Evidence map›Paper›PMID 39700468›Full record

Observational studyJournal of Crohn's & colitis2025

Clinical Outcomes After First-Line Anti- Tumor-Necrosis-Factor Treatment of Patients With Inflammatory Bowel Disease-A Prospective Multicenter Cohort Study.

Mirabella Zhao, Lone Larsen, Anders Dige, Anja Poulsen, Bobby Lo, Mohamed Attauabi, Pernille Dige Ovesen, Mads Damsgaard Wewer, Dagmar Christiansen, Christian Lodberg Hvas and 4 more

Erratum issuedAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of Crohn's & colitis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Mirabella ZhaoGastrounit, Medical Section, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.ORCID 0000-0002-8392-4860
Lone LarsenDepartment of Gastroenterology and Hepatology, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0003-4067-2381
Anders DigeDepartment of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
Anja PoulsenDigestive Disease Center, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.ORCID 0000-0002-0314-3467
Bobby LoGastrounit, Medical Section, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
Mohamed AttauabiCopenhagen Center for Inflammatory Bowel Disease in Children, Adolescents and Adults, Gastrounit, Medical Section, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.ORCID 0000-0003-0323-7030
Pernille Dige OvesenDepartment of Gastroenterology and Hepatology, Copenhagen University Hospital, Herlev and Gentofte Hospital, Herlev, Denmark.
Mads Damsgaard WewerCopenhagen Center for Inflammatory Bowel Disease in Children, Adolescents and Adults, Gastrounit, Medical Section, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
Dagmar ChristiansenDigestive Disease Center, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Christian Lodberg HvasDepartment of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
Andreas Munk PetersenGastrounit, Medical Section, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
Flemming BendtsenGastrounit, Medical Section, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
Jakob SeidelinDepartment of Gastroenterology and Hepatology, Copenhagen University Hospital, Herlev and Gentofte Hospital, Herlev, Denmark.ORCID 0000-0003-3230-7966
Johan BurischGastrounit, Medical Section, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.ORCID 0000-0002-3312-5139

Funding

Louis-Hansen FoundationNovo Nordisk Foundation NNF22OC0074080Takeda Pharma A/S
6 · The paper itself

Abstract

BACKGROUND AND

aimsExisting findings on outcomes of anti-tumor-necrosis-factor (TNF) therapy in patients with inflammatory bowel diseases (IBD) are largely based on retrospective studies. We aimed to investigate real-world outcomes of anti-TNF therapy and predictors thereof in a prospective IBD cohort.

methodsIn a Danish multicenter cohort of adult bio-naïve patients with IBD treated with anti-TNF, we assessed clinical response and remission to induction therapy using clinical disease activity scoring indices at Week 14. In patients who continued treatment beyond the induction period, we also assessed loss of response (LOR), drug withdrawal, and major IBD surgery during maintenance therapy.

resultsThis study included 774 patients (706 infliximab, 68 adalimumab) followed for a median duration of 125 weeks Clinical response was achieved in 209/331 (67.4%) of ulcerative colitis (UC) and 125/197 (74.0%) of Crohn's disease (CD) patients, while 143/331 (46.1%) UC and 81/197 (47.9%) CD patients achieved clinical remission. In 294 UC and 309 CD patients received maintenance therapy, while 86/294 (29.3%) UC and 78/309 (25.2%) CD patients experienced LOR. Active smoking and less severe disease activity predicted favorable outcomes in UC, while short disease duration, colonic disease, nonstricturing behavior, and concomitant immunomodulator therapy predicted favorable outcomes in CD.

conclusionsClinical response was achieved in 2 in 3 UC and 3 in 4 CD patients, meanwhile, one-third of UC and one-fourth of CD patients experienced LOR despite the short disease duration in this study. Several clinical features were associated with outcomes and may be useful predictors of anti-TNF treatment response.

Indexed as

AdalimumabColitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesInfliximabTumor Necrosis Factor-alphaAdultDenmarkFemaleHumansMaleMiddle AgedProspective StudiesRemission InductionSeverity of Illness IndexTreatment OutcomeAdalimumabInfliximabTumor Necrosis Factor-alphabiological treatmentCrohn’s diseasetreatment outcomesUlcerative colitis

Identifiers

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.