Evidence map›Paper›PMID 40048134›Full record

Observational studyDigestive diseases and sciences2025

Mirikizumab in the Treatment of Ulcerative Colitis: Initial Real-World Data in a Population from a Large Tertiary Center.

Joëlle St-Pierre, David Choi, Evan Fear, Natalie K Choi, Alex J Mathew, Russell D Cohen, Sushila R Dalal, Joel Pekow, Noa Krugliak Cleveland, David T Rubin

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Digestive diseases and sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Comparative effectiveness of mirikizumab and risankizumab in patients with ulcerative colitis: A propensity-matched cohort study.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  6. Article
  7. Interleukin-23 Inhibitors in Inflammatory Bowel Disease.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. 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

10 authors.

Joëlle St-PierreUniversity of Chicago Medicine Inflammatory Bowel Disease Center, 5841 S Maryland Ave, MC 4076, Chicago, IL, 60637, USA.
David ChoiUniversity of Chicago Medicine Inflammatory Bowel Disease Center, 5841 S Maryland Ave, MC 4076, Chicago, IL, 60637, USA.
Evan FearUniversity of Chicago Medicine Inflammatory Bowel Disease Center, 5841 S Maryland Ave, MC 4076, Chicago, IL, 60637, USA.
Natalie K ChoiUniversity of Chicago Medicine Inflammatory Bowel Disease Center, 5841 S Maryland Ave, MC 4076, Chicago, IL, 60637, USA.
Alex J MathewUniversity of Chicago Medicine Inflammatory Bowel Disease Center, 5841 S Maryland Ave, MC 4076, Chicago, IL, 60637, USA.
Russell D CohenUniversity of Chicago Medicine Inflammatory Bowel Disease Center, 5841 S Maryland Ave, MC 4076, Chicago, IL, 60637, USA.
Sushila R DalalUniversity of Chicago Medicine Inflammatory Bowel Disease Center, 5841 S Maryland Ave, MC 4076, Chicago, IL, 60637, USA.
Joel PekowUniversity of Chicago Medicine Inflammatory Bowel Disease Center, 5841 S Maryland Ave, MC 4076, Chicago, IL, 60637, USA.
Noa Krugliak ClevelandUniversity of Chicago Medicine Inflammatory Bowel Disease Center, 5841 S Maryland Ave, MC 4076, Chicago, IL, 60637, USA.
David T RubinUniversity of Chicago Medicine Inflammatory Bowel Disease Center, 5841 S Maryland Ave, MC 4076, Chicago, IL, 60637, USA. drubin@bsd.uchicago.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMirikizumab, an anti-p19IL-23 monoclonal antibody, has shown efficacy and safety in treating moderately to severely active ulcerative colitis (UC) in clinical trials. We assessed the effectiveness and safety of mirikizumab for the treatment of UC in a real-world setting.

methodsWe conducted a prospective observational study of adult patients with UC who were started on mirikizumab for active disease between January 1, 2024, and April 30, 2024. Clinical, biochemical, sonographic, and endoscopic data were collected. The primary outcome was clinical response and remission at 12 weeks, and secondary outcomes included corticosteroid-free remission (CSFR) and biochemical marker improvement at week 12. Adverse events were recorded.

resultsTwenty-two patients were initiated on mirikizumab during the study period, with 20 included in the analysis. The majority were female (65%) and had a median duration of disease of 12 years (IQR 8.0-18.5]. The majority of patients had previously been exposed to three or more advanced therapies (70% of patients) prior to mirikizumab start. Clinical remission (SCCAI < 3) increased from 30% at baseline to 83% at week 12. CSFR increased from 15% at baseline to 78% at week 12. Median SCCAI scores significantly decreased from 3.5 at baseline to 0.5 at week 12 (p < 0.001), driven primarily by an improvement in general well-being and a decrease in urgency. Adverse effects were mild to moderate, with one serious event of streptococcal pharyngitis.

conclusionMirikizumab demonstrated significant clinical effectiveness in achieving clinical remission, response, and CSFR in patients with UC.

Indexed as

Antibodies, Monoclonal, HumanizedColitis, UlcerativeGastrointestinal AgentsAdultFemaleHumansMaleMiddle AgedProspective StudiesRemission InductionTertiary Care CentersTreatment OutcomeAntibodies, Monoclonal, HumanizedGastrointestinal AgentsBowel urgencyClinical remissionClinical responseCorticosteroid-free remissionMirikizumabSCCAIUlcerative colitis

Identifiers

What OpenQuestion holds

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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.