Evidence map›Paper›PMID 40791090›Full record

ArticleIntestinal research2026

Real-world effectiveness and safety of carotegrast methyl in patients with ulcerative colitis: a multicenter retrospective cohort study.

Ryoji Koshiba, Kazuki Kakimoto, Takuya Inoue, Makoto Sanomura, Mitsuyuki Murano, Hiroaki Ito, Yoshihiko Nakanishi, Ken Kawakami, Noboru Mizuta, Keijiro Numa and 9 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 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

19 authors.

Ryoji Koshiba2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.
Kazuki Kakimoto2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.
Takuya InoueInoue Gastroenterology and Endoscopy Clinic, Izumiotsu, Japan.
Makoto SanomuraDepartment of Gastroenterology, Hokusetsu General Hospital, Takatsuki, Japan.
Mitsuyuki MuranoMurano Clinic, Osaka, Japan.
Hiroaki ItoKinshukai Infusion Clinic, Osaka, Japan.
Yoshihiko NakanishiDepartment of Gastroenterology, Hirakata City Hospital, Hirakata, Japan.
Ken KawakamiDepartment of Gastroenterology, Moriguchi Keijinkai Hospital, Moriguchi, Japan.
Noboru Mizuta2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.
Keijiro Numa2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.
Naohiko Kinoshita2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.
Kei Nakazawa2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.
Azusa HaraKinshukai Infusion Clinic, Osaka, Japan.
Yuki Hirata2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.
Naokuni SakiyamaDepartment of Gastroenterology, Hokusetsu General Hospital, Takatsuki, Japan.
Shoko ArimitsuKinshukai Infusion Clinic, Osaka, Japan.
Takako Miyazaki2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.
Shiro Nakamura2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.
Hiroki Nishikawa2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsCarotegrast methyl is a novel small-molecule drug that inhibits α4 integrin. It is prescribed for up to 6 months in patients with moderate ulcerative colitis who have demonstrated an inadequate response to or intolerance of 5-aminosalicylic acid. However, only a few clinical trials have been conducted to assess its effectiveness. This study aimed to evaluate the efficacy and safety of carotegrast methyl in patients with ulcerative colitis.

methodsThis multicenter retrospective study included patients with active ulcerative colitis treated with carotegrast methyl between March 2022 and October 2024. The primary outcome was the clinical remission rate following treatment with carotegrast methyl. Secondary outcomes included the clinical response rate, predictors of clinical remission, ulcerative colitis relapse rate after discontinuing carotegrast methyl, and incidence of adverse events.

resultsThis study included 62 patients who received carotegrast methyl treatment. The median duration of administration was 84 days, with 48.4% of patients achieving clinical remission at the time of carotegrast methyl discontinuation. In 42 patients with corticosteroid/advanced therapies-naive disease, the clinical remission rate was 54.8%. Multivariate analysis identified the baseline partial Mayo score as an independent predictor of clinical remission. Among those who achieved clinical remission, 34.8% experienced a relapse with a median time to relapse of 152 days. Adverse events occurred in 8 patients, but none were serious.

conclusionsCarotegrast methyl demonstrated good efficacy and safety, potentially benefiting patients with low baseline disease activity. This drug may be a useful treatment option to consider before systemic corticosteroid therapy for ulcerative colitis.

Indexed as

Carotegrast methylIntegrinsUlcerative colitis

Identifiers

PMID40791090
PMCPMC13153854

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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.