Evidence map›Paper›PMID 41612991›Full record

ReviewAnnals of gastroenterology

Bezlotoxumab for prevention of

Christian Karime, Tarek Odah, Jana G Hashash, Darrell S Pardi, Sahil Khanna, Francis A Farraye

Abstract readReview
In one paragraph

Review in Annals of gastroenterology. 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

6 authors.

Christian KarimeDepartment of Internal Medicine, Mayo Clinic, Jacksonville, Florida (Christian Karime).
Tarek OdahInflammatory Bowel Disease Centre, Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida (Tarek Odah, Jana G. Hashash, Francis A. Farraye).
Jana G HashashInflammatory Bowel Disease Centre, Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida (Tarek Odah, Jana G. Hashash, Francis A. Farraye).
Darrell S PardiDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota (Darrell S. Pardi, Sahil Khanna), USA.
Sahil KhannaDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota (Darrell S. Pardi, Sahil Khanna), USA.
Francis A FarrayeInflammatory Bowel Disease Centre, Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida (Tarek Odah, Jana G. Hashash, Francis A. Farraye).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bezlotoxumab can reduce recurrent Methods: Adults who received bezlotoxumab for CDI were identified. Clinical variables and adverse events were collected during a minimum follow-up of 1 year. The primary outcome was rCDI, classified at 4 time intervals (30, 60, 90 days, and 1 year). Results: Of the 70 patients identified, 34 patients had IBD. Most patients (88.6%) had ≥2 prior CDI episodes (interquartile range [IQR] 1-4). Bezlotoxumab was commonly combined with vancomycin (61.4%) or fidaxomicin (42.9%), which did not differ between patients with and without IBD. Following bezlotoxumab, the 1-year rCDI rate was 28.6% (median 65 days, IQR 32.8-158.3), while the 30-, 60- and 90-day rCDI rates were 5.7%, 12.9% and 22.9%, respectively. Patients with IBD had comparable rCDI rates to non-IBD patients, including at 30 (5.9% vs. 5.6%, P>0.99), 60 (17.6% vs. 8.3%, P=0.30), and 90 days (20.6% vs. 13.9%, P=0.54), and 1 year (32.4% vs. 25.0%, P=0.60). A history of colorectal surgery or vancomycin exposure was more common among patients with IBD and rCDI. Adverse events occurred in 6 patients (8.6%), most commonly heart failure exacerbation. Conclusions: The rCDI rate following bezlotoxumab was similar in patients with and without IBD. In patients with IBD, a history of colorectal surgery or prior vancomycin exposure was more common among those who experienced rCDI.

Indexed as

bezlotoxumabInflammatory bowel diseaserecurrent Clostridioides difficile infection

Identifiers

PMID41612991
PMCPMC12850694

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

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.