Evidence map›Paper›PMID 41017298›Full record

ArticleIntestinal research2026

Filgotinib effectiveness and safety as second or third-line therapy in patients with ulcerative colitis: data from a real-world study.

Antonio Tursi, Giammarco Mocci, Francesco Costa, Linda Ceccarelli, Edoardo Savarino, Caterina De Barba, Caterina Mucherino, Elvira D'Antonio, Laura Montesano, Manuela Marzo and 47 more

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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 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.

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4 · The record

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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

57 authors.

Antonio TursiTerritorial Gastroenterology Service, ASL BAT, Andria, Italy.
Giammarco MocciDivision of Gastroenterology, AORN "Brotzu" Hospital, Cagliari, Italy.
Francesco CostaIBD Unit, Department of General Surgery and Gastroenterology, Pisa University Hospital, Pisa, Italy.
Linda CeccarelliIBD Unit, Department of General Surgery and Gastroenterology, Pisa University Hospital, Pisa, Italy.
Edoardo SavarinoGastroenterology Unit, Azienda Ospedale-Università di Padova (AOUP), Padua, Italy.
Caterina De BarbaGastroenterology Unit, Azienda Ospedale-Università di Padova (AOUP), Padua, Italy.
Caterina MucherinoDivision of Gastroenterology, Azienda Ospedaliera "S. Anna e S. Sebastiano", Caserta, Italy.
Elvira D'AntonioDivision of Gastroenterology, Azienda Ospedaliera "S. Anna e S. Sebastiano", Caserta, Italy.
Laura MontesanoDivision of Gastroenterology, Azienda Ospedaliera "S. Anna e S. Sebastiano", Caserta, Italy.
Manuela MarzoDivision of Gastroenterology, "Veris-Delli Ponti" Hospital, Scorrano (LE), Italy.
Franco ScaldaferriDigestive Diseases Centre (CEMAD), Department of Medical and Surgical Sciences, Policlinico Universitario "A. Gemelli" Foundation, IRCCS, Rome, Italy.
Daniele NapolitanoDigestive Diseases Centre (CEMAD), Department of Medical and Surgical Sciences, Policlinico Universitario "A. Gemelli" Foundation, IRCCS, Rome, Italy.
Daniela PuglieseDigestive Diseases Centre (CEMAD), Department of Medical and Surgical Sciences, Policlinico Universitario "A. Gemelli" Foundation, IRCCS, Rome, Italy.
Antonietta Gerarda GravinaDepartment of Precision Medicine, Hepatogastroenterology and Digestive Endoscopy Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Raffaele PellegrinoDepartment of Precision Medicine, Hepatogastroenterology and Digestive Endoscopy Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Rocco SpagnuoloDepartment of Health Science, University of Catanzaro, Catanzaro, Italy.
Francesco LuzzaDepartment of Health Science, University of Catanzaro, Catanzaro, Italy.
Antonio CuomoDivision of Gastroenterology, "Umberto I" Hospital, Nocera Inferiore (SA), Italy.
Laura DonnarummaDivision of Gastroenterology, "Umberto I" Hospital, Nocera Inferiore (SA), Italy.
Giovanni MaconiGastroenterology Unit, Department of Biomedical and Clinical Sciences, "L. Sacco" University Hospital, Milan, Italy.
Giovanni CatalettiGastroenterology Unit, Department of Biomedical and Clinical Sciences, "L. Sacco" University Hospital, Milan, Italy.
Lorenzo BertaniDivision of Gastroenterology, "Felice Lotti" Hospital, Azienda USL Toscana Nord Ovest, Pontedera (PI), Italy.
Giorgia BodiniDepartment of Internal Medicine and Medical Specialities, Division of Gastroenterology, IRCCS "San Martino" Hospital, University of Genoa, Genoa, Italy.
Andrea PastaDepartment of Internal Medicine and Medical Specialities, Division of Gastroenterology, IRCCS "San Martino" Hospital, University of Genoa, Genoa, Italy.
Simona PiergalliniDivision of Gastroenterology, IBD Unit, "A. Murri" Hospital, Fermo, Italy.
Mariaelena SerioDivision of Gastroenterology, "San Salvatore" Hospital, Pesaro, Italy.
Antonella ScarcelliDivision of Gastroenterology, "San Salvatore" Hospital, Pesaro, Italy.
Pietro CaponeDivision of Gastroenterology, "T. Maresca" Hospital, Torre del Greco, Italy.
Fabio CortelliniDivision of Gastroenterology, "Infermi" Hospital, Rimini, Italy.
Stefano RodinoDivision of Gastroenterology, "Ciaccio-Pugliese" Hospital, Catanzaro, Italy.
Ladislava SebkovaDivision of Gastroenterology, "Ciaccio-Pugliese" Hospital, Catanzaro, Italy.
Giuliana VespereDivision of Gastroenterology, "Ospedale del Mare", ASL Na1, Naples, Italy.
Silvia SeddaDivision of Gastroenterology, "Ospedale del Mare", ASL Na1, Naples, Italy.
Vittorio D'OnofrioDivision of Gastroenterology, "Ospedale del Mare", ASL Na1, Naples, Italy.
Leonardo De LucaDivision of Gastroenterology, "Ospedale del Mare", ASL Na1, Naples, Italy.
Federica GaianiGastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Stefano KayaliGastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Cristiano PagniniDivision of Gastroenterology, "S. Giovanni - Addolorata" Hospital, Rome, Italy.
Maria Giovanna GrazianiDivision of Gastroenterology, "S. Giovanni - Addolorata" Hospital, Rome, Italy.
Maria Carla Di PaoloDivision of Gastroenterology, "S. Giovanni - Addolorata" Hospital, Rome, Italy.
Leonardo AllegrettaDivision of Gastroenterology, "Santa Caterina Novella" Hospital, Galatina, Italy.
Alessia Immacolata CazzatoDivision of Gastroenterology, "Santa Caterina Novella" Hospital, Galatina, Italy.
Stefano ScorzaDivision of Gastroenterology, "Santa Caterina Novella" Hospital, Galatina, Italy.
Antonio FerronatoDigestive Endoscopy Unit, ULSS7 Pedemontana, Santorso, Italy.
Davide Giuseppe RibaldoneDepartment of Medical Sciences, Division of Gastroenterology, University of Turin, IBD Unit, "A.O.U. Citta della Salute e della Scienza di Torino", Turin, Italy.
Giovanni AragonaDivision of Gastroenterology, "Guglielmo da Saliceto" Hospital, Piacenza, Italy.
Patrizia PerazzoDivision of Gastroenterology, "Guglielmo da Saliceto" Hospital, Piacenza, Italy.
Giacomo FortiDivision of Digestive Endoscopy, "S. Maria Goretti" Hospital, Latina, Italy.
Michela Di FonzoDivision of Gastroenterology, "Ospedale dei Castelli", Ariccia, Italy.
Federico IacopiniDivision of Gastroenterology, "Ospedale dei Castelli", Ariccia, Italy.
Roberta PicaDivision of Gastroenterology, IBD Unit, "S. Pertini" Hospital, Rome, Italy.
Claudio CassieriDivision of Gastroenterology, IBD Unit, "S. Pertini" Hospital, Rome, Italy.
Francesca Maria OnidiDivision of Gastroenterology, AORN "Brotzu" Hospital, Cagliari, Italy.
Paolo Usai SattaDivision of Gastroenterology, AORN "Brotzu" Hospital, Cagliari, Italy.
Walter EliseiDivision of Gastroenterology, A.O. "S. Camillo-Folanini", Rome, Italy.
Marcello PicchioDivision of General Surgery, "P. Colombo" Hospital, ASL Roma 6, Velletri, Italy.
Alfredo PapaDigestive Diseases Centre (CEMAD), Department of Medical and Surgical Sciences, Policlinico Universitario "A. Gemelli" Foundation, IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsReal-world data on the use of filgotinib (FILGO) in patients with ulcerative colitis (UC) are limited. This study aims to provide consistent results on the effectiveness and safety of FILGO in treating UC.

