Evidence map›Paper›PMID 42490850›Full record

ArticleGastroenterology report2026

Assessing the robustness of clinical trials regarding novel therapies in inflammatory bowel disease.

Jieqi Zheng, Pinwei Huang, Li Li, Shanshan Huang, Rirong Chen, Shenghong Zhang

Abstract read
In one paragraph

Article in Gastroenterology report, 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

6 authors.

Jieqi ZhengDepartment of Gastroenterology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P.R. China.
Pinwei HuangDepartment of Gastroenterology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P.R. China.
Li LiDepartment of Gastroenterology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P.R. China.
Shanshan HuangDepartment of Gastroenterology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P.R. China.
Rirong ChenIBD Center and Zane Cohen Centre for Digestive Diseases, Lunenfeld Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, M5G 1X5, Canada.
Shenghong ZhangGuangxi Hospital Division of The First Affiliated Hospital, Sun Yat-sen University, Nanning, 530022, P. R. China.ORCID https://orcid.org/0000-0002-9088-8781

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Increasing randomized clinical trials evaluating novel therapies for inflammatory bowel disease necessitated the scrutiny of statistical robustness. This study aimed to quantify their fragility and identify factors associated with robustness. Methods: This cross-sectional analysis included randomized clinical trials studying biologics, small-molecule inhibitors, fecal microbiota transplantation (FMT), and stem cell therapy (SCT), and then the calculated fragility index (FI) and continuous fragility index (CFI) for binary and continuous outcomes, respectively. Factors affecting robustness were analysed through correlation analysis and multiple linear regression. Results: Among 129 trials from 53 studies, the median FI and CFI were 6 and 14.8, respectively. The FI varied significantly by the treatment type, trial phase, outcome type, and Conclusion: Randomized clinical trials of novel inflammatory bowel disease therapies exhibit varying robustness and are influenced by multiple study characteristics. Trials of biologics or small molecules, those with positive primary outcomes, and larger studies demonstrated greater robustness, supporting that robustness should be considered in future research when interpreting the efficacy.

Indexed as

fragility index (FI)inflammatory bowel diseasenovel therapyrandomized clinical trial

Identifiers

PMID42490850
PMCPMC13375628

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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.