Evidence map›Paper›PMID 42239822›Full record

ArticleTherapeutic advances in gastroenterology2026

The UK vedolizumab real-life experience study in inflammatory bowel disease (VEST): patient characteristics, drug persistence and patient-centred outcomes.

Keith Bodger, Cheryl Booker, Frederick Taylor, Tariq Ahmad, Stuart Bloom, Jeffrey Butterworth, VEST Study Group, Klaartje Kok, Alan Lobo, Peter Irving and 1 more

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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Keith BodgerDepartment of Health Data Science, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-1825-3239
Cheryl BookerUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.ORCID https://orcid.org/0009-0000-2933-0079
Frederick TaylorDepartment of Health Data Science, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-1922-2354
Tariq AhmadRoyal Devon and Exeter NHS Foundation Trust, Exeter, UK.ORCID https://orcid.org/0000-0002-6058-5528
Stuart BloomUniversity College London Hospitals NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-6361-4662
Jeffrey ButterworthThe Shrewsbury and Telford Hospital NHS Trust, Shrewsbury, UK.
VEST Study Group
Klaartje KokBarts Health NHS Trust, London, UK.
Alan LoboInflammatory Bowel Disease Centre, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.ORCID https://orcid.org/0000-0001-8037-793X
Peter IrvingIBD Unit, Guy's and St Thomas' Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0003-0972-8148
J R Fraser CummingsUniversity Hospital Southampton NHS Foundation Trust, Southampton, SO16 6YD, UK Faculty of Medicine, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0002-9659-3247

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: VEST was a multi-centre study of real-world use of vedolizumab in inflammatory bowel disease (IBD) in routine practice in the United Kingdom. Objectives: To describe real-world indications, effectiveness, patient-reported outcomes and safety. Design: Prospective observational cohort study at 22 centres. Methods: Patients receiving vedolizumab as part of standard care were included. Data were collected at infusion visits for activity indices (Harvey-Bradshaw Index (HBI) or partial Mayo Score (PMS)), physician global assessment (PGA), patient-reported quality-of-life and treatment perception (IBD-Control Questionnaire) and adverse events. Clinical response (Wk14) was defined as a reduction in HBI ⩾3 or PMS ⩾2, clinical remission as HBI ⩽4 or PMS ⩽1 and analysed using non-responder imputation. One-year persistence was defined as continuing on vedolizumab after an infusion at ⩾48 weeks. Biomarker and endoscopic data were not available. Results: 364 patients, mean age: 48 years; 132 (36%) with Crohn's disease (CD), 224 (62%) with UC and 8 (2%) with IBD-U; 174 (48%) male; 142 (39%) receiving steroids at baseline (Wk0); 141 (39%) bio-naïve. At baseline, 279 (77%) had "active" disease. One-year persistence: 58% overall (54% for active disease). Among persistent cases ( Conclusion: In routine clinical practice in the UK, vedolizumab demonstrated high levels of persistence. Similar rates of clinical response, remission and 1-year persistence were seen in UC and CD patients, and in bio-experienced versus naïve cases. Persistent cases experienced significant and sustained improvements in quality of life and treatment perception. Persistence does not imply anti-inflammatory efficacy, as biomarker data were not available.

Indexed as

alpha-4 integrin inhibitorsbiological therapyinflammatory bowel diseasequality of liferesponse to therapysafetyvedolizumab

Identifiers

PMID42239822
PMCPMC13227030

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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.