Evidence map›Paper›PMID 41347625›Full record

ArticleUnited European gastroenterology journal2026

Filgotinib Is an Effective and Safe Treatment Option for Difficult-To-Treat Ulcerative Colitis: Real-World Evidence of the Dutch Initiative on Crohn and Colitis (ICC) Registry.

M R Naber, A E van der Meulen, P W Voorneveld, S H C Veltkamp, A A van Bodegraven, A Bodelier, Z Mujagic, M Pierik, L M M Verleye, M Duijvestein and 8 more

Abstract readMulticenter Study
In one paragraph

Article in United European gastroenterology journal, 2026. 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. [Advances in the clinical management of acute severe ulcerative colitis].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026
    Review
  3. 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

18 authors.

M R NaberDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0002-6546-3765
A E van der MeulenDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
P W VoorneveldDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.ORCID https://orcid.org/0000-0002-3881-4435
S H C VeltkampDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.ORCID https://orcid.org/0000-0001-5089-3677
A A van BodegravenDepartment of Gastroenterology and Hepatology, Zuyderland Hospital, Sittard, the Netherlands.ORCID https://orcid.org/0000-0003-2636-303X
A BodelierAmphia Hospital, Breda, the Netherlands.
Z MujagicMaastricht University Medical Centre, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0001-5211-0381
M PierikMaastricht University Medical Centre, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0001-6981-6516
L M M VerleyeMaastricht University Medical Centre, Maastricht, the Netherlands.ORCID https://orcid.org/0009-0000-6106-1470
M DuijvesteinRadboud University Medical Centre, Nijmegen, the Netherlands.ORCID https://orcid.org/0000-0003-4814-9376
D G BouwknegtUniversity Medical Centre Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0002-6208-2967
M C VisschedijkUniversity Medical Centre Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0001-7277-7677
N SrivastavaHaaglanden Medical Centre, The Hague, the Netherlands.
R L WestFranciscus Hospital, Rotterdam, the Netherlands.
B OldenburgDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, the Netherlands.
M LöwenbergUniversity Medical Centre Groningen, Groningen, the Netherlands.
F D M van SchaikDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, the Netherlands.ORCID https://orcid.org/0009-0003-2451-1809
Dutch ICC Registry

Funding

Initiative on Crohn and Colitis
6 · The paper itself

Abstract

backgroundFilgotinib is a preferential Janus kinase 1 (JAK-1) inhibitor registered for the treatment of ulcerative colitis (UC). Real-world effectiveness of filgotinib, especially for difficult-to-treat (DTT, failure of ≥ 2 prior advanced therapies) patients, has been scarcely reported.

objectiveThis study aimed to assess the effectiveness and safety of filgotinib for UC patients in routine care.

methodsThe Dutch ICC registry enrolled UC patients initiating filgotinib and prospectively evaluated outcomes up to 52 weeks. The primary outcome was corticosteroid-free clinical remission (CSFR, Simple Clinical Colitis Activity Index [SCCAI] ≤ 2 without steroid use) at week 52. Secondary outcomes included clinical remission (SCCAI ≤ 2), biochemical remission (C-reactive protein serum concentration < 5 mg/L and/or faecal calprotectin level < 250 μg/g), treatment persistence and safety.

resultsA total of 96 UC patients were included. At 52 weeks, 39.5% (34/76) of patients with disease activity at baseline were in CSFR. Out of the patients that met the criteria for DTT disease (n = 68; 71%), 36.4% achieved CSFR. Treatment persistence at 52 weeks was 71.4% (CI 56.5-90.3) and 53.4% (CI 42.6-67.0) for non-DTT and DTT patients, respectively. The main reasons for discontinuation of filgotinib were primary non-response (n = 21, 54%) or secondary loss of response (n = 8, 23%). No severe infections were documented. Most reported adverse events included headache (n = 5), nausea (n = 3) and hypercholesterolemia (n = 3).

conclusionFilgotinib is an effective and well-tolerated treatment option for UC, including DTT disease. No new safety signals were found.

Indexed as

Colitis, UlcerativePyridinesTriazolesAdultAgedC-Reactive ProteinFemaleHumansJanus Kinase 1Janus Kinase InhibitorsLeukocyte L1 Antigen ComplexMaleMiddle AgedNetherlandsProspective StudiesRegistriesC-Reactive ProteinGLPG0634JAK1 protein, humanJanus Kinase 1Janus Kinase InhibitorsLeukocyte L1 Antigen ComplexPyridinesTriazolesdifficult‐to‐treatfilgotinibreal‐worldulcerative colitis

Identifiers

PMID41347625
PMCPMC12809175

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.