Evidence map›Paper›PMID 38419274›Full record

Observational studyUnited European gastroenterology journal2024

Comparison between tofacitinib and ustekinumab as a third-line therapy in refractory ulcerative colitis: A multicenter international study.

Mariangela Allocca, Gaia Catalano, Edoardo V Savarino, María Chaparro, Asaf Levartovsky, George Michalopoulos, Nikos Viazis, Fotis S Fousekis, Andreas Psistakis, Daniele Noviello and 25 more

Open access · hybridAbstract readMulticenter StudyObservational StudyComparative Study
In one paragraph

Observational study in United European gastroenterology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
7.2field-weighted citation impact, top 3% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Modern Advanced Therapies for Inflammatory Bowel Diseases: Practical Considerations and Positioning.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Review
  5. Observational
  6. 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

35 authors at 18 institutions in 7 countries.

Mariangela AlloccaGastroenterology and Endoscopy, IRCCS Hospital San Raffaele and University Vita-Salute San Raffaele, Milan, Italy.ORCID 0000-0002-7204-1739
Gaia CatalanoGastroenterology and Endoscopy, IRCCS Hospital San Raffaele and University Vita-Salute San Raffaele, Milan, Italy.
Edoardo V SavarinoDepartment of Surgery, Oncology and Gastroenterology, Division of Gastroenterology, University of Padua, Padua, Italy.
María ChaparroHospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain.ORCID 0000-0002-9275-4242
Asaf LevartovskyGastroenterology, Sheba Medical Center, Tel Hashomer, Tel-Aviv University, Tel-Aviv, Israel.
George MichalopoulosGastroenterology, General Hospital of Athens "G. Gennimatas", Athens, Greece.
Nikos ViazisGastroenterology, 'Evangelismos-Polykliniki' GHA, Athens, Greece.
Fotis S FousekisDepartment of Internal Medicine, Division of Gastroenterology, Faculty of Medicine, University of Ioannina School of Health Sciences, Ioannina, Greece.
Andreas PsistakisGastroenterology, Venizeleio General Hospital, Heraklion, Crete, Greece.
Daniele NovielloDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.ORCID 0000-0002-3482-0109
Catarina Neto do NascimentoGastroenterology, Hospital Beatriz Ângelo, Loures, Portugal.ORCID 0000-0002-8864-1739
Benedicte CaronDepartment of Gastroenterology and Inserm NGERE 1256, University Hospital of Nancy, Université de Lorraine, Nancy, France.
Vassiliki KitsouGI-Unit, 3rd Academic Department of Internal Medicine, National & Kapodistrian University of Athens, Sotiria Hospital, Athens, Greece.
Giorgos BamiasGI-Unit, 3rd Academic Department of Internal Medicine, National & Kapodistrian University of Athens, Sotiria Hospital, Athens, Greece.
María José GarcíaGastroenterology and Hepatology Department, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain.ORCID 0000-0002-6517-7005
Eirini ZacharopoulouGastroenterology, General Hospital of Nikaia and Piraeus "Agios Panteleimon"- General Hospital Dytikis Attikis "Agia Varvara", Athens, Greece.
Kalliopi FoteinogiannopoulouGastroenterology, University Hospital of Heraklion, Medical School, University of Crete, Heraklion, Crete, Greece.
Ferdinando D'AmicoGastroenterology and Endoscopy, IRCCS Hospital San Raffaele and University Vita-Salute San Raffaele, Milan, Italy.ORCID 0000-0002-8591-6995
Ioannis KoutroubakisGastroenterology, University Hospital of Heraklion, Medical School, University of Crete, Heraklion, Crete, Greece.
Pierre EllulGastroenterology, Mater Dei Hospital, Msida, Malta.ORCID 0000-0002-9079-1517
Maria TzouvalaGastroenterology, General Hospital of Nikaia and Piraeus "Agios Panteleimon"- General Hospital Dytikis Attikis "Agia Varvara", Athens, Greece.
