Evidence map›Paper›PMID 40606851›Full record

ArticleRheumatology and immunology research2025

Predicting response to infliximab and interferon-α in Behçet's syndrome: An exploratory analysis from the BIO-BEHÇET'S randomized controlled trial.

Robert J Moots, Farida Fortune, Richard Jackson, Tony Thornburn, Ann W Morgan, Daniel F Carr, Philip I Murray, Christian Ludwig, Graham Wallace, Deva Situnayake

Abstract read
In one paragraph

Article in Rheumatology and immunology research, 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. Behçet's Syndrome.Current rheumatology reports · 2026
    Review
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

10 authors.

Robert J MootsFaculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK.ORCID https://orcid.org/0000-0001-7019-6211
Farida FortuneQueen Mary University of London, UK; Barts Health NHS Trust, The London Hospital, London UK.
Richard JacksonLiverpool Clinical Trials Centre, University of Liverpool, Liverpool UK.
Tony ThornburnBehçet's UK, Kemp House, 152-160 City Road, London, UK.
Ann W MorganLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, UK and NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds UK.
Daniel F CarrInstitute of Systems, Molecular and Integrated Biology, University of Liverpool, Liverpool UK.
Philip I MurrayDepartment of Inflammation and Ageing, University of Birmingham, Birmingham UK.
Christian LudwigDepartment of Inflammation and Ageing, University of Birmingham, Birmingham UK.
Graham WallaceDepartment of Inflammation and Ageing, University of Birmingham, Birmingham UK.
Deva SitunayakeDepartment of Rheumatology, Sandwell and West Birmingham Hospitals, Birmingham UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: Biologic therapy has been used for Behçet's Syndrome after first-line immunomodulation, but in the absence of high-quality evidence or predictive biomarkers. BIO-BEHÇET'S was a randomized controlled clinical trial to compare the two most widely used biologics for Behçet's Syndrome at that time, infliximab versus interferon-α2a, and identify potential biomarkers for response. Methods: A total of 79 patients with active Behçet's Syndrome were randomized to either infliximab (REMICADE) or interferon-α2a (ROFERON) according to the UK national treatment pathway, and follow-up with symptom-directed examination undertaken at Weeks 12 and 24. The head-to-head trial included an exploratory analysis on the potential role of single nucleotide polymorphisms (SNPs) and urinary metabolomic to act as biomarkers for drug response. Genotypic analysis was performed to determine whether four SNPs in Results: Genetic data suggested potential association between outcomes and carriage of rs4803221 or rs7248668 variants in the Conclusion: BIO-BEHÇET'S suggests there is potential for a novel metabolomic biomarker that can identify response to infliximab in patients with Behçet's Syndrome. Further work will characterize the appropriate metabolite (s) from existing samples to inform future prospective trials to study this in more detail clinically.

Indexed as

Behçet’sIFNL3infliximabinterferonmetabolomic

Identifiers

PMID40606851
PMCPMC12212634

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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.