Evidence map›Paper›PMID 42293309›Full record

ArticleCrohn's & colitis 3602026

A multicentered retrospective cohort study comparing JAK inhibitor therapies in moderate-to-severe ulcerative colitis.

Aditi Kumar, Joshua Baxter, Peter Rimmer, Ben Noble, Joshua Bower, Mujeeb Ullah Makki, Ayiesha Hatta, Anmol Chikhlia, Jonathan Cheesbrough, Ben Disney and 15 more

Abstract read
In one paragraph

Article in Crohn's & colitis 360, 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. Review
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

25 authors.

Aditi KumarDepartment of Gastroenterology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.ORCID https://orcid.org/0000-0003-1026-3173
Joshua BaxterDepartment of Gastroenterology, Walsall Manor NHS Trust, Walsall, UK.
Peter RimmerDepartment of Gastroenterology, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
Ben NobleDepartment of Gastroenterology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.
Joshua BowerDepartment of Gastroenterology, University Hospitals Coventry & Warwickshire, Coventry, UK.
Mujeeb Ullah MakkiDepartment of Gastroenterology, University Hospitals Coventry & Warwickshire, Coventry, UK.
Ayiesha HattaDepartment of Gastroenterology, University Hospitals Coventry & Warwickshire, Coventry, UK.
Anmol ChikhliaDepartment of Gastroenterology, University Hospitals Coventry & Warwickshire, Coventry, UK.
Jonathan CheesbroughDepartment of Gastroenterology, Walsall Manor NHS Trust, Walsall, UK.
Ben DisneyDepartment of Gastroenterology, University Hospitals Coventry & Warwickshire, Coventry, UK.
Josh MuirDepartment of Gastroenterology, Shrewsbury & Telford NHS Trust, Shrewsbury, UK.
Mariya KarovaDepartment of Gastroenterology, Shrewsbury & Telford NHS Trust, Shrewsbury, UK.
Jeffrey ButterworthDepartment of Gastroenterology, Shrewsbury & Telford NHS Trust, Shrewsbury, UK.
Nidhi SagarDepartment of Gastroenterology, Walsall Manor NHS Trust, Walsall, UK.
Ismaeel Al-TalibDepartment of Gastroenterology, Walsall Manor NHS Trust, Walsall, UK.
Jasbir NahalDepartment of Gastroenterology, Walsall Manor NHS Trust, Walsall, UK.
Nasima AliDepartment of Gastroenterology, Sandwell General Hospital, Birmingham, UK.
Vandana SagarDepartment of Gastroenterology, Sandwell General Hospital, Birmingham, UK.
Fumi VaryaniDepartment of Gastroenterology, Sandwell General Hospital, Birmingham, UK.
Sam SmithDepartment of Gastroenterology, Worcester Royal Hospital, Worcester, UK.
Stephanie BourneDepartment of Gastroenterology, Royal Stoke University Hospital, Stoke, UK.
Yu-Kai HsuDepartment of Gastroenterology, Dudley Group NHS Trust, Dudley, UK.
Almoiez EltahirDepartment of Gastroenterology, Dudley Group NHS Trust, Dudley, UK.
Shanika de SilvaDepartment of Gastroenterology, Dudley Group NHS Trust, Dudley, UK.
Philip HarveyDepartment of Gastroenterology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.ORCID https://orcid.org/0000-0002-1192-9910

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tofacitinib, filgotinib, and upadacitinib are Janus kinase inhibitors (JAKi) that have demonstrated efficacy in ulcerative colitis (UC) against placebo. This study aims to compare the clinical efficacy between these drugs. Methods: This is a multicentered, retrospective cohort study. Patients with UC starting a JAKi were recruited between 2018 and 2024 when starting their first JAKi. Clinical remission and response, based on clinical scores, calprotectin, and endoscopic measurement, were assessed at 3 and 6 months. Both independent and combined variable outcomes were analyzed. Results: Two hundred and seventy patients were included in the analysis, of which 70 (26%) were on upadacitinib, 51 (19%) on filgotinib, and 149 (55%) on tofacitinib. Clinical, biochemical, and endoscopic remission at 6 months was 91%, 71%, and 80% for upadacitinib; 78%, 67%, and 50% for filgotinib; 73%, 51%, and 44% for tofacitinib. Upadacitinib demonstrated significantly greater clinical response ( Conclusion: This study demonstrates that upadacitinib is more likely to achieve 6-month response and remission compared to tofacitinib. In both bio-naïve and bio-exposed patients, upadacitinib was more likely to achieve remission at 6 months. The efficacy of JAKi does not appear diminished by prior biologic use.

Indexed as

filgotinibinflammatory bowel diseaseJAK inhibitorstofacitinibulcerative colitisupadacitinib

Identifiers

PMID42293309
PMCPMC13255995

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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.