Evidence map›Paper›PMID 39404996›Full record

SynthesisAdvances in therapy2024

Efficacy and Safety of Advanced Therapies in Moderately-to-Severely Active Ulcerative Colitis: a Systematic Review and Network Meta-analysis.

Axel Dignass, Claire Ainsworth, Susanne Hartz, Niels Dunnewind, Isabel Redondo, Christophe Sapin, Sonja Kroep, Nicholas Halfpenny, Emanuele Arcà, Sami Hoque

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Advances in therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Emerging role of Janus kinase inhibitors in ulcerative colitis management.World journal of gastrointestinal pharmacology and therapeutics · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. New Interleukin-23 Antagonists' Use in Crohn's Disease.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  12. Review
  13. Review
  14. 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

10 authors.

Axel Dignass *Department of Gastroenterology, Hepatology, Oncology and Pneumology, Markus Hospital, Frankfurt, Germany.ORCID 0000-0002-9724-054X
Claire Ainsworth *OPEN Health HEOR & Market Access, Manchester, UK.
Susanne HartzEli Lilly and Company, Indianapolis, IN, USA. hartz_susanne@lilly.com.ORCID 0000-0001-8475-0260
Niels DunnewindOPEN Health HEOR & Market Access, Rotterdam, Netherlands.
Isabel RedondoEli Lilly and Company, Indianapolis, IN, USA.
Christophe SapinEli Lilly and Company, Indianapolis, IN, USA.
Sonja KroepOPEN Health HEOR & Market Access, Rotterdam, Netherlands.
Nicholas HalfpennyOPEN Health HEOR & Market Access, Rotterdam, Netherlands.
Emanuele ArcàOPEN Health HEOR & Market Access, Rotterdam, Netherlands.
Sami HoqueBarts Health NHS Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to compare the efficacy and safety of biologics and small molecules for treatment of adults with moderately-to-severely active ulcerative colitis (UC).

methodsA systematic literature review was conducted to identify randomised controlled trials evaluating approved and emerging targeted therapies for patients with UC. A Bayesian network meta-analysis (NMA) approach was applied. Outcomes assessed included clinical response and remission, endoscopic mucosal healing, and safety.

resultsThirty studies were included in the NMA following a feasibility assessment comparing approved induction dosing regimens and 22 studies comparing approved maintenance dosing regimens. In the biologic/Janus kinase inhibitor (JAKi)-naïve population, induction studies showed similar clinical response and remission rates across most interventions, with upadacitinib demonstrating significant improvements versus most other interventions. For maintenance studies, mirikizumab demonstrated significant improvements in clinical response and remission versus most other interventions. In the biologic/JAKi-experienced population, no significant differences were observed between most interventions in induction studies, except for significantly improved clinical response and remission for mirikizumab versus adalimumab, and upadacitinib demonstrated significant improvement versus all other interventions. Few differences between active treatments were observed in maintenance studies. In both populations, all active interventions had similar efficacy in terms of endoscopic mucosal healing in both induction and maintenance studies. Regardless of prior treatment exposure, similar rates of serious adverse events were seen across all active interventions in the induction period.

conclusionAmong the available interventions, owing to its favourable efficacy and safety profile, mirikizumab has a relevant role in the long-term treatment of UC.

Indexed as

Colitis, UlcerativeAdalimumabBayes TheoremBiological ProductsGastrointestinal AgentsHeterocyclic Compounds, 3-RingHumansJanus Kinase InhibitorsRandomized Controlled Trials as TopicRemission InductionSeverity of Illness IndexTreatment OutcomeAdalimumabBiological ProductsGastrointestinal AgentsHeterocyclic Compounds, 3-RingJanus Kinase InhibitorsupadacitinibAdvanced therapiesBiologicsComparative efficacyIL-23 inhibitorsMirikizumabSmall moleculesUlcerative colitis

Identifiers

PMID39404996
PMCPMC11550281

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.