Evidence map›Paper›PMID 40721990›Full record

ArticlePharmacoepidemiology and drug safety2025

Colectomy and Neoplasia Outcomes of Patients With Ulcerative Colitis Receiving Golimumab: A Post-Authorisation Safety Study Using the Spanish ENEIDA Registry.

Eugeni Domènech, Joan Fortuny, David Martínez, Anita Tormos, Zhiping Huang, Deanna D Hill, Cindy Weinstein, Suzan Esslinger, Alexis A Krumme, Marijo Otero-Lobato and 3 more

Abstract read
In one paragraph

Article in Pharmacoepidemiology and drug safety, 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

13 authors.

Eugeni DomènechGastroenterology Department, Hospital Universitari Germans Trias i Pujol, Autonomous University of Barcelona, Barcelona, Spain.
Joan FortunyRTI Health Solutions, Barcelona, Spain.
David MartínezRTI Health Solutions, Barcelona, Spain.
Anita TormosRTI Health Solutions, Barcelona, Spain.
Zhiping HuangMerck & Co., Inc., Rahway, New Jersey, USA.
Deanna D HillMerck & Co., Inc., Rahway, New Jersey, USA.
Cindy WeinsteinMerck & Co., Inc., Rahway, New Jersey, USA.
Suzan EsslingerJohnson & Johnson Innovative Medicine, Zug, Switzerland.
Alexis A KrummeJohnson & Johnson, Titusville, New Jersey, USA.
Marijo Otero-LobatoJohnson & Johnson Innovative Medicine Biologics B.V., Leiden, the Netherlands.
Daniel MinesRTI Health Solutions, Durham, North Carolina, USA.
Javier P GisbertCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.
ENEIDA Study Group of GETECCU

Funding

This study was funded by Merck Sharp & Dohme LLC (MSD), a subsidiary of Merck & Co., Inc., Rahway, New Jersey, USA. RTI Health Solutions, an independent nonprofit research organisation, received funding under a research contract with MSD to conduct this study and provide publication support in the form of manuscript writing, styling, and submission. MSD reviewed and provided input on the study documents but did not have a final decision on the study design, analyses, or interpretation of the data
6 · The paper itself

Abstract

purposeGolimumab (GLM), an anti-tumour necrosis factor alpha (anti-TNFα) agent, is indicated for moderate to severe ulcerative colitis (UC). This post-authorisation safety study evaluated the risk of colectomy due to intractable disease and advanced colonic neoplasia (high-grade dysplasia and/or colorectal cancer) under real-world conditions of GLM use.

methodsThis bidirectional cohort study using Spanish ENEIDA registry data (2013-2022) included adults with UC who initiated GLM, other anti-TNFα agents, or thiopurines (TPs). Crude risk analyses-and, when feasible, multivariable models-in cohort and nested case-control designs were performed. For colectomy, we evaluated exposure to GLM only, other anti-TNFα agents, and both (i.e., overlapping exposure). For ACN, we evaluated exposure to GLM, other anti-TNFα agents, and TPs.

resultsSixty-four colectomy cases and 10 ACN cases were identified among patients exposed to GLM (N = 474), other anti-TNFα agents (N = 1737), or TPs (N = 1380). Incidence rates per 1000 person-years and 95% confidence intervals were reported for colectomy (GLM-only [4.4, 1.2-11.2] and other anti-TNFα agents only [12.4, 9.1-16.5]) and ACN (GLM [1.5, 0.2-5.4], other anti-TNFα agents [1.3, 0.5-2.8], and TPs [1.0, 0.3-2.6]). In comparisons excluding overlapping exposure, GLM was not associated with an increased risk of colectomy versus other anti-TNFα agents. GLM was also not associated with an increased risk of ACN versus either comparator. Observed events, especially for ACN, were limited for all exposures.

conclusionsFindings do not indicate an increased risk of colectomy due to intractable disease or ACN with GLM use versus other therapies for similar disease severity in routine UC care (EUPAS15752).

Indexed as

Antibodies, MonoclonalColectomyColitis, UlcerativeColonic NeoplasmsAdultAgedCase-Control StudiesCohort StudiesFemaleHumansMaleMiddle AgedProduct Surveillance, PostmarketingRegistriesSpainTumor Necrosis Factor-alphaAntibodies, MonoclonalgolimumabTumor Necrosis Factor-alphabiologicscolectomycolorectal cancerepidemiologyinflammatory bowel disease (IBD)ulcerative colitis

Identifiers

PMID40721990
PMCPMC12319186

What OpenQuestion holds

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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.