Laurent Peyrin-BirouletDepartment of Gastroenterology and Inserm NGERE 1256, University Hospital of Nancy, Université de Lorraine, Nancy, France.ORCID 0000-0003-2536-6618
Joana TorresGastroenterology, Hospital Beatriz Ângelo, Loures, Portugal.ORCID 0000-0003-2895-5821
Flavio CaprioliDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.
Konstantinos KarmirisGastroenterology, Venizeleio General Hospital, Heraklion, Crete, Greece.
Angeliki TheodoropoulouGastroenterology, Venizeleio General Hospital, Heraklion, Crete, Greece.
Konstantinos H KatsanosDepartment of Internal Medicine, Division of Gastroenterology, Faculty of Medicine, University of Ioannina School of Health Sciences, Ioannina, Greece.
Dimitrios K ChristodoulouDepartment of Internal Medicine, Division of Gastroenterology, Faculty of Medicine, University of Ioannina School of Health Sciences, Ioannina, Greece.
Gerassimos J MantzarisGastroenterology, 'Evangelismos-Polykliniki' GHA, Athens, Greece.
Uri KopylovGastroenterology, Sheba Medical Center, Tel Hashomer, Tel-Aviv University, Tel-Aviv, Israel.ORCID 0000-0002-7156-0588
Javier P GisbertHospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain.ORCID 0000-0003-2090-3445
Silvio DaneseGastroenterology and Endoscopy, IRCCS Hospital San Raffaele and University Vita-Salute San Raffaele, Milan, Italy.ORCID 0000-0001-7341-1351
Fernando MagroGastroenterology and Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal.ORCID 0000-0003-2634-9668
Fornari CarlaDepartment of Medicine and Surgery, Research Centre on Public Health, University of Milano -Bicocca, Monza, Italy.
Gionata FiorinoVita-Salute San Raffaele University, Milan, Italy.ORCID 0000-0001-5623-2968
Vita-Salute San Raffaele University · ITThe General Hospital of Heraklion "Venizeleio-Pananio" · GRUniversity of Ioannina · GREvangelismos Hospital · GRGeneral Hospital of Nikea · GRHospital Beatriz Ângelo · PTHospital Universitario de La Princesa · ESInserm · FRNational and Kapodistrian University of Athens · GRTel Aviv University · ILUniversity of Crete · GRUniversity of Milan · ITGeneral Hospital of Athens G. Genimatas · GRInstituto de Investigación Marqués de Valdecilla · ESMater Dei Hospital · MTUniversidade do Porto · PTUniversity of Milano-Bicocca · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUstekinumab and tofacitinib have recently been approved for the management of moderate to severe ulcerative colitis (UC). However, there is no evidence on how they should be positioned in the therapeutic algorithm. The aim of this study was to compare tofacitinib and ustekinumab as third-line therapies in UC patients in whom anti-TNF and vedolizumab had failed.

methodsThis was a multicenter retrospective observational study. The primary outcome was disease progression, defined as the need for steroids, therapy escalation, UC-related hospitalization and/or surgery. Secondary outcomes were clinical remission, normalization of C-reactive protein, endoscopic remission, treatment withdrawal, and adverse events.

resultsOne-hundred seventeen UC patients were included in the study and followed for a median time of 11.6 months (q

conclusionsTofacitinib was more efficacious in reducing disease progression than ustekinumab in this cohort of refractory UC patients. However, prospective head-to-head clinical trials are needed as to confirm these data.

Indexed as

Colitis, UlcerativeDisease ProgressionPiperidinesPyrimidinesUstekinumabAdultFemaleHumansMaleMiddle AgedPyrrolesRemission InductionRetrospective StudiesTreatment OutcomePiperidinesPyrimidinesPyrrolestofacitinibUstekinumabbiologicsinflammatory bowel diseasetofacitinib

Identifiers

PMID38419274
PMCPMC11176899
OpenAlexW4392289658

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.