Evidence map›Paper›PMID 35869807›Full record

ArticleAlimentary pharmacology & therapeutics2022

Real-world experience of switching from intravenous to subcutaneous vedolizumab maintenance treatment for inflammatory bowel diseases.

Adriaan Volkers, Tessa Straatmijer, Marjolijn Duijvestein, Amber Sales, Amit Levran, Fiona van Schaik, Jeroen Maljaars, Krisztina Gecse, Cyriel Ponsioen, Joep Grootjans and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 9 institutions in 3 countries.

Adriaan VolkersDepartment of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-9547-1627
Tessa StraatmijerDepartment of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-6989-5226
Marjolijn DuijvesteinDepartment of Gastroenterology, Radboud University Medical Center, Nijmegen, The Netherlands.
Amber SalesDepartment of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Amit LevranDepartment of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Fiona van SchaikUniversity Medical Centre Utrecht, Utrecht, The Netherlands.
Jeroen MaljaarsDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0003-0477-9499
Krisztina GecseDepartment of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Cyriel PonsioenDepartment of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Joep GrootjansDepartment of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Jurij HanzelDepartment of Gastroenterology, UMC Ljubljana, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.ORCID 0000-0003-3158-8014
Greetje TackMedical centre Leeuwarden, Leeuwarden, The Netherlands.
Jeroen JansenOLVG, Amsterdam, The Netherlands.
Frank HoentjenDepartment of Gastroenterology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-5314-4452
Nanne de BoerDepartment of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism Research Institute, Amsterdam University Medical Centre, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Sander van der MarelHaaglanden Medical Centre, The Hague, The Netherlands.
Gerard DijkstraUniversity Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Bas OldenburgUniversity Medical Centre Utrecht, Utrecht, The Netherlands.
Mark LöwenbergDepartment of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Andrea van der MeulenDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, The Netherlands.
Geert D HaensDepartment of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
IBD center Amsterdam and the Dutch Initiative on Crohn and Colitis
Amsterdam Neuroscience · NLLeiden University · NLRadboud University Nijmegen · NLUniversity Medical Center Utrecht · NLMedisch Centrum Haaglanden · NLMedisch Centrum Leeuwarden · NLOLVG · NLUniversity Medical Center Groningen · NLUniversity of Ljubljana · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubcutaneous (SC) vedolizumab is effective in inflammatory bowel diseases (IBD) when administered after induction with two infusions.

aimTo assess the effectiveness, safety and pharmacokinetics of a switch from intravenous (IV) to SC maintenance vedolizumab in patients with IBD

methodsIn this prospective cohort study, patients with IBD who had ≥4 months IV vedolizumab were switched to SC vedolizumab. We studied the time to discontinuation of SC vedolizumab, adverse events (AEs), changes in clinical and biochemical outcomes and vedolizumab concentrations at baseline, and weeks 12 and 24.

resultsWe included 82 patients with Crohn's disease (CD) and 53 with ulcerative colitis (UC). Eleven (13.4%) patients with CD and five (9.4%) with UC discontinued SC vedolizumab after a median of 18 (IQR 8-22) and 6 weeks (IQR 5-10), respectively. Four patients with CD switched to a different drug due to loss of response, nine switched back to IV vedolizumab due to adverse events, and three due to needle fear. Common AEs were injection site reactions (n = 15) and headache (n = 6). Median clinical and biochemical disease activity remained stable after the switch. Median serum vedolizumab concentrations increased from 19 μg/ml at the time of the switch to 31 μg/ml 12 weeks after the switch (p < 0.005).

conclusionsSwitching from IV to SC vedolizumab maintenance treatment is effective in patients with CD or UC. However, 9% of patients were switched back to IV vedolizumab due to adverse events or fear of needles.

Indexed as

Colitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesAntibodies, Monoclonal, HumanizedGastrointestinal AgentsHumansPhobic DisordersProspective StudiesRemission InductionTreatment OutcomeAntibodies, Monoclonal, HumanizedGastrointestinal Agentsvedolizumabinflammatory bowel diseasereal-world evidencesubcutaneous vedolizumab

Identifiers

PMID35869807
PMCPMC9540102
OpenAlexW4286696947

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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.