Evidence map›Paper›PMID 40659337›Full record

ArticleIntestinal research2026

Week 2 remission with vedolizumab as a predictor of long-term remission in patients with ulcerative colitis: a multicenter, retrospective, observational study.

Taku Kobayashi, Tadakazu Hisamatsu, Satoshi Motoya, Toshimitsu Fujii, Reiko Kunisaki, Tomoyoshi Shibuya, Minoru Matsuura, Ken Takeuchi, Sakiko Hiraoka, Hiroshi Yasuda and 11 more

Abstract read
In one paragraph

Article in Intestinal research, 2026. 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. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Taku KobayashiCenter for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.
Tadakazu HisamatsuDepartment of Gastroenterology and Hepatology, Kyorin University School of Medicine, Tokyo, Japan.
Satoshi MotoyaInflammatory Bowel Disease Center, Sapporo-Kosei General Hospital, Sapporo, Japan.
Toshimitsu FujiiDepartment of Gastroenterology and Hepatology, Institute of Science Tokyo, Tokyo, Japan.
Reiko KunisakiInflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama, Japan.
Tomoyoshi ShibuyaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Minoru MatsuuraDepartment of Gastroenterology and Hepatology, Kyorin University School of Medicine, Tokyo, Japan.
Ken TakeuchiDepartment of Gastroenterology and Hepatology, IBD Center, Tsujinaka Hospital Kashiwanoha, Kashiwa, Japan.
Sakiko HiraokaDepartment of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan.
Hiroshi YasudaDepartment of Gastroenterology, St. Marianna University School of Medicine, Kawasaki, Japan.
Kaoru YokoyamaDepartment of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Japan.
Noritaka TakatsuInflammatory Bowel Disease Center, Fukuoka University Chikushi Hospital, Chikushino, Japan.
Atsuo MaemotoInflammatory Bowel Disease Center, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.
Toshiyuki TaharaDepartment of Gastroenterology, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan.
Keiichi TominagaDepartment of Gastroenterology, Dokkyo Medical University, Mibu, Japan.
Masaaki ShimadaDepartment of Gastroenterology, NHO Nagoya Medical Center, Nagoya, Japan.
Nobuaki KunoDepartment of Gastroenterology and Medicine, Fukuoka University Hospital, Fukuoka, Japan.
Mary CavaliereJapan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan.
Kaori IshiguroJapan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan.
Jovelle L FernandezJapan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan.
Toshifumi HibiCenter for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.

Funding

Takeda Pharmaceutical Company Limited
6 · The paper itself

Abstract

BACKGROUND/

aimsVedolizumab (VDZ), a gut-selective monoclonal antibody for ulcerative colitis (UC) treatment, has no established biomarkers or clinical features that predict long-term remission. Week 2 remission, a potential predictor of long-term remission, could inform maintenance treatment strategy.

methodsThis retrospective, observational chart review included patients with UC in Japan who initiated VDZ between December 2018 and February 2020. Outcome measures included 14- and 54-week remission rates in patients with week 2 and non-week 2 remission (remission by week 14), 54-week remission rates in patients with week 14 remission and primary nonresponse, and predictive factors of week 2 and week 54 remission (logistic regression).

resultsOverall, 332 patients with UC (176 biologic-naïve and 156 biologic-non-naïve) were included. Significantly more biologic-naïve than biologic-non-naïve patients achieved week 2 remission (36.9% vs. 28.2%; odds ratio [OR], 1.43; 95% confidence interval [CI], 1.05-1.94; P= 0.0224). Week 54 remission rates were significantly different between week 14 remission and primary nonresponse (both groups: P< 0.0001), and between week 2 and non-week 2 remission (all patients: OR, 2.41; 95% CI, 1.30-4.48; P= 0.0052; biologic-naïve patients: OR, 2.40; 95% CI, 1.10-5.24; P= 0.0280). Week 2 remission predictors were male sex, no anti-tumor necrosis factor alpha exposure, and normal/mild endoscopic findings. Week 54 remission was significantly associated with week 2 remission and no tacrolimus use.

conclusionsWeek 2 remission with VDZ is a predictor of week 54 remission in patients with UC. Week 2 may be used as an evaluation point for UC treatment decisions. (Japanese Registry of Clinical Trials: jRCT-1080225363).

Indexed as

Colitis, ulcerativeInflammatory bowel diseasesJapanVedolizumab

Identifiers

PMID40659337
PMCPMC13153852

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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.