Evidence map›Paper›PMID 42609214›Full record

ReviewJournal of inflammation research2026

Positioning Guselkumab in The Treatment Algorithm for Ulcerative Colitis.

Ferdinando D'Amico, Fabrizio Fanizzi, Fernando Magro, Axel Dignass, Ana Gutiérrez Casbas, Bram Verstockt, Ailsa Hart, Alessandro Armuzzi, Vipul Jairath, Laurent Peyrin-Biroulet and 1 more

Abstract readReview
In one paragraph

Review in Journal of inflammation research, 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.

Ferdinando D'AmicoGastroenterology and Endoscopy, IRCCS Ospedale San Raffaele, Milan, Italy.
Fabrizio FanizziGastroenterology and Endoscopy, IRCCS Ospedale San Raffaele, Milan, Italy.
Fernando MagroCINTESIS@RISE, Faculty of Medicine of the University of Porto, Porto, Portugal.
Axel DignassDepartment of Medicine I, Agaplesion Markus Hospital, Goethe University, Frankfurt/Main, Germany.
Ana Gutiérrez CasbasNetworked Biomedical Research Center for Liver and Digestive Diseases (Ciberehd), Madrid, Spain. Alicante General University Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.ORCID 0000-0002-5460-4139
Bram VerstocktDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0003-3898-7093
Ailsa HartInflammatory Bowel Disease Unit, St Mark's Hospital, London, UK.
Alessandro ArmuzziIBD Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Vipul JairathDepartment of Epidemiology and Biostatistics, Western University, London, Ontario, Canada.
Laurent Peyrin-BirouletNorthwestern Medicine, Digestive Health Institute, Chicago, IL, USA.
Silvio DaneseGastroenterology and Endoscopy, IRCCS Ospedale San Raffaele, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ulcerative colitis is a chronic inflammatory bowel disease requiring long-term therapeutic strategies that balance efficacy, safety and durability/ persistence. As treatment targets have evolved toward deep remission, including clinical, endoscopic and histologic healing, there remains un unmet need for therapies that provide sustained benefit with selective immunomodulation. Interleukin-23 (IL-23) plays a central role in Th17-mediated mucosal inflammation, making selective IL-23p19 inhibition an attractive approach. Guselkumab, a fully human monoclonal antibody targeting IL-23p19, has demonstrated consistent efficacy and a favorable safety profile in Phase II and III clinical trials for moderate-to-severe UC. Data from the QUASAR and ASTRO programs show significant improvements in clinical, endoscopic, histologic and various quality of life (eg fatigue, urgency) outcomes during both induction and maintenance, with durable responses, corticosteroid-sparing effects, and efficacy across biologic-naïve and biologic-experienced populations. Emerging evidence also suggests a potential role of guselkumab within advanced combination strategies, although this approach remains investigational. This review summarizes the mechanistic rationale, pivotal clinical evidence, and practical considerations informing the positioning of guselkumab within contemporary UC treatment algorithms.

Indexed as

advanced therapyguselkumabIBDIL23 inhibitorulcerative colitis

Identifiers

PMID42609214
PMCPMC13477854

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.