Evidence mapPaperPMID 40692184Full record

GuidelineJournal of pediatric gastroenterology and nutrition2025

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition position paper on the therapeutic drug monitoring in pediatric inflammatory bowel disease.

Lina M Felipez, Sabina Ali, Edwin F de Zoeten, Anne M Griffiths, Sandra C Kim, Ashish S Patel, Joel R Rosh, Jeremy Adler

Abstract readPractice Guideline
In one paragraph

Guideline in Journal of pediatric gastroenterology and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Safety and efficacy of weekly adalimumab 80 mg therapy in pediatric Crohn's disease.Journal of pediatric gastroenterology and nutrition · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

8 authors.

Lina M FelipezNicklaus Children's Hospital, Miami, Florida, USA.ORCID https://orcid.org/0009-0002-2382-1058
Sabina AliBenioff Children's Hospital, University of California at San Francisco, Oakland, California, USA.ORCID https://orcid.org/0000-0002-5887-5454
Edwin F de ZoetenChildren's Hospital of Colorado Anschutz Medical Center, University of Colorado, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0002-0946-9759
Anne M GriffithsThe Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-8623-4665
Sandra C KimCleveland Clinic Children's Hospital, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0009-0005-3302-7589
Ashish S PatelPhoenix Children's Hospital, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0002-4435-2644
Joel R RoshCohen Children's Medical Center, Zucker School of Medicine, New Hyde Park, New York, USA.ORCID https://orcid.org/0009-0003-5108-3950
Jeremy AdlerC.S. Mott Children's Hospital, Michigan Medicine, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-4857-6098

Funding

None
6 · The paper itself

Abstract

Inflammatory bowel diseases (IBD) require effective therapies to prevent morbidity and maintain quality of life. The introduction of biologic agents, beginning with monoclonal antibodies targeting tumor necrosis factor (TNF) alpha, has launched a new era of advancements that have markedly improved short- and long-term outcomes of Crohn's disease and ulcerative colitis. Along with these improvements, there have been challenges to address in optimizing use of biologic therapies in children with IBD. Young children may have rapid drug clearance, and growing children have changing medication needs related to changes in body size, metabolism, and development. For these and other reasons, one size (one dose) does not fit all. Therapeutic drug monitoring (TDM), which involves measurement of drug concentration in serum usually, typically at the predose trough, has emerged as a valuable tool for optimizing dosing and preventing pharmacokinetic failure. This society paper reviews the use of TDM, including target ranges during induction and maintenance therapy for anti-TNF agents and for emerging biologics. This report has been compiled by pediatric gastroenterologists on behalf of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition IBD committee after extensive review of the current literature. The purpose of this clinical position statement is to provide guidance to clinicians in the use of TDM to optimize the treatment of children with IBD.

Indexed as

Biological ProductsDrug MonitoringGastrointestinal AgentsInflammatory Bowel DiseasesAntibodies, MonoclonalChildGastroenterologyHumansNorth AmericaReview Literature as TopicSocieties, MedicalTumor Necrosis Factor-alphaAntibodies, MonoclonalBiological ProductsGastrointestinal AgentsTumor Necrosis Factor-alphaantibodydosingpharmacokineticsproactive monitoringreactive monitoring

Identifiers

PMID40692184
PMCPMC12484717

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.