Evidence map›Paper›PMID 38531068›Full record

ArticleInflammatory bowel diseases2025

Real-World Effectiveness of Ustekinumab in Ulcerative Colitis in a United States Multicenter Cohort Consortium.

Andres J Yarur, Ryan Ungaro, Katherine Huang, Wenfei Wang, Priya Sasankan, Mir Zulqarnain, Amanda M Johnson, Geoffrey Bader, Carl Kay, Nicholas Costable and 9 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Inflammatory bowel diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
3.3field-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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Efficacy of Dose Escalation of Ustekinumab in Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2025
    Pooled it
  3. Article
  4. Article
  5. Review
  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

19 authors at 9 institutions in 1 country.

Andres J YarurDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0003-2293-5555
Ryan UngaroDr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mt. Sinai, New York, NY, USA.ORCID 0000-0001-8687-3758
Katherine HuangInflammatory Bowel Disease Center, Division of Gastroenterology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Wenfei WangSection of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Chicago, Chicago, IL, USA.
Priya SasankanDepartment of Gastroenterology, Hepatology, and Nutrition, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Mir ZulqarnainDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA.
Amanda M JohnsonDivision of Gastroenterology and Hepatology, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Geoffrey BaderDivision of Gastroenterology, Brooke Army Medical Center, Fort Sam Houston, TX, USA.
Carl KayDivision of Gastroenterology, Brooke Army Medical Center, Fort Sam Houston, TX, USA.
Nicholas CostableDr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mt. Sinai, New York, NY, USA.
David DulaneyDivision of Gastroenterology, Brooke Army Medical Center, Fort Sam Houston, TX, USA.
Marc FensterDivision of Gastroenterology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Poonam Beniwal-PatelDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA.
Gaurav SyalDivision of Gastroenterology and Hepatology, Inflammatory Bowel Disease Institute, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Anish PatelDivision of Gastroenterology, Brooke Army Medical Center, Fort Sam Houston, TX, USA.
Edward LoftusDivision of Gastroenterology and Hepatology, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Joel PekowSection of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Chicago, Chicago, IL, USA.
Benjamin CohenDepartment of Gastroenterology, Hepatology, and Nutrition, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Parakkal DeepakInflammatory Bowel Disease Center, Division of Gastroenterology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.ORCID 0000-0002-3436-9784
Brooke Army Medical Center · USCedars-Sinai Medical Center · USCleveland Clinic · USIcahn School of Medicine at Mount Sinai · USMayo Clinic in Arizona · USMedical College of Wisconsin · USUniversity of Chicago · USWashington University in St. Louis · USAlbert Einstein College of Medicine · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
Assessing Predictors of Response to Anti-Tumor Necrosis Alpha Therapy in Early Crohns DiseaseK23DK111995 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI UNGARO, RYAN · 2019 to 2023
$948k
Junior Faculty Development Award from the American College of GastroenterologyNCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR001105NCATS NIH HHS UL1TR001105NCATS NIH HHS UL1 TR002345NIDDK NIH HHS K23 DK111995NIH HHS
6 · The paper itself

Abstract

backgroundPivotal trials have shown that ustekinumab is effective in ulcerative colitis (UC). However, the population included in these trials do not represent the cohort of patients treated in the real world. In this study, we aimed to describe the effectiveness and safety of ustekinumab in a clinical cohort of patients with UC.

methodsWe performed a multicenter retrospective cohort study and included patients with active UC starting ustekinumab. Variables collected included demographics, clinical data, and disease activity (measured using partial Mayo score [PMS] and endoscopic Mayo score) at follow-up. The primary outcomes were cumulative rates of steroid-free clinical and biochemical remission (SFCBR), defined as a PMS <2 while off steroids and a normal C-reactive protein and/or fecal calprotectin.

resultsA total of 245 patients met inclusion criteria. The median time of follow-up was 33 (interquartile range, 17-53) weeks, and 214 (87.3%) had previous exposure to a biologic and/or tofacitinib. Rates of SFCBR, clinical remission, and endoscopic remission at 6 and 12 months were 12.0% (n = 16 of 139), 29.0% (n = 71 of 175), and 18.0% (n = 7 of 39), and 23.8% (n = 15 of 63), 54.3% (n = 57 of 105), and 31.0% (n = 9 of 29), respectively. Non-Hispanic White race, higher baseline PMS, and the use of concomitant corticosteroids were independently associated with failure to achieve SFCBR. Of the 73 that were dose escalated, 28.4% did not respond, 49.3% experienced a benefit, and 21.6% achieved remission.

conclusionsIn a population enriched with refractory UC, ustekinumab was well tolerated and induced remission in a significant number of patients. Larger studies with a longer follow-up are warranted.

Indexed as

Colitis, UlcerativeRemission InductionUstekinumabAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexTreatment OutcomeUnited StatesUstekinumabcolectomydose escalationefficacyulcerative colitisustekinumab

Identifiers

PMID38531068
PMCPMC11700893
OpenAlexW4393180267

What OpenQuestion holds

Textmetadata
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.