Evidence map›Paper›PMID 41986154›Full record

Trial reportUnited European gastroenterology journal2026

Impact of Immunogenicity on Clinical Outcomes in Patients With Moderate-to-Severe Inflammatory Bowel Disease Receiving Subcutaneous Infliximab: A Post Hoc Analysis of the LIBERTY Trials.

Jean-Frédéric Colombel, Silvio Danese, Stefan Schreiber, Bruce E Sands, Andres J Yarur, Aram Kang, Dong-Hyeon Kim, Young Nam Lee, Stephen B Hanauer

2 registry-linked trialsAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in United European gastroenterology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this 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.

NCT03945019 phase3completednot on this map

A Randomized, Placebo-Controlled, Double-Blind, Phase 3 Study to Evaluate the Efficacy and Safety of the Subcutaneous Injection of CT-P13 (CT-P13 SC) as Maintenance Therapy in Patients With Moderately to Severely Active Crohn's Disease

TypeinterventionalSponsorCelltrionRan2019 to 2023Enrolled396ConditionsCrohn's DiseaseArmsCT-P13 SC (Infliximab), Placebo SC
NCT04205643 phase3completednot on this map

A Randomized, Placebo Controlled, Double-Blind, Phase 3 Study to Evaluate the Efficacy and Safety of the Subcutaneous Injection of CT-P13 (CT-P13 SC) as Maintenance Therapy in Patients With Moderately to Severely Active Ulcerative Colitis

TypeinterventionalSponsorCelltrionRan2020 to 2023Enrolled548ConditionsUlcerative ColitisArmsCT-P13 SC (Infliximab), Placebo SC
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

9 authors.

Jean-Frédéric ColombelDr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0001-6472-249X
Silvio DaneseDepartment of Gastroenterology, IRCCS San Raffaele Hospital and Vita-Salute University, Milan, Italy.ORCID https://orcid.org/0000-0001-7341-1351
Stefan SchreiberDepartment of Medicine I, University Hospital Schleswig-Holstein, Kiel University, Kiel, Germany.ORCID https://orcid.org/0000-0002-6807-9822
Bruce E SandsDr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0001-5762-5042
Andres J YarurF. Widjaja Inflammatory Bowel Disease Institute, Cedars Sinai Medical Center, Los Angeles, California, USA.ORCID https://orcid.org/0000-0003-2293-5555
Aram KangGlobal Medical Division, Celltrion Inc., Incheon, Republic of Korea.ORCID https://orcid.org/0009-0009-4012-6752
Dong-Hyeon KimGlobal Medical Division, Celltrion Inc., Incheon, Republic of Korea.ORCID https://orcid.org/0000-0003-0585-2432
Young Nam LeeGlobal Medical Division, Celltrion Inc., Incheon, Republic of Korea.ORCID https://orcid.org/0000-0003-2776-4708
Stephen B HanauerDivision of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-3268-932X

Funding

Celltrion Inc.
6 · The paper itself

Abstract

BACKGROUND AND

aimsLIBERTY-CD and LIBERTY-UC demonstrated superior efficacy of subcutaneous infliximab (IFX SC) to placebo in patients with Crohn's disease (CD) or ulcerative colitis (UC). Here, we investigated the impact of anti-drug antibodies (ADAs) on clinical outcomes.

methodsPatients randomized to IFX SC maintenance treatment in the LIBERTY trials were included (CD, n = 231; UC, n = 294). ADAs were tested using a highly sensitive, drug-tolerant assay. Patients were grouped by ADA occurrence and titer and evaluated for outcomes up to Week (W) 54.

resultsAmong patients with CD and UC, 150 (64.9%) and 187 (63.6%) were ADA-positive, respectively. No statistically significant differences were observed between the ADA-positive and ADA-negative groups in W54 efficacy (CD: clinical remission, 69.5% [95% confidence interval: 61.6-77.5] vs. 79.7% [70.2-89.2], p = 0.134; endoscopic response, 57.5% [48.9-66.1] vs. 65.2% [54.0-76.5], p = 0.359; UC: clinical remission, 49.1% [41.3-56.8] vs. 57.0% [46.5-67.4], p = 0.284), drug persistence (CD: 84.7% [79.1-90.6] vs. 85.2% [77.8-93.3]; UC: 84.5% [79.5-89.8] vs. 77.6% [70.1-85.9]), and safety (patients with ≥ 1 treatment-emergent adverse event; CD: 71.2% [64.0-78.3] vs. 74.4% [64.9-83.8]; UC: 69.5% [62.9-76.0] vs. 64.2% [55.0-73.3]), despite lower drug concentrations in ADA-positive patients at W54 (CD: 10.6 μg/mL [9.1-12.2] vs. 17.9 μg/mL [15.8-20.1]; UC: 12.2 μg/mL [10.8-13.5] vs. 21.0 μg/mL [18.4-23.6]). No significant relationship between ADA titer and efficacy or persistence was noted.

conclusionsAlthough ADAs affected drug levels, no significant differences by ADA occurrence were observed in W54 efficacy or safety among patients receiving IFX SC maintenance treatment. While high ADA titers were associated with lower drug levels, effectiveness was not diminished within 1 year.

trial registrationClinicalTrials.gov identifiers NCT03945019 (LIBERTY-CD) and NCT04205643 (LIBERTY-UC).

Indexed as

AntibodiesColitis, UlcerativeCrohn DiseaseGastrointestinal AgentsInfliximabAdultDouble-Blind MethodFemaleHumansInjections, SubcutaneousMaleMiddle AgedRemission InductionSeverity of Illness IndexTreatment OutcomeAntibodiesGastrointestinal AgentsInfliximabCrohn's diseaseCT‐P13immunogenicityinflammatory bowel diseaseinfliximab‐dyybsubcutaneous infliximabulcerative colitis

Identifiers

PMID41986154
PMCPMC13082915

What OpenQuestion holds

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Registered trials

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.