Evidence map›Paper›PMID 42267647›Full record

Observational studyAlimentary pharmacology & therapeutics2026

Real-World Effectiveness of Risankizumab in Refractory Crohn's Disease: The RISANCROHN Study From the ENEIDA Registry.

Manuel Barreiro-de Acosta, Yamile Zabana, Laura Nieto-García, Marta Poncela, Mariam Aguas, Cristina Martínez-Cuevas, Federico Argüelles-Arias, Marta Calvo, Carla J Gargallo-Puyuelo, Lucía Zabalza and 56 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Alimentary pharmacology & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. 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

66 authors.

Manuel Barreiro-de AcostaDepartment of Gastroenterology, Complexo Hospitalario Universitario de Santiago and Fundación Instituto de Investigación Sanitaria de Santiago de Compostela (FIDIS), Santiago de Compostela, Spain.ORCID https://orcid.org/0000-0001-5915-1477
Yamile ZabanaDepartment of Gastroenterology, Hospital Universitari MútuaTerrassa, Terrassa, Centro de Investigación Biomédica en Red en Enfermedades Hepáticas y Digestivas (CIBERehd), Terrassa, Spain.
Laura Nieto-GarcíaDepartment of Gastroenterology, Complexo Hospitalario Universitario de Santiago and Fundación Instituto de Investigación Sanitaria de Santiago de Compostela (FIDIS), Santiago de Compostela, Spain.
Marta PoncelaDepartment of Gastroenterology, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Biomédica Gregorio Marañón (IiSGM), Madrid, Spain.
Mariam AguasDepartment of Gastroenterology, Hospital Universitari i Politècnic La Fe, Instituto de Investigación Sanitaria La Fe, Valencia, Spain.
Cristina Martínez-CuevasDepartment of Gastroenterology, Hospital Universitario Río Hortega, Valladolid, Spain.
Federico Argüelles-AriasUniversidad de Sevilla. Facultad de Medicina. Department of Gastroenterology, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Marta CalvoDepartment of Gastroenterology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Carla J Gargallo-PuyueloDepartment of Gastroenterology, Hospital Clínico Universitario Lozano Blesa, IIS Aragón and CIBERehd, Zaragoza, Spain.
Lucía ZabalzaDepartment of Gastroenterology, Hospital Universitario de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0001-7235-6864
Pilar Varela TrastoyDepartment of Gastroenterology, Hospital de Cabueñes, Gijón, Spain.
Maia M Boscá-WattsDepartment of Gastroenterology, Hospital Clínico Universitario de Valencia, Universitat de València, Valencia, Spain.
Daniel CeballosDepartment of Gastroenterology, Hospital Universitario de Gran Canaria Dr. Negrín. Departamento de Ciencias Médicas y Quirúrgicas. Universidad de Las Palmas, Las Palmas, Spain.
Cristina Martínez PascualDepartment of Gastroenterology, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Francisco Rodríguez-MorantaDepartment of Gastroenterology, Hospital Universitario de Bellvitge, IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.
María Luisa de Castro PargaDepartment of Gastroenterology, Hospital Álvaro Cunqueiro, Grupo de Investigación en Patología Digestiva, Instituto de Investigación Sanitaria Galicia Sur (IIS), Vigo, Spain.
Patricia SuárezDepartment of Gastroenterology, Complejo Asistencial Universitario de León, León, Spain.
Blau CampsDepartment of Gastroenterology, Hospital del Mar, IMIM, Barcelona, Spain.
Vanesa RoyoDepartment of Gastroenterology, Hospital Son Espases, Palma de Mallorca, Spain.
Iria Baston-ReyDepartment of Gastroenterology, Complexo Hospitalario Universitario de Santiago and Fundación Instituto de Investigación Sanitaria de Santiago de Compostela (FIDIS), Santiago de Compostela, Spain.
Ruth de FranciscoDepartment of Gastroenterology, Hospital Universitario Central de Asturias, Oviedo, Spain.
Santiago García-LopezDepartment of Gastroenterology, Hospital Universitario Miguel Servet, Zaragoza, Spain.
María Dolores Martín-ArranzDepartment of Gastroenterology, Hospital Universitario La Paz, Madrid, Spain.ORCID https://orcid.org/0000-0002-1872-0917
Fernando BermejoDepartment of Gastroenterology, Hospital Universitario de Fuenlabrada, Madrid, Spain.
Inmaculada Alonso-AbreuDepartment of Gastroenterology, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain.
Javier P GisbertDepartment of Gastroenterology, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.ORCID https://orcid.org/0000-0003-2090-3445
Montserrat RiveroDepartment of Gastroenterology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain.
Beatriz SiciliaDepartment of Gastroenterology, Hospital Universitario de Burgos, Burgos, Spain.
Isabel NicolásDepartment of Gastroenterology, Hospital General Universitario Reina Sofía, Murcia, Spain.
Marta TellerDepartment of Gastroenterology, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Spain.
Ángel Ponferrada DíazDepartment of Gastroenterology, Hospital Universitario Infanta Leonor, Madrid, Spain.
