Evidence map›Paper›PMID 7720472›Full record

Trial reportDigestive diseases and sciences1995

Prospective evaluation of interferon-alpha in treatment of chronic active Crohn's disease.

C Gasché, W Reinisch, H Vogelsang, R Pötzi, E Markis, M Micksche, H P Wirth, A Gangl, H Lochs

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Digestive diseases and sciences, 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
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

12 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Review
  7. Immunomodulatory functions of type I interferons.Nature reviews. Immunology · 2012
    Review
  8. Article
  9. Article
  10. Article
  11. Medical approaches and future options in chronic active ulcerative colitis.International journal of colorectal disease · 2004
    Review
  12. Cytokines in inflammatory bowel disease.Mediators of inflammation · 1997
    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

9 authors at 2 institutions in 2 countries.

C GaschéDepartment of Gastroenterology and Hepatology, University of Vienna, Austria.
W Reinisch
H Vogelsang
R Pötzi
E Markis
M Micksche
H P Wirth
A Gangl
H Lochs
University of Zurich · CHUniversity of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several case reports suggested good effects of interferon-alpha in patients with Crohn's disease. In addition, a decreased production of interferon-alpha in Crohn's disease has been shown in vitro. Treatment with interferon-alpha may activate intestinal natural killer cells and down-regulate the overproduction of inflammatory cytokines like interleukin-6 in Crohn's disease. To evaluate the clinical efficacy of interferon-alpha, we treated 12 patients with a chronic active course of Crohn's disease with recombinant human interferon-alpha prospectively for 24 weeks. Prednisolone was continuously tapered and discontinued at week 12. The end point of the study was the prevention of worsening of clinical symptoms defined with the Crohn's disease activity index and was monitored by acute-phase proteins, interleukin-6 serum concentrations, and endoscopy. The biochemical activity of interferon-alpha was measured by 2',5'-oligo adenylate serum levels. The end point of the study was reached in four patients (33%). In these patients the final Crohn's disease activity index was above 150, which means that they did not achieve clinical remission. All other patients (66%) did not respond to interferon-alpha and had to be withdrawn prematurely. Interferon-alpha did not show any beneficial effect on interleukin-6 or acute-phase protein concentrations and on endoscopic activity. The 2',5'-oligo adenylate levels continuously increased during interferon therapy. Considerable side effects were noted. These results fail to demonstrate a therapeutic role of interferon-alpha in chronic active Crohn's disease.

Indexed as

Adenine NucleotidesAdultC-Reactive ProteinCrohn DiseaseFemaleHumansInterferon-alphaInterleukin-6MaleMiddle AgedOligoribonucleotidesOrosomucoidPilot ProjectsProspective StudiesReceptors, Interleukin-22',5'-oligoadenylateAdenine NucleotidesC-Reactive ProteinInterferon-alphaInterleukin-6OligoribonucleotidesOrosomucoidReceptors, Interleukin-2

Identifiers

PMID7720472
OpenAlexW2080034594

What OpenQuestion holds

Textmetadata
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.