Evidence map›Paper›PMID 38229787›Full record

ReviewCureus2023

Upadacitinib in Crohn's Disease: A Comprehensive Systematic Review of Efficacy and Safety.

Aishwarya M Wodeyar, Nirav Pansuriya, Shahzeb Saeed, Alisha Lakhani, Sahil Sartaj, Naga Sathya Joshitha Keerthi, Akshara Guntur Bhuvika Raji, Bhavatharini S, Vaishali Wahane, Yeshika Thapa and 1 more

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Updated review of Janus kinase inhibitors for the management of inflammatory bowel disease.World journal of gastrointestinal pharmacology and therapeutics · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. 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

11 authors at 11 institutions in 7 countries.

Aishwarya M WodeyarClinical Pharmacology and Therapeutics, KS Hegde Medical Academy, Mangaluru, IND.
Nirav PansuriyaMedicine, Surat Municipal Institute of Medical Education and Research, Surat, IND.
Shahzeb SaeedMedicine, Army Medical College, Rawalpindi, PAK.
Alisha LakhaniMedicine, Research MD, Vadodara, IND.
Sahil SartajMedicine, Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research, Melmaruvathur, IND.
Naga Sathya Joshitha KeerthiMedicine, Danylo Halytsky Lviv National Medical University, Lviv, UKR.
Akshara Guntur Bhuvika RajiMedicine, Bhaskar Medical College, Hyderabad, IND.
Bhavatharini SMedicine, Government Theni Medical College, Theni, IND.
Vaishali WahaneRadiology, Ultrascan Diagnostic Center, Mumbai, IND.
Yeshika ThapaInternal Medicine, Chitwan Medical College, Tribhuvan University, Bharatpur, NPL.
Feven AbrihaMedicine, Jimma University Medical School, Jimma, ETH.
Army Medical College · PKBhabha Atomic Research Center Hospital · INChatham House · GBChitwan Medical College · NPDanylo Halytsky Lviv National Medical University · UAGovernment Medical College · INJimma University · ETK S Hegde Medical Academy · INOsmania Medical College · INSardar Vallabhbhai National Institute of Technology Surat · INShantou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Crohn's disease (CD) presents a formidable challenge as a chronic inflammatory condition. This systematic review aimed to comprehensively assess upadacitinib, a novel Janus kinase (JAK) inhibitor, regarding its efficacy, safety, and mechanistic insights in CD treatment. A thorough search of electronic databases identified studies investigating upadacitinib's impact on CD patients. Study characteristics, efficacy outcomes (clinical remission and endoscopic response), safety profiles, and mechanistic insights were extracted and qualitatively synthesized. Methodological quality was assessed using established tools. The synthesis of three studies consistently demonstrated improvements in clinical remission rates and endoscopic outcomes in upadacitinib-treated patients. Adverse events, such as herpes zoster, intestinal perforation, non-melanoma skin cancer, adjudicated cardiovascular events, and anemia, were reported, necessitating vigilant safety monitoring. Upadacitinib emerges as a promising therapeutic option for CD, supported by its observed clinical benefits and mechanistic implications. However, safety concerns underscore the importance of careful patient selection. These findings contribute to the ongoing discussion surrounding personalized treatment approaches for CD, emphasizing the need for further research to confirm its enduring efficacy and safety.

Indexed as

crohn’s diseaseefficacygastroenterology and hepatologysafetysystematic reviewupadacitinib

Identifiers

PMID38229787
PMCPMC10790515
OpenAlexW4389870414

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.