Evidence map›Paper›PMID 37492976›Full record

ArticleJournal of Crohn's & colitis2023

Impact of Concomitant 5-Aminosalicylic Acid Therapy on Vedolizumab Efficacy and Safety in Inflammatory Bowel Disease: Post Hoc Analyses of Clinical Trial Data.

Ryan C Ungaro, Harisha Kadali, Wenwen Zhang, Shashi Adsul, Walter Reinisch

7 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.1field-weighted citation impact, top 8% 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.

NCT00783692 phase3completednot on this map

A Phase 3, Randomized, Placebo-Controlled, Blinded, Multicenter Study of the Induction and Maintenance of Clinical Response and Remission by Vedolizumab (MLN0002) in Patients With Moderate to Severe Crohn's Disease

TypeinterventionalSponsorMillennium Pharmaceuticals, Inc.Ran2008 to 2012Enrolled1,116ConditionsCrohn's DiseaseArmsvedolizumab, Placebo
NCT00783718 phase3completednot on this map

A Phase 3, Randomized, Placebo-Controlled, Blinded, Multicenter Study of the Induction and Maintenance of Clinical Response and Remission by MLN0002 in Patients With Moderate to Severe Ulcerative Colitis

TypeinterventionalSponsorMillennium Pharmaceuticals, Inc.Ran2009 to 2012Enrolled895ConditionsUlcerative ColitisArmsvedolizumab, Placebo
NCT00790933 phase3completednot on this map

A Phase 3, Open-label Study to Determine the Long-term Safety and Efficacy of Vedolizumab (MLN0002) in Subjects With Ulcerative Colitis and Crohn's Disease

TypeinterventionalSponsorTakedaRan2009 to 2017Enrolled2,243ConditionsUlcerative Colitis, Crohn's DiseaseArmsVedolizumab
NCT01224171 phase3completednot on this map

A Phase 3, Randomized, Placebo-Controlled, Blinded, Multicenter Study of the Induction of Clinical Response and Remission by Vedolizumab in Patients With Moderate to Severe Crohn's Disease

TypeinterventionalSponsorMillennium Pharmaceuticals, Inc.Ran2010 to 2012Enrolled416ConditionsCrohn's DiseaseArmsvedolizumab, Placebo
NCT02611817 phase3completednot on this map

A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Vedolizumab Subcutaneous as Maintenance Therapy in Subjects With Moderately to Severely Active Crohn's Disease Who Achieved Clinical Response Following Open-Label Vedolizumab Intravenous Therapy

TypeinterventionalSponsorTakedaRan2016 to 2019Enrolled644ConditionsCrohn's DiseaseArmsVedolizumab SC 108 mg, Placebo, Vedolizumab IV 300 mg
NCT02611830 phase3completednot on this map

A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study, With a Vedolizumab IV Reference Arm, to Evaluate the Efficacy and Safety of Vedolizumab Subcutaneous as Maintenance Therapy in Subjects With Moderately to Severely Active Ulcerative Colitis Who Achieved Clinical Response Following Open-Label Vedolizumab Intravenous Therapy

TypeinterventionalSponsorTakedaRan2015 to 2018Enrolled383ConditionsColitis, UlcerativeArmsVedolizumab 300 mg IV, Placebo IV, Vedolizumab 108 mg SC, Placebo SC
NCT02620046 phase3completednot on this map

A Phase 3b Open-label Study to Determine the Long-term Safety and Efficacy of Vedolizumab Subcutaneous in Subjects With Ulcerative Colitis and Crohn's Disease

TypeinterventionalSponsorTakedaRan2016 to 2024Enrolled746ConditionsColitis, Ulcerative, Crohn's DiseaseArmsVedolizumab SC
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. 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

5 authors at 4 institutions in 2 countries.

Ryan C UngaroThe Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0001-8687-3758
Harisha KadaliTakeda, Global Patient Safety and Evaluation, Cambridge, MA, USA.
Wenwen ZhangTakeda, Statistical and Quantitative Sciences, Cambridge, MA, USA.
Shashi AdsulTakeda, Global Medical Affairs, Cambridge, MA, USA.
Walter ReinischMedical University of Vienna, Department of Internal Medicine III, Vienna, Austria.
Takeda (United States) · USIcahn School of Medicine at Mount Sinai · USMedical University of Vienna · ATQuantitative BioSciences · US

Funding

Excel Medical AffairsNIH Career Development K23KD111995-01A1
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe benefit of continuing 5-aminosalicylic acid [5-ASA] treatment when escalating to advanced therapies in patients with inflammatory bowel disease [IBD] is unclear. Vedolizumab is a gut-selective monoclonal anti-α4β7-integrin antibody used to treat moderate to severe IBD. Clinical trial data were analysed post hoc to assess the impact of 5-ASA co-treatment on vedolizumab efficacy and safety in patients with IBD.

methodsData were analysed from patients aged 18-80 years with moderate to severe ulcerative colitis [UC]/Crohn's disease [CD] receiving intravenous [IV]/subcutaneous [SC] vedolizumab. Efficacy data were from four studies [GEMINI 1 and 2 and VISIBLE 1 and 2]; safety data were from seven studies [GEMINI 1‒3 and long-term, VISIBLE 1, 2, and open-label extension]. The impact of 5-ASA co-treatment on clinical and endoscopic outcomes at Weeks 6 and 52 was assessed using multivariate analysis (adjusted odds ratios [aORs] with 95% confidence intervals [CIs]).

resultsThere were no significant differences in UC clinical remission [Mayo score ≤2, no subscore >1] rates with vs without 5-ASA at Week 6 [20.7% vs 20.4%, respectively; aOR 0.77, 95% CI 0.43-1.38] or at Week 52 [45.1% vs 40.6%; aOR 1.14, 0.70-1.86], and in CD clinical remission [CD activity index score ≤150] rates at Week 6 [41.4% vs 35.1%; 1.26, 0.86-1.85] or at Week 52 [49.6% vs 37.8%; 1.35, 0.91-1.99]. The incidence of enteric and all infections in vedolizumab IV/SC-treated patients was low with and without 5-ASA.

conclusionContinuation of concomitant oral 5-ASA after starting vedolizumab had no significant impact on clinical and endoscopic outcomes. CLINICAL TRIAL IDENTIFIERS: GEMINI 1: NCT00783718, EudraCT 2008-002782-32; GEMINI 2: NCT00783692, EudraCT 2008-00278-33; GEMINI 3: NCT01224171, EudraCT 2009-016488-12; GEMINI long-term safety study: NCT00790933, EudraCT 2008-002784-14; VISIBLE 1: NCT02611830, EudraCT 2015-000480-14; VISIBLE 2: NCT02611817, EudraCT 2015-000481-58; VISIBLE open-label extension: NCT02620046, EudraCT 2015-000482-31.

Indexed as

Antibodies, Monoclonal, HumanizedColitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesGastrointestinal AgentsHumansMesalamineTreatment OutcomeAntibodies, Monoclonal, HumanizedGastrointestinal AgentsMesalaminevedolizumabbiomarkersClinical trialsendoscopy

Identifiers

PMID37492976
PMCPMC10798864
OpenAlexW4385244906

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

and 1 more above

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.