Evidence map›Paper›PMID 40666243›Full record

ReviewPediatric discovery2025

A Review of the Current State of Off-Label Therapies for Pediatric Inflammatory Bowel Disease.

Yassin El-Najjar, Mary-Joe Touma, Shuai Tan, Xiaoqin Zhou, Qi Liu

Abstract readReview
In one paragraph

Review in Pediatric discovery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Yassin El-NajjarDepartment of Internal Medicine University of Texas Southwestern Medical Center Dallas Texas USA.ORCID https://orcid.org/0009-0007-8879-9062
Mary-Joe ToumaDepartment of Internal Medicine University of Texas Southwestern Medical Center Dallas Texas USA.
Shuai TanDepartment of Internal Medicine University of Texas Southwestern Medical Center Dallas Texas USA.
Xiaoqin ZhouDepartment of Gastroenterology Children's Hospital of Chongqing Medical University National Clinical Research Center for Child Health and Disorders Ministry of Education Key Laboratory of Child Development and Disorders China International Science and Technology Cooperation Base of Child Development and Critical Disorders Chongqing Key Laboratory of Child Rare Diseases in Infection and Immunity Chongqing China.ORCID https://orcid.org/0000-0002-8750-7714
Qi LiuDepartment of Internal Medicine University of Texas Southwestern Medical Center Dallas Texas USA.ORCID https://orcid.org/0000-0003-1732-1209

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Off-label use of biologic therapies in patients with pediatric inflammatory bowel disease (IBD) has seen an increase in utilization. In this paper, we review the current state of off-label therapies in the pediatric IBD population. Real-world use of ustekinumab (UST), vedolizumab (VDZ), upadacitinib (UPA), tofacitinib, and ozanimod in the adult population could prove positive outcomes in the pediatric population. Established off-label therapies inch closer to comparable safety, efficacy, and outcomes in pediatric IBD use. Outcomes and use of newer biologic therapies in patients with pediatric IBD have improved with increased rates of steroid-free clinical remission (SFCR). Novel therapies, including Janus kinase (JAK) inhibitors and sphingosine-1-phosphate receptor (S1Pr) modulators, require further studies but could also prove effective.

Indexed as

biologic therapyCrohn’s disease (CD)pediatric inflammatory bowel diseasesmall moleculeulcerative colitis (UC)

Identifiers

PMID40666243
PMCPMC12258086

What OpenQuestion holds

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Registered trials

None linked

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.