Elena RicartDepartment of Gastroenterology, Hospital Clínic i Provincial, IDIBAPS, Barcelona, Spain.ORCID https://orcid.org/0000-0003-3354-1594
María AlgaraDepartment of Gastroenterology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Paola FradejasDepartment of Gastroenterology, Complejo Asistencial de Zamora, Zamora, Spain.
Pilar RobledoDepartment of Gastroenterology, Hospital Universitario de Cáceres, Cáceres, Spain.
Lucía MaderoDepartment of Gastroenterology, Hospital General Universitario de Alicante, Alicante, Spain.
Ainara ElorzaDepartment of Gastroenterology, Hospital de Galdakao-Usansolo, Vizcaya, Spain.
Marta PiquerasDepartment of Gastroenterology, Hospital Universitari Consorci Sanitari de Terrassa (CST), Barcelona, Spain.
Mari Fe Garcia-SepulcreDepartment of Gastroenterology, Hospital General Universitario de Elche, Alicante, Spain.ORCID https://orcid.org/0000-0002-1329-9529
Eva SeséDepartment of Gastroenterology, Hospital Universitario Arnau de Vilanova, Lleida, Spain.
Alejandro Hernandez-CambaDepartment of Gastroenterology, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain. Instituto de Investigación Sanitaria de Canarias (IISC), Santa Cruz de Tenerife, Spain.ORCID https://orcid.org/0000-0002-8653-207X
Sandra IzquierdoDepartment of Gastroenterology, Hospital Clínico Universitario Río Valladolid, Valladolid, Spain.
Ana M TraperoDepartment of Gastroenterology, Hospital de Jaén, Jaén, Spain.
Eva IglesiasDepartment of Gastroenterology, Hospital Reina Sofía, Córdoba, Spain.
María Teresa Diz-Lois PalomaresDepartment of Gastroenterology, Hospital Universitario a Coruña, Coruña, Spain.
Eduard Brunet-MasDepartment of Gastroenterology, Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT-CERCA). Sabadell, Catalunya, Departament de Medicina, Universitat Autònoma de Barcelona y Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), and Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0001-8661-0608
Jesús Castro PoceiroDepartment of Gastroenterology, Hospital de Sant Joan Despí Moisès Broggi, Barcelona, Spain.
David BusquetsDepartment of Gastroenterology, Hospital Dr. Josep Trueta, Girona, Spain.
Miriam ManosaDepartment of Gastroenterology, Hospital Universitari Germans Trias i Pujol, Badalona, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), and Universitat Autònoma de Barcelona, Barcelona, Spain.
Ramón PajaresDepartment of Gastroenterology, Hospital Universitario Infanta Sofía, Madrid, Spain.
Juan A FerrerDepartment of Gastroenterology, Hospital Universitario Fundación Alcorcón, Madrid, Spain.
Daniel CarpioDepartment of Gastroenterology, Hospital Universitario de Pontevedra, Pontevedra, Spain.
Francisco MesoneroDepartment of Gastroenterology, Hospital Universitario Ramón y Cajal, Madrid, Spain.ORCID https://orcid.org/0000-0002-7864-8187
Luis BujandaDepartment of Gastroenterology, Hospital Universitario Donostia, San Sebastián, Spain.
Rufo LorenteDepartment of Gastroenterology, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain.
Javier SantosDepartment of Gastroenterology, Complejo Asistencial Universitario de Palencia, Palencia, Spain.
Carlos Martínez FloresDepartment of Gastroenterology, Hospital General La Mancha Centro, Ciudad Real, Spain.
Carlos González-MuñozaDepartment of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Daniel MartínDepartment of Gastroenterology, Hospital Universitario Infanta Cristina, Parla, Madrid, Spain.
Margarita MenachoDepartment of Gastroenterology, Hospital Joan XXIII, Tarragona, Spain.
Nuria MarotoDepartment of Gastroenterology, Hospital de Manises, Valencia, Spain.
Martín IrabienDepartment of Gastroenterology, Hospital Urduliz-Alfredo Espinosa, Vizcaya, Spain.
Sol Porto-SilvaDepartment of Gastroenterology, Complexo Hospitalario Universitario de Santiago and Fundación Instituto de Investigación Sanitaria de Santiago de Compostela (FIDIS), Santiago de Compostela, Spain.
Eugeni DomènechDepartment of Gastroenterology, Hospital Universitari Germans Trias i Pujol, Badalona, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), and Universitat Autònoma de Barcelona, Barcelona, Spain.
Rocío Ferreiro-IglesiasDepartment of Gastroenterology, Complexo Hospitalario Universitario de Santiago and Fundación Instituto de Investigación Sanitaria de Santiago de Compostela (FIDIS), Santiago de Compostela, Spain.
ENEIDA Project of GETECCU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsRisankizumab, a selective interleukin-23 p19 inhibitor, has demonstrated efficacy in clinical trials for moderate-to-severe Crohn's disease, but real-world data in highly refractory populations are limited. We evaluated the short-term effectiveness and outcomes at last follow-up of risankizumab and the impact of prior advanced therapy exposure.

