Evidence map›Paper›PMID 40454138›Full record

ArticleFrontiers in medicine2025

Switching from intravenous to subcutaneous infliximab in patients with immune mediated diseases in clinical remission.

Nikos Viazis, Anastasios Karamanakos, Konstantinos Mousourakis, Angeliki Christidou, Fotios Fousekis, Konstantinos Mpakogiannis, Anastasios Koukoudis, Konstantinos Katsanos, Dimitrios Christodoulou, Myrto Cheila and 26 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

36 authors.

Nikos ViazisGastroenterology Department, Evangelismos General Hospital, Athens, Greece.
Anastasios KaramanakosRheumatology Department, Evangelismos General Hospital, Athens, Greece.
Konstantinos MousourakisGastroenterology Department, Evangelismos General Hospital, Athens, Greece.
Angeliki ChristidouGastroenterology Department, Evangelismos General Hospital, Athens, Greece.
Fotios FousekisGastroenterology Department, University Hospital of Ioannina, Ioannina, Greece.
Konstantinos MpakogiannisGastroenterology Department, University Hospital of Ioannina, Ioannina, Greece.
Anastasios KoukoudisGastroenterology Department, University Hospital of Ioannina, Ioannina, Greece.
Konstantinos KatsanosGastroenterology Department, University Hospital of Ioannina, Ioannina, Greece.
Dimitrios ChristodoulouGastroenterology Department, University Hospital of Ioannina, Ioannina, Greece.
Myrto CheilaRheumatology Department, Evangelismos General Hospital, Athens, Greece.
Maria TzouvalaGastroenterology Department, General Hospital Nikaia Piraeus, "Agios Panteleimon", Athens, Greece.
Eirini ZacharopoulouGastroenterology Department, General Hospital Nikaia Piraeus, "Agios Panteleimon", Athens, Greece.
Maria PalatianouGastroenterology Department, General Hospital Nikaia Piraeus, "Agios Panteleimon", Athens, Greece.
Olga GioulemeGastroenterology Department, Second Propedeutic Department of Internal Medicine, Hippokration General Hospital, Thessaloniki, Greece.
Anastasia KatsoulaGastroenterology Department, Second Propedeutic Department of Internal Medicine, Hippokration General Hospital, Thessaloniki, Greece.
Christos LiatsosGastroenterology Department, General Hospital Alexandra, Heraklion, Greece.
Nikolaos KyriakosGastroenterology Department, General Hospital Alexandra, Heraklion, Greece.
Evi ZampeliGastroenterology Department, Venizeleio General Hospital, Heraklion, Greece.
Evgenia PapathanasiouGastroenterology Department, Venizeleio General Hospital, Heraklion, Greece.
Angeliki TheodoropoulouGastroenterology Department, Erythros Stavros, Athens, Greece.
Konstantinos KarmirisGastroenterology Department, Erythros Stavros, Athens, Greece.
Ioannis PsaroudakisGastroenterology Department, Erythros Stavros, Athens, Greece.
George TriboniasRheumatology Department, KAT Athens, Greece.
Souzanna GaziRheumatology Department, General Hospital Ippokrateio Thessaloniki, Thessaloniki, Greece.
Evangelia MoleRheumatology Department, General Hospital Ippokrateio Thessaloniki, Thessaloniki, Greece.
Theodoros DimitroulasRheumatology Department Ippokrateio Athens, Athens, Greece.
Christos KoutsianasRheumatology Department, Joint Academic Rheumatology Centre, "Laiko" General Hospital, Athens, Greece.
Dimitris VassilopoulosRheumatology Department, Joint Academic Rheumatology Centre, "Laiko" General Hospital, Athens, Greece.
George E FragoulisFirst Department of Internal Medicine, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.
Nikos MichalakeasFirst Department of Internal Medicine, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.
Charalampos PapagorasDermatology Department, Andreas Syggros Hospital, Athens, Greece.
Pantelis PanagakisDepartment of Dermatology, Andreas Syggros Hospital, Athens, Greece.
Marina PapoutsakiDepartment of Dermatology, Andreas Syggros Hospital, Athens, Greece.
Vasiliki ChasapiDepartment of Dermatology, Andreas Syggros Hospital, Athens, Greece.
Alexandros StratigosDepartment of Dermatology, Andreas Syggros Hospital, Athens, Greece.
George KatsikasRheumatology Department, Evangelismos General Hospital, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To report on the efficacy and safety of elective switching from intravenously (IV) to subcutaneously (SC) administered Infliximab (IFX) in patients with immune mediated diseases. Methods: Retrospective analysis of patients with Crohn's disease (CD), Ulcerative Colitis (UC), Spondyloarthritis (SpA), Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA) and chronic plaque Psoriasis (PsO) who were receiving IFX-IV for maintenance of remission in tertiary referral centers and were switched to IFX-SC based on their physician's choice. All patients with gastrointestinal and skin diseases were in clinical remission, while those with musculoskeletal disease had inactive disease or low disease activity. The primary endpoint was disease deterioration during a follow up period, of at least 6 months, according to disease specific composite measures. Results: Between April 2023 and April 2024, a total of 344 patients (CD = 136, UC = 62, SpA = 52, PsA = 38, RA = 7, PsO = 44, co-existence of more than one disease = 5) were switched from IFX-IV to IFX-SC. After a mean±SD follow up period of 8 ± 4 months, 12 patients (3.5%) discontinued treatment with IFX-SC. Five of them (1.5%) because of disease worsening and the remaining 7 (2.0%) because of the occurrence of side effects. All 332 other patients (96.5%) showed favorable response, none of them requested an unscheduled visit, or developed an adverse event (clinical or laboratory) or needed escalation of treatment. Conclusion: Elective switching from IFX-IV to IFX-SC seems to be an effective and safe approach in real-world every day clinical practice to maintain long-term clinical remission, inactive disease or low disease activity in patients with immune-mediated diseases.

Indexed as

Crohn diseaseinfliximab (ifx)psoriasispsoriatic arthritisspondyloarthritisswitchulcerrative colitis

Identifiers

PMID40454138
PMCPMC12123688

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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.