Evidence map›Paper›PMID 40166591›Full record

ArticleTherapeutic advances in gastroenterology2025

Sequential rescue therapy with JAK inhibitors in corticosteroid and infliximab-refractory acute severe ulcerative colitis: a case series.

Amirah Etchegaray, George Tambakis, Rina Kumar, Anthony Croft, Graham Radford-Smith, Gareth J Walker

Abstract readCase Reports
In one paragraph

Article in Therapeutic advances in gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. [Advances in the clinical management of acute severe ulcerative colitis].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026
    Review
  3. Review
  4. 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

6 authors.

Amirah EtchegarayRoyal Brisbane and Women's Hospital, Brisbane, QLD, Australia.ORCID https://orcid.org/0009-0003-0337-8463
George TambakisRoyal Brisbane and Women's Hospital, Brisbane, QLD, Australia.ORCID https://orcid.org/0000-0001-8785-7661
Rina KumarQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.ORCID https://orcid.org/0000-0002-9225-7879
Anthony CroftRoyal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Graham Radford-SmithRoyal Brisbane and Women's Hospital, Brisbane, QLD, Australia.ORCID https://orcid.org/0000-0002-2047-6239
Gareth J WalkerClinical Lead for IBD and Research, Department of Gastroenterology, Royal Brisbane and Women's Hospital, Herston, Brisbane QLD, 4029, Australia.ORCID https://orcid.org/0000-0002-3883-8816

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute severe ulcerative colitis (ASUC) is a life-threatening medical emergency affecting over 20% of patients with ulcerative colitis (UC). Up to 40% of patients are refractory to intravenous corticosteroids (IVCS) and require rescue medical therapy or immediate colectomy. The potent Janus kinase (JAK) inhibitors, upadacitinib and tofacitinib, have proven efficacy in a randomised control trial setting for moderate-to-severe UC, but not ASUC. We describe a case series of sequential rescue therapy with JAK inhibitors following the failure of dose-intensified infliximab in corticosteroid-refractory ASUC. Six adult (>16 years old) patients received sequential rescue therapy with a JAK inhibitor (upadacitinib

Indexed as

acute severe ulcerative colitisJAK inhibitortofacitinibupadacitinib

Identifiers

PMID40166591
PMCPMC11956511

What OpenQuestion holds

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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.