Evidence map›Paper›PMID 38985232›Full record

Trial reportInflammopharmacology2024

Efficacy and safety of infliximab and adalimumab in inflammatory bowel disease patients.

Mahmoud E Kamal, Rehab H Werida, Mahasen A Radwan, Safaa R Askar, Gamal A Omran, Marwa A El-Mohamdy, Radwa S Hagag

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Inflammopharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05291039 (Assessment of Trough Levels and Efficacy of Infliximab and Adalimumab in Inflammatory Bowel Disease Patients.), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

NCT05291039 nacompletednot on this map

Assessment of Trough Levels and Efficacy of Infliximab and Adalimumab in Inflammatory Bowel Disease Patients.

TypeinterventionalSponsorRehab WeridaRan2022 to 2023Enrolled56ConditionsInflammatory Bowel DiseasesArmsInfliximab, Adalimumab
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Innate immunity: current understandings and future perspectives.Signal transduction and targeted therapy · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. 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

7 authors.

Mahmoud E KamalClinical Pharmacy and Pharmacy Practice Department, Faculty of Pharmacy, Egyptian Russian University, Cairo, Egypt. mahmoud-essam@eru.edu.eg.ORCID http://orcid.org/0000-0003-3253-8588
Rehab H WeridaClinical Pharmacy and Pharmacy Practice Department, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt.ORCID https://orcid.org/0000-0002-5983-3993
Mahasen A RadwanClinical Pharmacy and Pharmacy Practice Department, Faculty of Pharmacy, Egyptian Russian University, Cairo, Egypt.
Safaa R AskarTropical Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Gamal A OmranBiochemistry Department, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt.
Marwa A El-MohamdyClinical Pathology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Radwa S HagagClinical Pharmacy and Pharmacy Practice Department, Faculty of Pharmacy, Egyptian Russian University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInflammatory bowel disease (IBD), consists of two primary types: Ulcerative Colitis (UC) and Crohn's Disease (CD). Infliximab (IFX) and Adalimumab (ADA) are frequently utilized in the management of moderate to severe cases of IBD.

aimThis study aimed to assess the efficacy and safety of IFX and ADA in individuals diagnosed with moderate to severe IBD.

methodThis study is a prospective open-labeled randomized parallel study that included moderate to severe IBD patients treated with either IFX or ADA. A total of 56 patients participated, with 34 patients received IFX and 22 patients received ADA. Various measures, including Crohn's Disease Activity Index (CDAI), Mayo Score/ Disease Activity Index (DAI), and C-reactive protein (CRP) levels, were taken at baseline and week 14 to assess the efficacy of the treatments. In addition, the levels of drugs and sTREM-1 were measured at 14 weeks. Patient safety was monitored throughout the study period.

resultsIn the group received IFX, there was a notable decrease in CDAI (P = 0.045), DAI (P = 0.026), and CRP (P = 0.023 for CD, and P = 0.021 for UC) levels. In addition, the group received ADA experienced a significant reduction in CDAI (P = 0.001), DAI (P = 0.032), and CRP (P < 0.018 for CD and P = 0.003 for UC) levels. Responders had higher drug concentrations than non-responders, notably IFX concentration was higher in responders with CD (P = 0.001) and UC (P < 0.001). ADA concentration was higher in UC (P <= 0.001) and all CD patients responded to the treatment. The same trend was observed for sTREM-1 levels in CD and UC patients (P = 0.042, and P = 0.015, respectively) in the IFX group. In UC patients treated with ADA, the level of sTREM-1 was significantly low (P = 0.002).

conclusionBoth IFX and ADA have a good safety profile and deliver a beneficial clinical and laboratory response in moderate-severe IBD patients. CLINICAL

trial registrationThis study is registered on ClinicalTrials.gov under the identifier NCT05291039. (You can access the study at https://clinicaltrials.gov/study/NCT05291039 (First Posted: March 22, 2022).

Indexed as

AdalimumabInfliximabAdultAnti-Inflammatory AgentsColitis, UlcerativeC-Reactive ProteinCrohn DiseaseFemaleGastrointestinal AgentsHumansInflammatory Bowel DiseasesMaleMiddle AgedProspective StudiesSeverity of Illness IndexTreatment OutcomeAdalimumabAnti-Inflammatory AgentsC-Reactive ProteinGastrointestinal AgentsInfliximabAdalimumabCDAIDAIEfficacyInflammatory bowel diseaseInfliximabSafetysTREM-1

Identifiers

PMID38985232
PMCPMC11416362

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.