Evidence map›Paper›PMID 39160459›Full record

Observational studyBMC gastroenterology2024

Safety and effectiveness of tofacitinib in Korean adult patients with ulcerative colitis: post-marketing surveillance study.

Hyuk Yoon, Byong Duk Ye, Sang-Bum Kang, Kang-Moon Lee, Chang Hwan Choi, Joo-Young Jo, Juwon Woo, Jae Hee Cheon

Registry-linked trialAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMC gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04071405 (Korea Post-marketing Surveillance for Xeljanz), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT04071405 completednot on this map

Korea Post-marketing Surveillance for Xeljanz (Registered) in Ulcerative Colitis Patients

TypeobservationalSponsorPfizerRan2020 to 2022Enrolled110ConditionsUlcerative ColitisArmsNon-intervention
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. 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

8 authors.

Hyuk YoonSeoul National University Bundang Hospital, Seongnam, Gyeonggi-do, Korea.
Byong Duk YeUniversity of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Sang-Bum KangThe Catholic University of Korea, Daejeon ST. Mary's Hospital, Daejeon, Korea.
Kang-Moon LeeThe Catholic University of Korea, ST. Vincent's Hospital, Suwon, Gyeonggi-do, Korea.
Chang Hwan ChoiChung-Ang University College of Medicine, Seoul, Korea.
Joo-Young JoPfizer Pharmaceutical Korea Ltd, Seoul, Korea.
Juwon WooPfizer Pharmaceutical Korea Ltd, Seoul, Korea.
Jae Hee CheonDepartment of Internal Medicine, College of Medicine, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea. geniushee@yuhs.ac.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTofacitinib is an oral Janus kinase inhibitor for the treatment of ulcerative colitis (UC). We aimed to identify the safety and effectiveness of tofacitinib in patients with UC in routine clinical settings in Korea.

methodsThis open-label, observational, prospective, post-marketing surveillance study was conducted at 22 hospitals in the Republic of Korea. Patients with moderate to severe active UC who received tofacitinib were included and followed up for up to 52 weeks. Tofacitinib was administered at a dosage of 10 mg twice daily for at least 8 weeks, followed by 5 or 10 mg twice daily at the investigator's discretion based on clinical evaluation according to the approved Korean label. Safety including adverse events (AEs) and effectiveness including clinical remission, clinical response, and endoscopic mucosal healing were evaluated. Safety analysis set was defined as all patients registered for this study who received at least one dose of tofacitinib according to the approved Korean label and followed up for safety data. Effectiveness analysis set included patients in the safety analysis set who were evaluated for overall effectiveness assessment and excluded patients who had received tofacitinib less than 8 weeks.

resultsA total of 110 patients were enrolled, of whom 106 patients were included in the safety population. The median duration of treatment was 370 days and the treatment duration ranged from 16 to 684 days for the safety population. AEs occurred in 42 patients (39.6%). Serious AEs (SAEs) occurred in 7 patients (6.6%) and of them, there were 2 cases of serious infections. These serious infections were reported as Adverse Event of Special Interest (AESI) in this study and no other AESI were reported. There were no cases of death during the study period. Clinical remission rates were 40.0%, 46.7%, 57.6%, and 55.1% at 8, 16, 24, and 52 weeks, and clinical response rates were 77.8%, 87.9%, 56.6%, and 81.4% at each visit, respectively. Endoscopic mucosal healing rates were 58.7% at 16 weeks and 46.2% at 52 weeks.

conclusionTofacitinib was effective in Korean patients with moderate to severe active UC and the safety findings were consistent with the known safety profile of tofacitinib. This study confirmed the safety and effectiveness of tofacitinib in Korean patients with moderate to severe active UC in routine clinical settings.

trial registrationThis study is registered in the ClinicalTrials.gov under the identifier NCT04071405, registered on 28 August 2019.

Indexed as

Colitis, UlcerativePiperidinesProduct Surveillance, PostmarketingPyrimidinesAdultAgedFemaleHumansJanus Kinase InhibitorsMaleMiddle AgedProspective StudiesProtein Kinase InhibitorsPyrrolesRemission InductionRepublic of KoreaJanus Kinase InhibitorsPiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolestofacitinibEffectivenessPost-marketing surveillanceProspective studySafetyTofacitinibUlcerative colitis

Identifiers

PMID39160459
PMCPMC11331763

What OpenQuestion holds

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Registered trials

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.