methodsA retrospective assessment of clinical and endoscopic activity was conducted in a cohort of patients with UC according to the full Mayo score. The primary co-endpoints of the study were the evaluation of the effectiveness and safety of FILGO.

resultsWe enrolled 102 patients with a median follow-up of 24 weeks (interquartile range, 8-24 weeks). At 8 weeks and the end of follow-up, clinical remission was achieved by 38 (37.2%) and 47 (46.1%) patients, respectively. Clinical remission was achieved in 13 of 18 patients (72.2%) receiving first-line therapy, 7 of 19 patients (36.8%) receiving second-line therapy, and 27 of 65 patients (41.5%) receiving third-line therapy (P= 0.002). Clinical remission at 8 weeks predicted clinical remission at the end of follow-up (P= 0.021). Age > 40 years (P= 0.046) and being on second- or third-line of treatment (P= 0.005) were negative predictors for clinical remission. Seventy-one patients (69.6%) achieved a clinical response. At endoscopic evaluation, mucosal healing was observed in 18 out of 30 patients (60.0%). Steroid-free remission was present in 38 out of 46 patients (82.6%). Five patients (4.9%) needed colectomy. Adverse events were recorded in 6 patients (5.8%): 2 cases (2%) were severe, requiring discontinuation of FILGO.

conclusionsOur real-world data confirms that FILGO is safe and effective for patients with UC. Its efficacy is significantly improved when used as a first-line treatment.

Indexed as

FilgotinibReal lifeRemissionSafetyUlcerative colitis

Identifiers

PMID41017298
PMCPMC13153844

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