Evidence map›Paper›PMID 36289788›Full record

ArticleBiomedicines2022

Early Clinical Remission Is a Predictor of Long-Term Remission with the Use of Vedolizumab for Ulcerative Colitis.

Keiichi Haga, Tomoyoshi Shibuya, Taro Osada, Shunsuke Sato, Yuka Fukuo, Osamu Kobayashi, Toshio Yamada, Daisuke Asaoka, Kentaro Ito, Kei Nomura and 7 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.5field-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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 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

17 authors at 6 institutions in 1 country.

Keiichi HagaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.
Tomoyoshi ShibuyaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.ORCID 0000-0003-3558-7123
Taro OsadaDepartment of Gastroenterology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu-shi 279-0021, Japan.
Shunsuke SatoDepartment of Gastroenterology, Juntendo University Shizuoka Hospital, 1129 Nagaoka, Izunokuni-shi 410-2295, Japan.
Yuka FukuoDepartment of Gastroenterology, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, Japan.
Osamu KobayashiDepartment of Gastroenterology, Koto Hospital, 6-8-5 Oshima, Koto-ku, Tokyo 136-0072, Japan.
Toshio YamadaDepartment of Gastroenterology, Tokyo Rinkai Hospital, 1-4-2 Rinkai-cho, Edogawa-ku, Tokyo 134-0086, Japan.
Daisuke AsaokaDepartment of Gastroenterology, Juntendo Tokyo Koto Geriatric Medical Center, 3-3-20 Shinsuna, Koto-ku, Tokyo 136-0075, Japan.
Kentaro ItoDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.
Kei NomuraDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.ORCID 0000-0002-2593-1472
Mayuko HaraikawaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.ORCID 0000-0001-6021-2521
Osamu NomuraDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.
Hirofumi FukushimaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.
Takashi MurakamiDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.
Dai IshikawaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.ORCID 0000-0002-1130-2210
Mariko HojoDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.ORCID 0000-0001-9671-5585
Akihito NagaharaDepartment of Gastroenterology, Juntendo University School of Medicine, 2-2-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.ORCID 0000-0001-5979-4384
Juntendo University · JPKoto Hospital · JPJuntendo University Nerima Hospital · JPJuntendo University Shizuoka Hospital · JPJuntendo University Urayasu Hospital · JPTokyo Rinkai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vedolizumab (VDZ) is an α4β7 integrin-antibody used to manage refractory ulcerative colitis (UC). This retrospective multicenter study aimed to identify predictors of efficacy or the time points when evaluation of VDZ therapy for UC would be most useful. We compiled data on 87 patients with moderate to severe active UC that was treated with VDZ. Overall clinical remission (CR) rates at 6 weeks and 52 weeks after VDZ administration were 44.4% (bio-naïve 44.2%, bio-failure 44.8%) and 52.8% (bio-naïve 53.5%, bio-failure 51.7%) respectively. Also, 83.3% (bio-naïve 81.3%, bio-failure 85.7%) of patients achieved mucosal healing at week 52. Among patients with a CR at week 52, 73.3% had a CR at week 6. In contrast, of patients who discontinued VDZ, 82.4% had not reached a CR at week 6. Our study demonstrated that VDZ was effective in a large percentage of UC patients, with a high mucosal healing rate even after prior biological exposures. This suggests that VDZ can be a treatment option even in bio-failure cases. Additionally, it was considered that early CR can predict long-term remission and that week 6 can be a helpful evaluation point for treatment decisions when using VDZ for UC.

Indexed as

inflammatory bowel diseaseulcerative colitisVedolizumab

Identifiers

PMID36289788
PMCPMC9599457
OpenAlexW4303946541

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.