamin L Cohen, Ryan C Ungaro, Will Harlan, John Hanson and 9 more

3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Inflammatory bowel diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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.

NCT03772145 terminatednot on this map

TOUR: Tofacitinib Response in Ulcerative Colitis - a Real World Prospective Multi-center Study

Typeobservational_patient_registrySponsorUniversity of North Carolina, Chapel HillRan2018 to 2024Enrolled103ConditionsUlcerative Colitis
NCT06696014 recruitingnot on this mapstarted 2025, after this paper: background citation

MIrikizumab in UC - a Real-woRld prOspective multicenteR Registry

Typeobservational_patient_registrySponsorUniversity of North Carolina, Chapel HillRan2025 to 2030Enrolled100ConditionsUlcerative Colitis
NCT07237516 recruitingnot on this mapstarted 2025, after this paper: background citation

Zymfentra (Infliximab-dyyb) REal World Cohort STudy

Typeobservational_patient_registrySponsorUniversity of North Carolina, Chapel HillRan2025 to 2028Enrolled200ConditionsUlcerative Colitis (UC), Crohn's Disease (CD), Indeterminate Colitis, Inflammatory Bowel Disease (IBD)
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  11. Tofacitinib use in ulcerative colitis: An expert consensus for day-to-day clinical practice.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Article
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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

19 authors at 13 institutions in 1 country.

Millie D LongUniversity of North Carolina at Chapel Hill, Division of Gastroenterology and Hepatology, Chapel Hill, NC, USA.
Anita AfzaliOhio State University, Division of Gastroenterology and Hepatology, Columbus, OH, USA.
Monika FischerIndiana University, Division of Gastroenterology and Hepatology, Indianapolis, IN, USA.
David HudesmanNYU Langone Medical Center, New York, NY, USA.
Maisa AbdallaUniversity of Rochester, Division of Gastroenterology and Hepatology, Rochester, NY, USA.
Robert McCabeMNGI Digestive Health, Minneapolis, MN, USA.
Benjamin L CohenDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ryan C UngaroDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Will HarlanDigestive Health Partners, Ashville, NC, USA.
John HansonAtrium Health Gastroenterology and Hepatology, Charlotte, NC, USA.
Gauree KonijetiScripps Clinic, La Jolla, CA, USA.
Steven PolyakUniversity of Iowa, Division of Gastroenterology and Hepatology, Iowa City, IA, USA.
Timothy RitterGI Alliance, Southlake, TX, USA.
Bruce SalzbergAtlanta Gastroenterology Associates, Atlanta, GA, USA.
Jennifer SeminerioDivision of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL, USA.
Emily EnglishUniversity of North Carolina at Chapel Hill, Division of Gastroenterology and Hepatology, Chapel Hill, NC, USA.
Xian ZhangUniversity of North Carolina at Chapel Hill, Division of Gastroenterology and Hepatology, Chapel Hill, NC, USA.
Puza P SharmaPfizer Inc, New York, NY, USA.
Hans H HerfarthMNGI Digestive Health, Minneapolis, MN, USA.ORCID 0000-0003-4268-823X
University of North Carolina at Chapel Hill · USIcahn School of Medicine at Mount Sinai · USMNGI Digestive Health · USAtlanta Gastroenterology Associates · USAtrium Medical Cente · USHealthPartners · USIndiana University – Purdue University Indianapolis · USNYU Langone Health · USPfizer (United States) · USScripps Clinic · USUniversity of Iowa · USUniversity of Rochester · USUniversity of South Florida · US

Funding

Assessing Predictors of Response to Anti-Tumor Necrosis Alpha Therapy in Early Crohns DiseaseK23DK111995 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI UNGARO, RYAN · 2019 to 2023
$948k
NIDDK NIH HHS K23 DK111995NIH HHS K23KD111995-01A1
6 · The paper itself

Abstract

backgroundTofacitinib is an oral, small-molecule JAK inhibitor for the treatment of ulcerative colitis (UC). Using a novel electronic reporting tool, we aimed to prospectively describe the onset of tofacitinib efficacy during induction therapy in a real-world study.

methodsPatient-reported outcome data (PROs) including the simple clinical colitis activity index (SCCAI), PRO Measurement Identification Systems (PROMIS) measures, and adverse events were collected daily for the first 14 days and at day 28 and 56. Paired t tests and P for trend were utilized to compare changes in SCCAI over time. Bivariate analyses and logistic regression models were performed to describe response (SCCAI <5) and remission (SCCAI ≤2) by clinical factors.

resultsOf all included patients (n = 96), 67% had failed ≥2 biologics, and 61.5% were on concomitant steroids. Starting at day 3, PROs showed significant and persistent decline of the mean SCCAI (-1.1, P < 000.1) including significantly lower SCCAI subscores for stool frequency (-0.3; P < .003), bleeding (-0.3; P < .0002) and urgency (-0.2; P < .001). Steroid-free remission at day 14, 28, and 56 was achieved in 25%, 30.2%, and 29.2% of patients, respectively. Neither prior biologics nor endoscopic severity were independently predictive of response or remission in multivariate models. Numeric improvements in all PROMIS measures (anxiety, depression, social satisfaction) were seen through day 56. Rates of discontinuation due to adverse events were low.

conclusionsIn this prospective real-world study, tofacitinib resulted in a rapid and persistent improvement in UC disease activity PROs. The safety findings were consistent with the established safety profile of tofacitinib.

Indexed as

Biological ProductsColitisColitis, UlcerativeBiological FactorsHumansPiperidinesProspective StudiesPyrimidinesBiological FactorsBiological ProductsPiperidinesPyrimidinestofacitinibpatient report outcomessafetytofacitinibulcerative colitis

Identifiers

PMID35700276
PMCPMC10069660
OpenAlexW4282931349

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.