Evidence map›Paper›PMID 40168091›Full record

Trial reportJournal of Crohn's & colitis2025

Corticosteroid-sparing effects of risankizumab efficacy and safety in patients with moderately to severely active ulcerative colitis.

Walter Reinisch, Edward V Loftus, Stefan Schreiber, David T Rubin, Edouard Louis, Patrick M Hecht, Elena Marced Barrachina, Jasmina Kalabic, Ramona Vladea, Dolly Sharma and 3 more

Erratum issued 2 registry-linked trialsAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Journal of Crohn's & colitis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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.

NCT03398135 phase3active not recruitingnot on this map

A Multicenter, Randomized, Double-Blind, Placebo Controlled 52-Week Maintenance and an Open-Label Extension Study of the Efficacy and Safety of Risankizumab in Subjects With Ulcerative Colitis

TypeinterventionalSponsorAbbVieRan2018 to 2029Enrolled1,242ConditionsUlcerative Colitis (UC)Armsrisankizumab, placebo for risankizumab
NCT03398148 phase2 / phase3completednot on this map

A Multicenter, Randomized, Double-Blind, Placebo Controlled Induction Study to Evaluate the Efficacy and Safety of Risankizumab in Subjects With Moderately to Severely Active Ulcerative Colitis

TypeinterventionalSponsorAbbVieRan2018 to 2023Enrolled1,558ConditionsUlcerative Colitis (UC)Armsrisankizumab IV, placebo for risankizumab, risankizumab SC
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Walter ReinischClinical Department of Gastroenterology and Hepatology, Medical University Vienna, Vienna, Austria.ORCID 0000-0002-2088-091X
Edward V LoftusDivision of Gastroenterology and Hepatology, Mayo Clinic College of Medicine and Science, Rochester, MN, United States.ORCID 0000-0001-7199-6851
Stefan SchreiberDepartment Internal Medicine, University Hospital Schleswig-Holstein, Christian-Albrecht University of Kiel, Kiel, Germany.
David T RubinInflammatory Bowel Disease Center, The University of Chicago Medicine Chicago, Chicago, IL United States.ORCID 0000-0001-5647-1723
Edouard LouisHepato-Gastroenterology and Digestive Oncology Department, University Hospital CHU of Liège, Liège, Belgium.
Patrick M HechtAbbVie Inc, North Chicago, IL, United States.
Elena Marced BarrachinaAbbVie Inc, North Chicago, IL, United States.
Jasmina KalabicAbbVie Deutschland GmbH & Co. KG, Ludwigshafen, Germany.
Ramona VladeaAbbVie Inc, North Chicago, IL, United States.
Dolly SharmaAbbVie Inc, North Chicago, IL, United States.
Weijiang Rachel DuanAbbVie Inc, North Chicago, IL, United States.
Yafei ZhangAbbVie Inc, North Chicago, IL, United States.
Remo PanaccioneInflammatory Bowel Disease Unit, Division of Gastroenterology and Hepatology, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-5247-940X

Funding

AbbVie NCT03398148
6 · The paper itself

Abstract

BACKGROUND AND

aimsThis post hoc analysis evaluated the corticosteroid-sparing effects of risankizumab (RZB) therapy in patients with moderate-to-severe ulcerative colitis in the phase 3 induction and maintenance studies, INSPIRE and COMMAND.

methodsPatients were randomized (2:1) to 12 weeks of intravenous RZB or placebo (PBO) induction therapy; responders to intravenous RZB were randomized (1:1:1) to receive subcutaneous RZB 180 mg, 360 mg, or PBO (RZB withdrawal) maintenance therapy. Baseline corticosteroid doses were maintained during induction, with a mandatory taper beginning at maintenance week 0. Efficacy outcomes were evaluated by baseline corticosteroid use at induction week 12, while corticosteroid-free clinical and endoscopic outcomes were assessed at maintenance week 52 among the overall population and among patients on corticosteroids at baseline. Safety was also assessed.

resultsAt baseline, 35.7% (348/975) of patients were taking corticosteroids. At induction week 12, greater rates were observed for clinical, endoscopic, and patient-reported outcomes in RZB 1200 mg-treated patients compared with PBO, regardless of baseline corticosteroid use. RZB 180 mg and 360 mg treatment resulted in higher corticosteroid discontinuation rates (RZB 180 mg 64.9% [48/74]; RZB 360 mg 54.2% [32/59]; PBO [withdrawal] 36.8% [25/68], P ≤ .01) and corticosteroid-free clinical, endoscopic, and patient-reported outcomes at week 52, compared with PBO (withdrawal). The rates of treatment-emergent adverse events were similar regardless of baseline corticosteroid use during induction and maintenance.

conclusionsThe efficacy of RZB induction therapy was independent of corticosteroid use, with high rates of corticosteroid-free outcomes observed in the overall population and among patients with baseline corticosteroid use, reaffirming the potential of RZB to serve as a corticosteroid-sparing therapy for patients with ulcerative colitis. CLINICALTRIAL.GOV NUMBERS: NCT03398148 and NCT03398135.

Indexed as

Adrenal Cortex HormonesAntibodies, MonoclonalColitis, UlcerativeGastrointestinal AgentsAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresSeverity of Illness IndexTreatment OutcomeAdrenal Cortex HormonesAntibodies, MonoclonalGastrointestinal AgentsrisankizumabcorticosteroidsIL-23 inhibitorrisankizumabulcerative colitis

Identifiers

PMID40168091
PMCPMC11976722

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.