Evidence map›Paper›PMID 37670487›Full record

ReviewUnited European gastroenterology journal2023

Comparison of treatment effect between phase 2 and phase 3 trials in patients with inflammatory bowel disease.

Pauline Wils, Vipul Jairath, Bruce E Sands, Fernando Magro, Walter Reinisch, David Rubin, Silvio Danese, Cédric Baumann, Laurent Peyrin-Biroulet

Open access · hybridAbstract readReview
In one paragraph

Review in United European gastroenterology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 8 institutions in 6 countries.

Pauline WilsDepartment of Gastroenterology, Claude Huriez Hospital, University of Lille 2, Lille, France.
Vipul JairathDivision of Gastroenterology, Department of Medicine, Western University, London, Ontario, Canada.
Bruce E SandsThe Dr Henry J Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Fernando MagroDepartment of Gastroenterology, Centro Hospitalar São João, Porto, Portugal.
Walter ReinischDivision Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
David RubinInflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, Illinois, USA.ORCID 0000-0001-5647-1723
Silvio DaneseGastroenterology and Endoscopy, IRCCS Ospedale San Raffaele and Vita-Salute San Raffaele University, Milan, Italy.
Cédric BaumannUnit of Methodology, Data Management and Statistic, Nancy University Hospital, Nancy, France.
Laurent Peyrin-BirouletDepartment of Gastroenterology, CHRU-Nancy, University of Lorraine, Nancy, France.ORCID 0000-0003-2536-6618
Inserm · FRData Management (Italy) · ITHospital de São João · PTIcahn School of Medicine at Mount Sinai · USMedical University of Vienna · ATUniversity of Chicago · USVita-Salute San Raffaele University · ITWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe accumulation of multiple randomized controlled trials in the field of inflammatory bowel diseases provides an opportunity to compare treatment effects between phase 2 and 3 trials. We aimed to determine whether treatment effects observed in phase 3 investigating biologics and small molecule drugs differed from those in their preceding phase 2 trial.

methodsWe first performed a review of phase 2 and phase 3 trials enrolling ulcerative colitis (UC) or Crohn's disease (CD) patients. We compared the percent overall success for key endpoints between phases (several phase 3 could be matched to a single phase 2 trial). Then, we compared the percent overall success in the matched phase 2 and 3 trials (ratio 1:1), and performed sensitivity analysis.

resultsWe identified 14 phase 2 (8 CD; 6 UC) and 24 phase 3 (13 CD; 11 UC) trials. In CD, the different analyses suggest that the percentage of overall success of clinical remission and clinical response was significantly higher in phase 2 than in phase 3 trials. In UC, the analyses suggest collectively that the percent of treatment effect seemed similar for clinical remission, clinical response and histologic outcomes between phases but with a lower percentage of overall success in phase 2 than in phase 3 trials for endoscopic endpoints.

conclusionsIn UC, we observed a similar percentage of treatment effect for clinical and histologic outcomes between phase 2 and 3 trials but not for endoscopic outcomes. Whereas in CD, we showed a failure to reproduce similar results between phases. These results may help sponsors in the design of future drug development programs.

Indexed as

Biological ProductsColitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesClinical Trials, Phase II as TopicClinical Trials, Phase III as TopicEndoscopyHumansBiological ProductsbiologicsCrohn's diseaseinflammatory bowel diseaserandomized controlled trialulcerative colitis

Identifiers

PMID37670487
PMCPMC10576605
OpenAlexW4386467339

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.