Evidence map›Paper›PMID 37542737›Full record

ArticleInflammatory bowel diseases2024

Real-Life Efficacy of Tofacitinib in Various Situations in Ulcerative Colitis: A Retrospective Worldwide Multicenter Collaborative Study.

Tamás Resál, Péter Bacsur, Csilla Keresztes, Anita Bálint, Renáta Bor, Anna Fábián, Bernadett Farkas, Kostas Katsanos, George Michalopoylos, Davide Giuseppe Ribaldone and 35 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Inflammatory bowel diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Observational
  5. Review
  6. Article
  7. Review
  8. Review
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

45 authors at 20 institutions in 14 countries.

Tamás ResálDivision of Gastroenterology, Department of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, Szeged, Hungary.
Péter BacsurDivision of Gastroenterology, Department of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, Szeged, Hungary.
Csilla KeresztesDepartment for Medical Communication and Translation Studies, Albert Szent-Györgyi Medical School, University of Szeged, Szeged, Hungary.
Anita BálintDivision of Gastroenterology, Department of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, Szeged, Hungary.
Renáta BorDivision of Gastroenterology, Department of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, Szeged, Hungary.
Anna FábiánDivision of Gastroenterology, Department of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, Szeged, Hungary.
Bernadett FarkasDivision of Gastroenterology, Department of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, Szeged, Hungary.
Kostas KatsanosDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
George MichalopoylosGastroenterology Department, General Hospital of Athens G. Gennimatas, Athens, Greece.
Davide Giuseppe RibaldoneDepartment of Medical Sciences, University of Turin, Turin, Italy.
Mohamed AttauabiDepartment of Gastroenterology and Hepatology, Copenhagen University Hospital - Herlev and Gentofte, Herlev, Denmark.
Mirabella ZhaoGastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark.ORCID 0000-0002-8392-4860
Hadar Amir BarakDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Henit YanaiDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Cristina BezzioIBD Unit/Gastroenterology Unit, Rho Hospital, ASST Rhodense, Rho, Italy.ORCID 0000-0003-0076-8549
Antonio RispoIBD Unit Department, Clinical Medicine and Surgery, Azienda Ospedaliera Universitaria Federico II of Naples, Naples, Italy.
Fabiana CastiglioneIBD Unit Department, Clinical Medicine and Surgery, Azienda Ospedaliera Universitaria Federico II of Naples, Naples, Italy.
Ariella Bar-Gil ShitritDigestive Diseases Institute, Shaare Zedek Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.
Daniela PuglieseIBD Center, Centro Malattie Apparato Digerente, Unità Operativa Complessa di Medicina Interna e Gastroenterologia, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Alessandro ArmuzziIBD Center, IRCCS Humanitas Research Hospital, Rozzano, Italy.ORCID 0000-0003-1572-0118
Edoardo Vincenzo SavarinoDepartment of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
Martin KolarIVth Medical Department, Charles University in Prague, Prague, Czech Republic.
Milan LukášIVth Medical Department, Charles University in Prague, Prague, Czech Republic.
Elena ChashkovaIrkutsk Scientific Center of Surgery and Traumatology, Irkutsk, Russia.
Rafał FilipDepartment of Gastroenterology with IBD, Unit of Clinical Hospital No. 2 im. Sw. Jadwigi Królowej, Rzeszow, Poland.
Aurore RozieresDepartment of Gastroenterology, Lyon-Sud Hospital, Hospices Civils de Lyon, Lyon, France.
Stéphane NanceyDepartment of Gastroenterology, Lyon-Sud Hospital, Hospices Civils de Lyon, Lyon, France.
Željko KrznarićDepartment of Gastroenterology and Hepatology, University Hospital Centre Zagreb, Zagreb, Croatia.
Eszter SchäferDepartment of Gastroenterology, Military Hospital Medical Centre, State Health Centre, Budapest, Hungary.
Tamás SzamosiDepartment of Gastroenterology, Military Hospital Medical Centre, State Health Centre, Budapest, Hungary.
Patrícia SarlósDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.
Matej FrankoDepartment of Gastroenterology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
David DrobneDepartment of Gastroenterology, University Medical Centre Ljubljana, Ljubljana, Slovenia.ORCID 0000-0003-2734-675X
Oleg V KnyazevMoscow Clinical Scientific Center named after A. S. Loginov, Moscow, Russia.
Anna V KagramanovaMoscow Clinical Scientific Center named after A. S. Loginov, Moscow, Russia.
Jimmy LimdiDepartment of Gastroenterology, Pennine Acute Hospitals NHS Trust, Manchester, United Kingdom.
Panu WetwittayakhlangDivision of Gastroenterology, McGill University Health Centre, Montreal, Quebec, Canada.ORCID 0000-0002-5962-4112
Peter L LakatosDivision of Gastroenterology, McGill University Health Centre, Montreal, Quebec, Canada.
Nitsan MaharshakDepartment of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Lian BannonDepartment of Gastroenterology and Hepatology, Copenhagen University Hospital - Herlev and Gentofte, Herlev, Denmark.
Tibor NyáriDepartment of Medical Physics and Informatics, Albert Szent-Györgyi Medical School University of Szeged, Szeged, Hungary.
Zoltán SzepesDivision of Gastroenterology, Department of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, Szeged, Hungary.
Klaudia FarkasDivision of Gastroenterology, Department of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, Szeged, Hungary.
TFB Study Group
Tamás MolnárDivision of Gastroenterology, Department of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, Szeged, Hungary.ORCID 0000-0002-4913-7599
University of Szeged · HUCharles University · CZFederico II University Hospital · ITGentofte Hospital · DKInserm · FRRabin Medical Center · ILTel Aviv University · ILAgostino Gemelli University Polyclinic · ITAziende Socio Sanitaria Territoriale RhodenseGeneral Hospital of Athens G. Genimatas · GRHebrew University of Jerusalem · ILHumanitas University · ITHvidovre Hospital · DKIrkutsk Scientific Center of Surgery and Traumatology · RULjubljana University Medical Centre · SIMoscow Clinical Scientific Center · RUPennine Acute Hospitals NHS Trust · GBPrince of Songkla University · THSemmelweis University · HUUniversity Hospital Centre Zagreb · HR

