Evidence map›Paper›PMID 40937050›Full record

ArticleAnnals of gastroenterology

Bezlotoxumab for the prevention of recurrent

Jaime A Peña, Cyril B Mazhuvanchery, Maria Julia Moura Nascimento Santos, Sidra Naz, Carolina Colli Cruz, Sharada Wali, Krishnavathana Varatharajalu, Pablo C Okhuysen, Nancy N Vuong, Yinghong Wang

Abstract read
In one paragraph

Article in Annals of gastroenterology. 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. Review
  2. Review
  3. 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.

Jaime A PeñaDivision of Pharmacy, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA (Jaime A. Peña, Nancy N. Vuong).
Cyril B MazhuvancheryDepartment of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA (Cyril B. Mazhuvanchery, Maria Julia Moura Nascimento Santos, Sidra Naz, Carolina Colli Cruz, Sharada Wali, Krishnavathana Varatharajalu, Yinghong Wang).
Maria Julia Moura Nascimento SantosDepartment of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA (Cyril B. Mazhuvanchery, Maria Julia Moura Nascimento Santos, Sidra Naz, Carolina Colli Cruz, Sharada Wali, Krishnavathana Varatharajalu, Yinghong Wang).
Sidra NazDepartment of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA (Cyril B. Mazhuvanchery, Maria Julia Moura Nascimento Santos, Sidra Naz, Carolina Colli Cruz, Sharada Wali, Krishnavathana Varatharajalu, Yinghong Wang).
Carolina Colli CruzDepartment of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA (Cyril B. Mazhuvanchery, Maria Julia Moura Nascimento Santos, Sidra Naz, Carolina Colli Cruz, Sharada Wali, Krishnavathana Varatharajalu, Yinghong Wang).
Sharada WaliDepartment of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA (Cyril B. Mazhuvanchery, Maria Julia Moura Nascimento Santos, Sidra Naz, Carolina Colli Cruz, Sharada Wali, Krishnavathana Varatharajalu, Yinghong Wang).
Krishnavathana VaratharajaluDepartment of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA (Cyril B. Mazhuvanchery, Maria Julia Moura Nascimento Santos, Sidra Naz, Carolina Colli Cruz, Sharada Wali, Krishnavathana Varatharajalu, Yinghong Wang).
Pablo C OkhuysenDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA (Pablo C. Okhuysen).
Nancy N VuongDivision of Pharmacy, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA (Jaime A. Peña, Nancy N. Vuong).
Yinghong WangDepartment of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA (Cyril B. Mazhuvanchery, Maria Julia Moura Nascimento Santos, Sidra Naz, Carolina Colli Cruz, Sharada Wali, Krishnavathana Varatharajalu, Yinghong Wang).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Several clinical factors increase the susceptibility of cancer patients to Methods: This was a single-center retrospective cohort study conducted at a tertiary care cancer center, including patients who received bezlotoxumab with standard-of-care antibiotics for CDI or rCDI between March 2016 and January 2023. Descriptive analyses were conducted. Results: A total of 177 patients with cancer who received bezlotoxumab were included. Most (76.8%) experienced <2 CDI episodes, whereas 23.2% experienced ≥2 episodes. Bezlotoxumab was administered a median of 10 days (interquartile range [IQR] 5-12.5) after symptom onset, and fidaxomicin was the most frequently used concurrent antibiotic (41.2%). Eleven patients (6.2%) underwent fecal microbiota transplantation before or after bezlotoxumab treatment. The overall 90-day rCDI recurrence rate was 6.2% (11 patients), with a median time to recurrence of 50 days (IQR 25-58). Conclusions: Bezlotoxumab demonstrated high efficacy in reducing rCDI within a 90-day period after administration, compared to rates in the non-cancer population. The findings suggest that administration of bezlotoxumab for rCDI prevention should be considered, given the improvement in the outcome of this high-risk group.

Indexed as

bezlotoxumabcancerClostridioides difficilepreventionrecurrent

Identifiers

PMID40937050
PMCPMC12421358

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.