Evidence map›Paper›PMID 38066679›Full record

Observational studyJournal of Crohn's & colitis2025

Real-world Cohort Study on the Effectiveness and Safety of Filgotinib Use in Ulcerative Colitis.

Beatriz Gros, Mairi Goodall, Nik Plevris, Nathan Constantine-Cooke, Alexander T Elford, Claire O'Hare, Colin Noble, Gareth-Rhys Jones, Ian D Arnott, Charlie W Lees

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of Crohn's & colitis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
8.1field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
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  3. Review
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Emerging role of Janus kinase inhibitors in ulcerative colitis management.World journal of gastrointestinal pharmacology and therapeutics · 2025
    Review
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  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
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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

10 authors at 3 institutions in 3 countries.

Beatriz GrosEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0002-5628-313X
Mairi GoodallMedical School, University of Glasgow, Glasgow, UK.
Nik PlevrisEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0002-3229-8759
Nathan Constantine-CookeMRC Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh, Western General Hospital, Edinburgh, UK.ORCID 0000-0002-4437-8713
Alexander T ElfordEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0001-6144-1369
Claire O'HareEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Colin NobleEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Gareth-Rhys JonesEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Ian D ArnottEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Charlie W LeesEdinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Western General Hospital · GBThe University of Melbourne · AUUniversity of Glasgow · GB

Funding

Medical Research Council MR/S034919/1
6 · The paper itself

Abstract

backgroundFilgotinib is a small molecule with preferential inhibition of Janus kinase type 1, approved for the treatment of ulcerative colitis in Scotland in May 2022. We present the first real-world experience on its use in clinical practice.

methodsIn this retrospective, observational, cohort study we assessed patients with active ulcerative colitis who received filgotinib in NHS Lothian, Scotland. Baseline demographic, phenotype, and follow-up data were collected via review of electronic medical records.

resultsWe included 91 patients with median treatment duration of 39 weeks (interquartile range [IQR] 23-49). Among the cohort, 67% [61/91] were biologic- and small molecule-naïve, and 20.9% [19/91] had failed one and 12.1% [11/91]  two or more classes of advanced therapy. Of the biologic- and small molecule-naïve patients, 18% [11/61] were also thiopurine-naïve. Clinical remission [partial Mayo score <2] was achieved in 71.9% [41/57] and 76.4% [42/55] of patients at Weeks 12 and 24 respectively. Biochemical remission [C reactive protein ≤5 mg/L] was achieved in 87.3% [62/71] at Week 12 and 88.9% [40/45] at Week 24. Faecal biomarker [calprotectin <250 µg/g] remission was achieved in 82.8% [48/58] at Week 12 and 79.5% [35/44] at Week 24. At the end of follow-up, median 42 weeks [IQR 27-50], 82.4% [75/91] of patients remained on filgotinib. Severe adverse events leading to drug discontinuation occurred in 2.2% [2/91] and there were 8.8% [8/91] moderate adverse events that required temporary discontinuation.

conclusionThese are the first reported data on the real-world efficacy and safety of filgotinib in ulcerative colitis. Our findings demonstrate that filgotinib is an effective and low-risk treatment option for these patients.

Indexed as

Colitis, UlcerativePyridinesTriazolesAdultFemaleHumansMaleMiddle AgedRemission InductionRetrospective StudiesScotlandTreatment OutcomeGLPG0634PyridinesTriazolesfilgotinibinflammatory bowel diseasesmall moleculeUlcerative colitis

Identifiers

PMID38066679
PMCPMC11760993
OpenAlexW4389499628

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.