Evidence map›Paper›PMID 38903490›Full record

ArticleFrontline gastroenterology2024

Real-world effectiveness of upadacitinib in Crohn's disease: a UK multicentre retrospective cohort study.

Alexander Thomas Elford, Maria Bishara, Nikolas Plevris, Beatriz Gros, Nathan Constantine-Cooke, James Goodhand, Nicholas A Kennedy, Tariq Ahmad, Charlie W Lees

Abstract read
In one paragraph

Article in Frontline gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Observational
  4. Article
  5. Practical guidelines on medical management of adults with moderate-to-severe inflammatory bowel disease.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2026
    Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Effectiveness and safety of upadacitinib in refractory pediatric inflammatory bowel disease: A single-arm meta-analysis of observational studies.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2026
    Article
  12. Article
  13. Crohn's disease exacerbated by ghost pills of upadacitinib.Clinical journal of gastroenterology · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

9 authors.

Alexander Thomas ElfordEdinburgh IBD Unit, Western General Hospital, Edinburgh, Scotland, UK.ORCID 0000-0001-6144-1369
Maria BisharaGastroenterology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.ORCID 0009-0007-4484-7624
Nikolas PlevrisEdinburgh IBD Unit, Western General Hospital, Edinburgh, Scotland, UK.ORCID 0000-0002-3229-8759
Beatriz GrosEdinburgh IBD Unit, Western General Hospital, Edinburgh, Scotland, UK.
Nathan Constantine-CookeMRC Human Genetics Unit, Institute of Genetics and Cancer, Univeristy of Edinburgh, Edinburgh, UK.
James GoodhandGastroenterology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Nicholas A KennedyGastroenterology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.ORCID 0000-0003-4368-1961
Tariq AhmadGastroenterology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Charlie W LeesEdinburgh IBD Unit, Western General Hospital, Edinburgh, Scotland, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Upadacitinib is a Janus kinase inhibitor, which has recently been approved for treating Crohn's disease. There are limited real-world studies on the outcomes of upadacitinib in Crohn's disease. Objective: Our aim was to evaluate the outcomes of upadacitinib in a real-world Crohn's disease cohort. Methods: We conducted a retrospective, multicentre, cohort study over a 2-year period across National Health Service (NHS) Lothian and Royal Devon University Healthcare NHS Foundation Trust. The primary outcome was treatment persistence at week 24. Secondary endpoints were corticosteroid-free clinical remission (Harvey-Bradshaw Index (HBI)<5) and biomarker remission (C-reactive protein (CRP)≤5 mg/L and faecal calprotectin (FCAL)<250 µg/g) at 12, 24 and 52 weeks. We recorded adverse events. Results: 135 patients commenced upadacitinib as of the 1 January 2024, of which 93 patients with active Crohn's disease were included with a minimum of 12 weeks follow-up. The median follow-up time was 25 weeks (IQR 15-42 weeks). 82% of the cohort had exposure to at least two classes of advanced therapies, and 52% had exposure to at least three classes of advanced therapies. Treatment persistence was 87.1% at week 12, 81.7% at week 24 and 62.8% at week 52. Rates of clinical remission were 64% (42/66), 48% (22/46) and 38% (8/21) at weeks 12, 24 and 52, respectively. Significant reductions in HBI, CRP and FCAL were observed during follow-up. 14% (13/91) had a hospitalisation due to Crohn's disease. Adverse events occurred in 40% (37/93) of the cohort, of which 12% (11/93) were serious. Conclusion: Upadacitinib was effective in a real-world, highly refractory, Crohn's disease cohort with good persistence.

Indexed as

CROHN'S DISEASEINFLAMMATORY BOWEL DISEASE

Identifiers

PMID38903490
PMCPMC11187394

What OpenQuestion holds

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Registered trials

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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.