Evidence map›Paper›PMID 38975101›Full record

ArticleHeliyon2024

Real-life treatment persistence and treatment outcomes of Finnish patients with inflammatory bowel disease receiving vedolizumab as first-line biological treatment.

Tero Ylisaukko-Oja, Clas-Göran Af Björkesten, Anja Eberl, Heikki Nuutinen, Airi Jussila, Pauliina Molander, Ritva Koskela, Timo Blomster, Markku Pajala, Tuire Ilus and 6 more

Abstract read
In one paragraph

Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Tero Ylisaukko-OjaMedEngine Oy, Helsinki, Finland.
Clas-Göran Af BjörkestenAbdominal Center, Gastroenterology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Anja EberlAbdominal Center, Gastroenterology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Heikki NuutinenDivision of Gastroenterology, Department of Medicine, Turku University Hospital, Turku, Finland.
Airi JussilaDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland.
Pauliina MolanderAbdominal Center, Gastroenterology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Ritva KoskelaDepartment of Medicine, Division of Gastroenterology, Oulu University Hospital, Oulu, Finland.
Timo BlomsterDepartment of Medicine, Division of Gastroenterology, Oulu University Hospital, Oulu, Finland.
Markku PajalaDepartment of Internal Medicine, Kuopio University Hospital, Kuopio, Finland.
Tuire IlusDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland.
Paula HaikoTakeda Oy, Helsinki, Finland.
Bianca KovacTakeda Oy, Helsinki, Finland.
Saija SilvolaTakeda Oy, Helsinki, Finland.
Sarah SmithMedEngine Oy, Helsinki, Finland.
Jari JokelainenMedEngine Oy, Helsinki, Finland.
Taina SipponenAbdominal Center, Gastroenterology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To analyze treatment persistence and treatment outcomes of vedolizumab as first-line biological treatment in Crohn's disease (CD) and ulcerative colitis (UC) patients in a Finnish real-world setting. Methods: Observational, retrospective, multi-center chart review study that included adult CD and UC patients initiating vedolizumab as first-line biological treatment between 2014 and 2020. Results: The cohort consisted of 54 CD and 69 UC patients. At month 12, treatment persistence was 84.9 % in CD and 64.7 % in UC. Most vedolizumab discontinuations (CD, n = 11; UC, n = 26) were due to inefficacy. Discontinuations due to adverse events were rare (n < 5). Efficacy improvements were observed in treatment persistent patients at 12 months vs. baseline in the Harvey-Bradshaw Index (CD, 1.8 vs. 3.9, p = 0.001), Partial Mayo Score (UC, 1.0 vs. 4.9, p < 0.001), Physician's Global Assessment (CD, 0.9 vs. 1.8, p < 0.001; UC, 0.4 vs. 2.1, p < 0.001), along with positive endoscopic and biochemical outcomes. Clinical remission was 90.9 % vs. 63.0 % for CD, and 81.6 % vs. 12.3 % for UC, while corticosteroid use was 15.9 % vs. 53.7 % for CD, and 14.6 % vs. 92.8 % for UC at 12 months and baseline, respectively. Conclusion: Vedolizumab was associated with improvements in efficacy, endoscopic activity, biochemical parameters, and decreased corticosteroid burden when used as a first-line biological treatment.

Indexed as

BiologicFirst-lineInflammatory bowel diseaseTreatment outcomesTreatment persistenceVedolizumab

Identifiers

PMID38975101
PMCPMC11225725

What OpenQuestion holds

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LicenceCC BY-NC
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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.