Evidence map›Paper›PMID 39891572›Full record

Trial reportUnited European gastroenterology journal2025

Concomitant Use of Etrasimod With Opioids or Antidepressants in Patients With Ulcerative Colitis-A Safety Analysis.

Anita Afzali, Miguel Regueiro, Andres J Yarur, Yamile Zabana, Siew C Ng, Sujatha Menon, Aoibhinn McDonnell, Krisztina Lazin, Michael Keating, Abhishek Bhattacharjee and 3 more

2 registry-linked trialsAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in United European gastroenterology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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
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
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

13 authors.

Anita AfzaliDepartment of Internal Medicine, Division of Digestive Diseases, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID 0000-0002-4397-9576
Miguel RegueiroDepartment of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0002-7681-8111
Andres J YarurInflammatory Bowel Disease Center and Division of Gastroenterology and Hepatology, Cedars-Sinai Medical Center, Los Angeles, California, USA.ORCID 0000-0003-2293-5555
Yamile ZabanaDeparment of Gastroenterology, Hospital Universitari Mútua Terrassa, Terrassa, Spain.ORCID 0000-0003-4023-8868
Siew C NgDepartment of Medicine and Therapeutics, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-6850-4454
Sujatha MenonPfizer Inc, Groton, Connecticut, USA.
Aoibhinn McDonnellPfizer Ltd, Sandwich, UK.ORCID 0000-0002-2229-0382
Krisztina LazinPfizer AG, Zürich, Switzerland.
Michael KeatingPfizer Inc, New York, New York, USA.
Abhishek BhattacharjeePfizer Healthcare India Pvt. Ltd, Chennai, India.ORCID 0000-0002-1053-8408
Diogo BranquinhoPfizer Inc, New York, New York, USA.ORCID 0000-0001-8519-6409
Eustratios BananisPfizer Inc, Collegeville, Pennsylvania, USA.ORCID 0000-0001-6553-7114
Laurent Peyrin-BirouletDepartment of Gastroenterology, Nancy University Hospital, Vandœuvre-lès-Nancy, France.ORCID 0000-0003-2536-6618

Funding

Pfizer
6 · The paper itself

Abstract

backgroundEtrasimod is an oral, once-daily (q.d.), selective sphingosine 1-phosphate (S1P)

aimsThis post hoc analysis evaluated the incidence of AEs potentially related to serotonin syndrome in patients taking etrasimod and concomitant opioids or antidepressants in the Phase 3 ELEVATE UC 52 and ELEVATE UC 12 trials.

methodsSafety data pooled from both trials were analysed in subgroups of patients receiving etrasimod 2 mg q.d. (up to 52 weeks of exposure) with/without concomitant opioids or antidepressants. We report the proportions of patients who had ≥ 1 concurrent AE potentially associated with serotonin syndrome, including hypertension-related events.

resultsAmong 527 patients receiving etrasimod, 77 (14.6%) and 35 (6.6%) were taking concomitant opioids or antidepressants, respectively. The incidence of AEs potentially related to serotonin syndrome, including hypertension-related AEs, was low (≤ 8.6%) and generally comparable in all subgroups. No reported AEs were serious or led to treatment discontinuation among patients taking these concomitant medications.

conclusionsThe incidence of AEs was low and comparable in patients receiving etrasimod with or without concomitant opioids or antidepressants. This analysis further supports the low likelihood of clinically relevant drug-drug interactions between etrasimod and medications commonly prescribed to patients with UC, such as opioids or antidepressants. (ClinicalTrials.gov: NCT03945188; NCT03996369).

Indexed as

Analgesics, OpioidAntidepressive AgentsColitis, UlcerativeSphingosine 1 Phosphate Receptor ModulatorsAdultClinical Trials, Phase III as TopicDrug InteractionsDrug Therapy, CombinationFemaleHumansIncidenceMaleMiddle AgedAnalgesics, OpioidAntidepressive AgentsSphingosine 1 Phosphate Receptor Modulatorsinflammatory bowel diseaseopioids/opiatesulcerative colitis

Identifiers

PMID39891572
PMCPMC12188354

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.