Evidence map›Paper›PMID 39778975›Full record

ArticleBMJ open gastroenterology2025

Cardiovascular events observed among patients in the etrasimod clinical programme: an integrated safety analysis of patients with moderately to severely active ulcerative colitis.

Séverine Vermeire, David T Rubin, Laurent Peyrin-Biroulet, Marla C Dubinsky, Miguel Regueiro, Peter M Irving, Martina Goetsch, Krisztina Lazin, Guibao Gu, Joseph Wu and 6 more

6 registry-linked trialsAbstract read
In one paragraph

Article in BMJ open gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. 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.

NCT02447302 phase2completednot on this map

A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Multi-Center Study to Investigate the Safety and Efficacy of APD334 in Patients With Moderately to Severely Active Ulcerative Colitis

TypeinterventionalSponsorArena PharmaceuticalsRan2015 to 2018Enrolled156ConditionsUlcerative ColitisArmsEtrasimod, Placebo
NCT02536404 phase2completednot on this map

Extension Study of APD334-003 in Patients With Moderately to Severely Active Ulcerative Colitis

TypeinterventionalSponsorArena PharmaceuticalsRan2016 to 2018Enrolled118ConditionsUlcerative ColitisArmsEtrasimod, Placebo
NCT03945188 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Placebo-Controlled, 52-Week Study to Assess the Efficacy and Safety of Etrasimod in Subjects With Moderately to Severely Active Ulcerative Colitis

TypeinterventionalSponsorArena PharmaceuticalsRan2019 to 2022Enrolled433ConditionsUlcerative ColitisArmsEtrasimod, Placebo
NCT03950232 phase3active not recruitingnot on this map

An Open-Label Extension Study of Etrasimod in Subjects With Moderately to Severely Active Ulcerative Colitis

TypeinterventionalSponsorPfizerRan2019 to 2029Enrolled896ConditionsUlcerative ColitisArmsEtrasimod
NCT03996369 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Placebo-Controlled, 12-Week Study to Assess the Efficacy and Safety of Etrasimod in Subjects With Moderately to Severely Active Ulcerative Colitis

TypeinterventionalSponsorArena PharmaceuticalsRan2020 to 2021Enrolled354ConditionsUlcerative ColitisArmsEtrasimod, Placebo
NCT04176588 phase3unknown statusnot on this map

A Phase 3, Randomized, Placebo-Controlled, Double-Blind, Multicenter Study to Evaluate the Efficacy and Safety of Etrasimod for Induction and Maintenance Treatment in Subjects With Moderately to Severely Active Ulcerative Colitis

TypeinterventionalSponsorEverstar Therapeutics LimitedRan2019 to 2024Enrolled341ConditionsModerately to Severely Active Ulcerative ColitisArmsEtrasimod, Placebo
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Etrasimod in Treatment of Ulcerative Colitis: A Comprehensive Review.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Review
  8. 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.

Séverine VermeireDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
David T RubinInflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, Illinois, USA.
Laurent Peyrin-BirouletDepartment of Gastroenterology, Nancy University Hospital, F-54500 Vandœuvre-lès-Nancy, France.
Marla C DubinskySusan and Leonard Feinstein IBD Center, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Miguel RegueiroDepartment of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, Ohio, USA.
Peter M IrvingIBD Unit, Guy's and St Thomas' Hospital, London, UK.ORCID http://orcid.org/0000-0003-0972-8148
Martina GoetschPfizer AG, Zürich, Switzerland.
Krisztina LazinPfizer AG, Zürich, Switzerland.
Guibao GuPfizer Inc, La Jolla, California, USA.
Joseph WuPfizer Inc, Cambridge, Massachusetts, USA.
Irene ModestoPfizer Inc, New York, New York, USA.
Aoibhinn McDonnellPfizer Ltd, Sandwich, Kent, UK.
Xiang GuoPfizer Inc, Collegeville, Pennsylvania, USA xiang.guo@pfizer.com.
Jesse GreenPfizer Inc, Collegeville, Pennsylvania, USA.
Alexis B DalamPfizer Inc, Manila, Philippines.
Andres J YarurInflammatory Bowel Disease Center and Division of Gastroenterology and Hepatology, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEtrasimod is an oral, once-daily, selective sphingosine 1-phosphate (S1P)

methodsPatients were analysed in the Placebo-controlled UC cohort and All UC cohort. Incidence rates (IRs, per 100 patient-years) of cardiovascular-related TEAEs associated with S1P receptor modulators, including bradycardia/atrioventricular (AV) block and hypertension, and other cardiovascular events, including coronary artery disease (CAD) and cerebrovascular disease (CVD), were analysed.

resultsIn patients receiving etrasimod, cardiovascular-related TEAEs were infrequent (≤2.6% per AE). In the Placebo-controlled UC cohort, IRs (95% CIs) for cardiovascular-related TEAEs were higher for patients receiving etrasimod (n=577) vs placebo (n=314), respectively, for bradycardia/sinus bradycardia, 3.85 (1.58 to 6.13) vs 0 and AV block, 1.40 (0.03 to 2.76) vs 0; and numerically higher for hypertension, 5.31 (2.62 to 7.99) vs 3.40 (0.07 to 6.72). Most bradycardia/AV block events were reported on day 1. All bradycardia and hypertension TEAEs were non-serious. One serious second-degree AV block type 1 TEAE occurred in the etrasimod group; no events of second-degree AV block type 2 or higher were reported. One event each of CAD and CVD occurred in two patients receiving etrasimod.

conclusionsIn the etrasimod UC clinical programme, IRs of cardiovascular-related TEAEs and other cardiovascular events were low. Most cardiovascular-related TEAEs were non-serious. TRIAL REGISTRATION NUMBERS: NCT02447302; NCT03945188; NCT03996369; NCT02536404; NCT03950232; NCT04176588.

Indexed as

Atrioventricular BlockBradycardiaCardiovascular DiseasesColitis, UlcerativeSphingosine 1 Phosphate Receptor ModulatorsAdultClinical Trials, Phase II as TopicClinical Trials, Phase III as TopicCoronary Artery DiseaseDouble-Blind MethodFemaleHumansHypertensionIncidenceMaleMiddle AgedSphingosine 1 Phosphate Receptor ModulatorsSphingosine-1-Phosphate ReceptorsADVERSE DRUG REACTIONSCARDIOVASCULAR COMPLICATIONSULCERATIVE COLITIS

Identifiers

PMID39778975
PMCPMC11748931

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.