Evidence map›Paper›PMID 42180388›Full record

ArticleTherapeutic advances in gastroenterology2026

Prevalence, patient characteristics, and outcomes of high-dose upadacitinib in inflammatory bowel disease.

Julian Azar, Rofina Johnkennedy, Louis J Levine, Ibrahim AlOmar, Abdulelah AlMutairdi, Mashary Attamimi, Deborah D Proctor, Jill K J Gaidos, Badr Al-Bawardy

Abstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2026. 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

5 · Who and what money

Authors and funding

9 authors.

Julian AzarDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID https://orcid.org/0009-0008-2467-4655
Rofina JohnkennedyDepartment of Internal Medicine, Yale New Haven Hospital, Bridgeport, CT, USA.
Louis J LevineSection of Digestive Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Ibrahim AlOmarDivision of Gastroenterology and Hepatology, Department of Internal Medicine, King Faisal Specialist Hospital, Riyadh, Saudi Arabia.
Abdulelah AlMutairdiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, King Faisal Specialist Hospital, Riyadh, Saudi Arabia.
Mashary AttamimiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, King Faisal Specialist Hospital, Riyadh, Saudi Arabia.
Deborah D ProctorSection of Digestive Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Jill K J GaidosSection of Digestive Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Badr Al-BawardyDivision of Gastroenterology and Hepatology, Department of Internal Medicine, King Faisal Specialist Hospital and Research Center, P.O. Box 3354, Riyadh 11121, Saudi Arabia.ORCID https://orcid.org/0000-0002-6102-9267

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Off-label high-dose upadacitinib (UPA) may be necessary for select inflammatory bowel disease (IBD) patients. Objectives: To evaluate the rates, patient characteristics, and outcomes of extended induction and high-dose UPA maintenance in IBD. Design: We conducted a two-center, retrospective cohort study of IBD patients treated with UPA from January 1, 2022, to March 1, 2025. Methods: Extended induction was defined as receiving UPA 45 mg for 16 weeks in ulcerative colitis (UC) and 24 weeks in Crohn's disease (CD). High-dose maintenance was defined as continuing UPA 45 mg after induction/extended induction. Primary outcomes included rates and characteristics of high-dose maintenance. Secondary outcomes included clinical response (CR), steroid-free clinical remission (SFCR), endoscopic remission (ER), and adverse events, comparing standard and high-dose UPA groups. Results: Among 128 patients (46.9% CD, 48.4% UC, 4.7% IBD-unclassified), 51.6% ( Conclusion: One-third of patients remained on high-dose UPA maintenance, reflecting more refractory disease and modest response rates. Treatment was generally well tolerated. Larger, long-term studies are needed to validate safety.

Indexed as

Crohn’s diseaseinflammatory bowel diseaseulcerative colitisupadacitinib

Identifiers

PMID42180388
PMCPMC13195219

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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.