Evidence map›Paper›PMID 38899786›Full record

Trial reportInflammatory bowel diseases2025

The Effect of Etrasimod on Fecal Calprotectin and High-sensitivity C-reactive Protein: Results From the ELEVATE UC Clinical Program.

Vipul Jairath, David T Rubin, Bram Verstockt, Ayhan H Çekin, Maria T Abreu, Charlie W Lees, Marc Fellmann, John C Woolcott, Catherine Crosby, Joseph Wu and 4 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Etrasimod in Treatment of Ulcerative Colitis: A Comprehensive Review.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    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

14 authors.

Vipul JairathDepartment of Medicine and Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada.ORCID 0000-0001-8603-898X
David T RubinUniversity of Chicago Medicine Inflammatory Bowel Disease Center, Chicago, IL, USA.
Bram VerstocktDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.ORCID 0000-0003-3898-7093
Ayhan H ÇekinDepartment of Gastroenterology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Maria T AbreuDivision of Gastroenterology, Crohn's and Colitis Center, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID 0000-0002-7294-0574
Charlie W LeesThe Edinburgh Inflammatory Bowel Disease Unit, Western General Hospital, Edinburgh, Scotland, UK.
Marc FellmannPfizer AG, Zürich, Switzerland.ORCID 0000-0003-0064-698X
John C WoolcottPfizer Inc, Collegeville, PA, USA.
Catherine CrosbyPfizer Inc, La Jolla, CA, USA.
Joseph WuPfizer Inc, Cambridge, MA, USA.
Abhishek BhattacharjeePfizer Healthcare India Pvt Ltd, Chennai, Tamil Nadu, India.
David HermanPfizer Inc, La Jolla, CA, USA.
Guibao GuPfizer Inc, La Jolla, CA, USA.
Britta SiegmundMedizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0002-0055-958X

Funding

Pfizer
6 · The paper itself

Abstract

backgroundBiomarkers offer potential alternatives to endoscopies in monitoring ulcerative colitis (UC) progression and therapeutic response. This post hoc analysis of the ELEVATE UC clinical program assessed potential predictive values of fecal calprotectin (fCAL) and high-sensitivity C-reactive protein (hsCRP) as biomarkers and associated responses to etrasimod, an oral, once-daily, selective sphingosine 1-phosphate (S1P)1,4,5 receptor modulator for the treatment of moderately to severely active UC, in 2 phase 3 clinical trials.

methodsIn ELEVATE UC 52 and ELEVATE UC 12, patients were randomized 2:1 to 2 mg of etrasimod once daily or placebo for 52 or 12 weeks, respectively. Fecal calprotectin/hsCRP differences between responders and nonresponders for efficacy end points (clinical remission, clinical response, endoscopic improvement-histologic remission [EIHR]) were assessed by Wilcoxon P-values. Sensitivity and specificity were presented as receiver operating characteristics (ROC) curves with area under the curve (AUC).

resultsIn ELEVATE UC 52 and ELEVATE UC 12, 289 and 238 patients received etrasimod and 144 and 116 received placebo, respectively. Baseline fCAL/hsCRP concentrations were generally balanced. Both trials had lower week-12 median fCAL levels in week-12 responders vs nonresponders receiving etrasimod for clinical remission, clinical response, and EIHR (all P < .001), with similar trends for hsCRP levels (all P < .01). For etrasimod, AUCs for fCAL/hsCRP and EIHR were 0.85/0.74 (week 12; ELEVATE UC 52), 0.83/0.69 (week 52; ELEVATE UC 52), and 0.80/0.65 (week 12; ELEVATE UC 12).

conclusionsFecal calprotectin/hsCRP levels decreased with etrasimod treatment; ROC analyses indicated a prognostic correlation between fCAL changes during induction and short-/long-term treatment response.

Indexed as

Colitis, UlcerativeC-Reactive ProteinFecesLeukocyte L1 Antigen ComplexAdultAgedBiomarkersDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisROC CurveBiomarkersC-Reactive ProteinLeukocyte L1 Antigen Complexbiomarkeretrasimodphase 3 clinical trialsphingosine 1-phosphateulcerative colitis

Identifiers

PMID38899786
PMCPMC11985396

What OpenQuestion holds

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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.