Evidence map›Paper›PMID 40307703›Full record

ArticleBMC gastroenterology2025

Vedolizumab-steroid combination therapy improves long-term prognosis in patients with ulcerative colitis.

Yosuke Yamada, Natsuki Ishida, Tomohiro Takebe, Kenichi Takahashi, Yusuke Asai, Satoshi Tamura, Tomoharu Matsuura, Ryosuke Takano, Ai Matsuura, Mihoko Yamade and 9 more

Abstract read
In one paragraph

Article in BMC gastroenterology, 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

19 authors.

Yosuke YamadaDepartment of Gastroenterology, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.
Natsuki IshidaFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan. ma03006@hama-med.ac.jp.
Tomohiro TakebeFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Kenichi TakahashiFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Yusuke AsaiFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Satoshi TamuraFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Tomoharu MatsuuraDepartment of Laboratory Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Ryosuke TakanoDepartment of Gastroenterology, Hamamatsu Rosai Hospital, Hamamatsu, Shizuoka, Japan.
Ai MatsuuraDepartment of Gastroenterology, Hamamatsu Rosai Hospital, Hamamatsu, Shizuoka, Japan.
Mihoko YamadeFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Moriya IwaizumiDepartment of Laboratory Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Yasushi HamayaFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Takanori YamadaDepartment of Endoscopic and Photodynamic Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Satoshi OsawaDepartment of Endoscopic and Photodynamic Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Yashiro YoshizawaDepartment of Gastroenterology, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.
Yoshisuke HosodaDepartment of Gastroenterology, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.
Yuji OtaDepartment of Gastroenterology, Hamamatsu Rosai Hospital, Hamamatsu, Shizuoka, Japan.
Hiroyuki HanaiDepartment of Gastroenterology, Hamamatsu Rosai Hospital, Hamamatsu, Shizuoka, Japan.
Ken SugimotoFirst Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn real-world clinical settings, the clinical efficacy of vedolizumab (VDZ) in patients with ulcerative colitis (UC) remains unclear. In this study, we aimed to evaluate the efficacy of prednisolone (PSL)-VDZ combination therapy in patients with UC.

methodsChanges in the clinical activity index (CAI), blood test results, and the factors affecting VDZ rate and continuity were investigated. Patients who received at least 20 mg PSL within 1 week of VDZ induction were included in the VDZ + rapid PSL induction (VDZ + rPSL) group, and the remaining were assigned to the non-VDZ + rPSL group. Failure and non-failure in both groups were compared.

resultsWe conducted a comparative analysis of 38 patients with UC treated with VDZ (VDZ + rPSL, n = 14; non-VDZ + rPSL, n = 24). The CAI in both groups improved significantly from week 2 to 24 compared with the pretreatment values (P < 0.01). Clinical remission and response at week 8 were significantly higher in the VDZ + rPSL group than in the non-VDZ + rPSL group (85.7% vs. 37.5%, P < 0.01 and 85.7% vs. 41.7%, P = 0.02, respectively). Kaplan-Meier analysis showed a significant difference in the failure-free rate between the two groups (log-rank test, P = 0.02). In the VDZ + rPSL group, only C-reactive protein (CRP) levels significantly improved in non-failure at week 2 (P=0.04).

conclusionsVDZ + rPSL induction therapy is beneficial for UC treatment. CRP levels 2 weeks after VDZ induction may influence the continuation rate in the VDZ + rPSL group.

Indexed as

Antibodies, Monoclonal, HumanizedColitis, UlcerativeGastrointestinal AgentsGlucocorticoidsPrednisoloneAdultC-Reactive ProteinDrug Therapy, CombinationFemaleHumansMaleMiddle AgedPrognosisRemission InductionSeverity of Illness IndexTreatment OutcomeAntibodies, Monoclonal, HumanizedC-Reactive ProteinGastrointestinal AgentsGlucocorticoidsPrednisolonevedolizumabC-reactive proteinSteroidUlcerative colitisVedolizumab

Identifiers

PMID40307703
PMCPMC12042623

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.