Evidence map›Paper›PMID 40088372›Full record

SynthesisInflammopharmacology2025

The efficacy, safety, and persistence of vedolizumab versus adalimumab in patients with inflammatory bowel disease: a systematic review and meta-analysis.

Zhixin Chen, Huo Li, Zhongzhuan Li, Rong Ouyang, Shijiang Huang, Shufen Qin, Jing Qin, Jiean Huang

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis in Inflammopharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

8 authors.

Zhixin ChenDepartment of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007, Guangxi, People's Republic of China.
Huo LiDepartment of Gastroenterology, The Fourth Affiliated Hospital of Guangxi Medical University/Liu Zhou Worker's Hospital, No. 156 HePing Road, LiuNan District, Liuzhou, 545005, People's Republic of China.
Zhongzhuan LiDepartment of Gastroenterology, The Fourth Affiliated Hospital of Guangxi Medical University/Liu Zhou Worker's Hospital, No. 156 HePing Road, LiuNan District, Liuzhou, 545005, People's Republic of China.
Rong OuyangDepartment of Gastroenterology, The Fourth Affiliated Hospital of Guangxi Medical University/Liu Zhou Worker's Hospital, No. 156 HePing Road, LiuNan District, Liuzhou, 545005, People's Republic of China.
Shijiang HuangDepartment of Gastroenterology, The Fourth Affiliated Hospital of Guangxi Medical University/Liu Zhou Worker's Hospital, No. 156 HePing Road, LiuNan District, Liuzhou, 545005, People's Republic of China.
Shufen QinDepartment of Gastroenterology, The Fourth Affiliated Hospital of Guangxi Medical University/Liu Zhou Worker's Hospital, No. 156 HePing Road, LiuNan District, Liuzhou, 545005, People's Republic of China.
Jing QinDepartment of General Medicine, Liuzhou People's Hospital, No. 8 WenChang Road, ChengZhong District, Liuzhou, 545001, People's Republic of China.
Jiean HuangDepartment of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007, Guangxi, People's Republic of China. huangjiean@gxmu.edu.cn.ORCID http://orcid.org/0009-0005-2381-6998

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis systematic review and meta-analysis compared the efficacy, safety, and treatment persistence of vedolizumab and adalimumab in patients with inflammatory bowel disease (IBD).

methodsThrough a comprehensive search of three databases up to September 2024, we calculated pooled effect estimates for binary outcomes using risk ratios (RR) with 95% confidence intervals (CIs). Heterogeneity was evaluated using Cochran's I

resultsWe analyzed 12 studies involving 4095 patients. The findings showed that vedolizumab had higher clinical remission and response rates compared to adalimumab (RR: 1.24, 95% CI 1.14-1.34, P < 0.01; RR: 1.11, 95% CI 1.01-1.22, P = 0.03). However, no significant differences were observed in endoscopic remission between the two treatments (RR: 0.74, 95% CI 0.47-1.18, P = 0.21). Safety outcomes, based on adverse and serious adverse event rates, have no significant differences (RR: 0.67, 95% CI 0.41-1.12, P = 0.13; RR: 0.78, 95% CI 0.36-1.68, P = 0.53). Treatment persistence also showed no significant difference between vedolizumab and adalimumab (RR: 0.78, 95% CI 0.55-1.12, P = 0.19).

conclusionsOur study suggests that vedolizumab may be more effective than adalimumab in alleviating symptoms and achieving clinical response. Importantly, this effectiveness is achieved without an increase in adverse events. No significant difference was found in treatment persistence. However, high heterogeneity may weaken the evidence, requiring further randomized trials for confirmation.

Indexed as

AdalimumabAntibodies, Monoclonal, HumanizedGastrointestinal AgentsInflammatory Bowel DiseasesHumansRandomized Controlled Trials as TopicRemission InductionTreatment OutcomeAdalimumabAntibodies, Monoclonal, HumanizedGastrointestinal AgentsvedolizumabAdalimumabEfficacyInflammatory bowel diseaseMeta-analysisVedolizumab

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Registered trials

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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.