Evidence map›Paper›PMID 37140705›Full record

ArticleAdvances in therapy2023

Safety and Effectiveness of Vedolizumab in Patients with Moderate-to-Severe Ulcerative Colitis: An Interim Analysis of a Japanese Post-Marketing Surveillance Study.

Katsuyoshi Matsuoka, Tadakazu Hisamatsu, Yohei Mikami, Takayuki Yamamoto, Satoshi Motoya, Shinichiro Shinzaki, Ryuichi Iwakiri, Kenkichi Sugiura, Kunihiko Nishimura, Mika Kajita and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Advances in therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03824561 (Special Drug-Use Surveillance Study on Entyvio for IV Infusion 300 mg [Ulcerative Colitis]), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03824561 completednot on this map

Special Drug-Use Surveillance Study on Entyvio for IV Infusion 300 mg [Ulcerative Colitis]

TypeobservationalSponsorTakedaRan2019 to 2025Enrolled1,110ConditionsUlcerative ColitisArmsVedolizumab
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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.

Katsuyoshi MatsuokaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Sakura Medical Center, 564-1 Shimoshizu, Sakura, Chiba, 285-8741, Japan. matsuoka@fk2.so-net.ne.jp.ORCID http://orcid.org/0000-0002-2950-7660
Tadakazu HisamatsuDepartment of Gastroenterology and Hepatology, Kyorin University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-1178-3536
Yohei MikamiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0001-5104-4415
Takayuki YamamotoInflammatory Bowel Disease Center and Department of Surgery, Yokkaichi Hazu Medical Center, Mie, Japan.ORCID http://orcid.org/0000-0001-7551-5568
Satoshi MotoyaDepartment of Gastroenterology and Hepatology (IBD Center), Hokkaido Prefectural Welfare Federation of Agricultural Cooperative, Sapporo-Kosei General Hospital, Hokkaido, Japan.ORCID http://orcid.org/0000-0002-4194-8493
Shinichiro ShinzakiDepartment of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0002-7051-618X
Ryuichi IwakiriJapan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan.ORCID http://orcid.org/0000-0001-7911-9669
Kenkichi SugiuraStatistical and Quantitative Sciences, Takeda Pharmaceutical Company Limited, Osaka, Japan.ORCID http://orcid.org/0000-0002-0912-2384
Kunihiko NishimuraJapan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan.ORCID http://orcid.org/0000-0002-5288-9142
Mika KajitaJapan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan.ORCID http://orcid.org/0000-0002-6101-8912
Jovelle L FernandezJapan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan.ORCID http://orcid.org/0000-0001-5013-9789

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis ongoing post-marketing surveillance monitors the long-term safety and effectiveness of vedolizumab in routine clinical practice in patients with moderate-to-severe ulcerative colitis (UC) in Japan. This interim analysis assessed induction-phase data, covering the initial three doses of vedolizumab.

methodsPatients were enrolled via a web-based electronic data capture system from approximately 250 institutions. Incidence of adverse events and treatment responses were assessed by the physicians after the patient had received three doses of vedolizumab or when the drug was discontinued, whichever occurred first. Therapeutic response was defined as any treatment response, including remission or improvement of complete or partial Mayo score, and was assessed in the total and stratified patient populations according to prior tumor necrosis factor alpha (TNFα) inhibitor treatments and/or baseline partial Mayo score.

resultsThe total incidence of adverse drug reactions (ADRs) was 4.10% (11/268). Common ADRs were dizziness, nausea, and arthralgia, each reported in 0.75% of patients (2/268). Serious ADRs were herpes zoster oticus and UC, each reported in 0.37% of patients (1/268). Therapeutic response was reported in 84.5% (218/258) of all patients, 85.8% (127/148) of TNFα inhibitor-naïve patients, and 82.7% (91/110) of TNFα inhibitor-experienced patients. Among patients with partial Mayo score of ≥ 4 at baseline, partial Mayo score remission in patients without or with prior TNFα inhibitor treatment was 62.5% (60/96) and 45.6% (36/79), respectively.

conclusionThe results confirm a safety and effectiveness profile of vedolizumab consistent with that observed in previous trials. CLINICAL

trial registrationJapicCTI-194603, NCT03824561.

Indexed as

Antibodies, Monoclonal, HumanizedColitis, UlcerativeDrug-Related Side Effects and Adverse ReactionsGastrointestinal AgentsHumansProduct Surveillance, PostmarketingTreatment OutcomeTumor Necrosis Factor InhibitorsAntibodies, Monoclonal, HumanizedGastrointestinal AgentsTumor Necrosis Factor InhibitorsvedolizumabMayo scorePost-marketing surveillanceUlcerative colitisVedolizumabα4β7 integrin

Identifiers

PMID37140705
PMCPMC10220148

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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.