Evidence map›Paper›PMID 41379152›Full record

ReviewEinstein (Sao Paulo, Brazil)2025

Off-label use of thalidomide in children with Crohn's disease and inflammatory bowel diseases.

Laura Beatriz Fonseca, Paula Lana de Miranda Drummond, Cristine de Araújo Silva, Cristiane Aparecida Menezes de Pádua

Abstract readReview
In one paragraph

Review in Einstein (Sao Paulo, Brazil), 2025. 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.

  1. Article
  2. 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

4 authors.

Laura Beatriz FonsecaDepartment of Social Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0000-0002-7757-1923
Paula Lana de Miranda DrummondFundação Ezequiel Dias, Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0000-0002-4639-7424
Cristine de Araújo SilvaFundação Ezequiel Dias, Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0009-0007-6767-7234
Cristiane Aparecida Menezes de PáduaDepartment of Social Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0000-0001-7083-3188

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thalidomide exerts immunomodulatory properties that may be used to treat various conditions. Although its effectiveness in treating Crohn's disease in pediatric patients has been reported, its safety for off-label use is not well established. This study aimed to analyze the efficacy and safety of thalidomide in children and adolescents with inflammatory bowel disease, specifically Crohn's and ulcerative colitis. A narrative review of clinical trials and observational studies published between January 2001 and May 2023 that investigated thalidomide use in pediatric patients with Crohn's or ulcerative colitis was conducted. The results of clinical trials showed statistically significant remission rates and clinical improvement in patients. The most reported adverse event was peripheral neuropathy, resulting in discontinuation of medication in some cases. Other adverse effects, such as sedation, constipation, dizziness, and allergic reactions, were observed but were not serious. Thalidomide can be considered an alternative treatment option for pediatric patients with refractory inflammatory bowel disease. However, monitoring for peripheral neuropathy and potential dose adjustments are necessary. No new or unknown adverse reactions related to the medication were identified in this review.

Indexed as

Colitis, UlcerativeCrohn DiseaseImmunosuppressive AgentsInflammatory Bowel DiseasesOff-Label UseThalidomideAdolescentChildHumansTreatment OutcomeImmunosuppressive AgentsThalidomide

Identifiers

PMID41379152
PMCPMC12671611

What OpenQuestion holds

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Registered trials

None linked

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.