Evidence map›Paper›PMID 38186583›Full record

ArticleGastroenterology research2023

Comparing the Efficacy and Safety of Adalimumab and Vedolizumab in Treating Moderate to Severe Crohn's Disease and Ulcerative Colitis.

Nooraldin Merza, Yusuf Nawras, Omar Saab, Dushyant Singh Dahiya, Zohaib Ahmed, Meghana Ranabothu, Safa Boujemaa, Mona Hassan, Abdallah Kobeissy, Kirthi Lilley

Open access · diamondAbstract read
In one paragraph

Article in Gastroenterology research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

10 authors at 4 institutions in 2 countries.

Nooraldin MerzaDepartment of Internal Medicine, University of Toledo, Toledo, OH, USA.
Yusuf NawrasUniversity of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Omar SaabDepartment of Internal Medicine, Cleavland Clinic, Cleavland, OH, USA.
Dushyant Singh DahiyaDepartment of Gastroenterology, University of Kansas Medical Center, Kansas City, KS, USA.
Zohaib AhmedDepartment of Gastroenterology, University of Toledo, Toledo, OH, USA.
Meghana RanabothuUniversity of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Safa BoujemaaBiotechnology Development, Institute Pasteur De Tunis, University De Tunis El Manar, Tunis, Tunisia.
Mona HassanDepartment of Gastroenterology, University of Toledo, Toledo, OH, USA.
Abdallah KobeissyDepartment of Gastroenterology, University of Toledo, Toledo, OH, USA.
Kirthi LilleyDepartment of Gastroenterology, Wayne State University, Detroit, MI, USA.
University of Toledo · USTunis University · TNUniversity of Kansas Medical Center · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Numerous patients with inflammatory bowel disease (IBD) do not respond to conventional or biological therapy. Adalimumab (ADA) and vedolizumab (VDZ), according to certain research, may be a useful alternative treatment for these people. The purpose of this study was to assess the effectiveness and safety of using ADA and VDZ to treat moderate to severe IBD: Crohn's disease (CD) and ulcerative colitis (UC). Methods: We searched PubMed, Medline, Web of Science, Scopus, the Cochrane Library, Embase, Google Scholar, CINAHL, Clinicaltrials.gov, and WHO trials registry (ICTRP). Randomized controlled trials (RCTs) comparing ADA or VDZ with placebo in participants with active CD or UC were included. The primary outcomes were the clinical response and remission at induction and maintenance phases and mucosal healing. The secondary outcome was the incidence of profound negative events. The research used Comprehensive Meta-Analysis version 3 (Biostat Inc., USA). Results: Eighteen RCTs were incorporated, in which 11 studies described the usefulness and safeness of ADA or VDZ in CD patients, and seven studies investigated the efficacy and safety of ADA or VDZ in UC patients. The meta-analysis revealed that both ADA and VDZ treatments were superior to placebo for producing clinical remission and eliciting clinical response at induction and maintenance phases in individuals with moderately to severely active CD or UC. Interestingly, we found that ADA was superior to VDZ as first-line treatment for patients with CD, but not UC. Conclusion: ADA and VDZ are effective and safe in CD and UC patients. However, RCTs of a larger number of patients are still required for better assessing the safety profile of ADA and VDZ.

Indexed as

AdalimumabCrohn’s diseaseInflammatory bowel diseasePRISMAUlcerative colitisVedolizumab

Identifiers

PMID38186583
PMCPMC10769610
OpenAlexW4390350213

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.