Funding

Albert Szent-Györgyi Medical School, University of SzegedGéza Hetényi ResearchHungarian Scientific Research K22-143549Janos Bolyai Research BO/00598/19/5National Research, Development and Innovation Office 125377New National Excellence Program of the Ministry of Human Capacities UNKP-22-3-SZTE-278
6 · The paper itself

Abstract

BACKGROUND AND

aimsTofacitinib (TFB) appears to be effective in the treatment of ulcerative colitis (UC); however, available real-world studies are limited by cohort size. TFB could be an option in the treatment of acute severe ulcerative colitis (ASUC). We aimed to investigate efficacy and safety of TFB in moderate-to-severe colitis and ASUC.

methodsThis retrospective, international cohort study enrolling UC patients with ≥6-week follow-up period was conducted from February 1 to July 31, 2022. Indications were categorized as ASUC and chronic activity (CA). Baseline demographic and clinical data were obtained. Steroid-free remission (SFR), colectomy, and safety data were analyzed.

resultsA total of 391 UC patients (median age 38 [interquartile range, 28-47] years; follow-up period 26 [interquartile range, 14-52] weeks) were included. A total of 27.1% received TFB in ASUC. SFR rates were 23.7% (ASUC: 26.0%, CA: 22.8%) at week 12 and 41.1% (ASUC: 34.2%, CA: 43.5%) at week 52. The baseline partial Mayo score (odds ratio [OR], 0.850; P = .006) was negatively associated with week 12 SFR, while biologic-naïve patients (OR, 2.078; P = .04) more likely achieved week 52 SFR. The colectomy rate at week 52 was higher in ASUC group (17.6% vs 5.7%; P < .001) and decreased with age (OR, 0.94; P = .013). A total of 67 adverse events were reported, and 17.9% resulted in cessation of TFB. One case of thromboembolic event was reported.

conclusionsTFB is effective in both studied indications. TFB treatment resulted in high rates of SFR in the short and long terms. Higher baseline disease activity and previous biological therapies decreased efficacy. No new adverse event signals were found.

Indexed as

Colitis, UlcerativePiperidinesPyrimidinesAdultColectomyFemaleFollow-Up StudiesHumansMaleMiddle AgedProtein Kinase InhibitorsRemission InductionRetrospective StudiesSeverity of Illness IndexTreatment OutcomePiperidinesProtein Kinase InhibitorsPyrimidinestofacitinibacute severe ulcerative colitismoderate-to severe ulcerative colitistofacitinib

Identifiers

PMID37542737
PMCPMC11063556
OpenAlexW4385616431

What OpenQuestion holds

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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.