methodsThis multicentre observational study included adult patients with predominantly refractory Crohn's disease treated with risankizumab and registered in the ENEIDA registry. Steroid-free clinical remission, defined as a Harvey-Bradshaw Index ≤ 4 without systemic corticosteroids, was assessed at weeks 8-12 and at the last available follow-up visit. Multivariable logistic regression was used to identify factors associated with remission at last follow-up.

resultsA total of 857 patients with predominantly refractory Crohn's disease were included. Steroid-free clinical remission was achieved in 56% of patients at weeks 8-12 and in 61% at last follow-up (mean follow-up: 7.4 months). Remission rates were higher in patients previously exposed to ≤ 2 biologic therapies than in those exposed to > 2 biologic therapies at both time points (p < 0.001). Prior ustekinumab exposure was associated with lower remission rates in unadjusted analyses but was not independently associated with remission at last follow-up. Treatment-related adverse events occurred in 8% of patients, with no serious adverse events.

conclusionsIn this large real-world cohort of patients with refractory Crohn's disease, risankizumab achieved clinically meaningful steroid-free clinical remission, both at early assessment and at last follow-up, with effectiveness primarily influenced by cumulative biologic exposure and demonstrating a favourable safety profile.

Indexed as

Antibodies, MonoclonalCrohn DiseaseAdultFemaleHumansMaleMiddle AgedRegistriesRemission InductionTreatment OutcomeYoung AdultAntibodies, MonoclonalrisankizumabCrohn's diseaseENEIDA registryreal‐world evidencerisankizumab

Identifiers

PMID42267647
PMCPMC13511379

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