PMID- 21353102 OWN - NLM STAT- MEDLINE DCOM- 20110624 LR - 20181201 IS - 1879-114X (Electronic) IS - 0149-2918 (Linking) VI - 32 IP - 14 DP - 2010 Dec TI - Systematic review and meta-analysis of the efficacy and tolerability of nicotine preparations in active ulcerative colitis. PG - 2304-15 LID - 10.1016/j.clinthera.2011.01.004 [doi] AB - BACKGROUND: Findings from clinical studies of the efficacy and tolerability of nicotine preparations in maintaining remission of ulcerative colitis (UC) have been inconsistent. OBJECTIVES: This systematic review and meta-analysis aimed to assess the efficacy and tolerability of nicotine preparations in inducing remission in UC. METHODS: A literature search (1966 August 2010) of Scopus (EMBASE), PubMed, Web of Science, and the Cochrane Central Register of Controlled Trials was conducted for clinical trials that investigated the efficacy and/or tolerability (any adverse events [AEs] and withdrawals due to AEs) of any nicotine preparation for the induction of remission in UC. RESULTS: The electronic searches yielded 788 items. Of these, 3 placebo-controlled trials representing 233 patients with UC and 2 randomized controlled trials that compared nicotine to corticosteroids in 81 patients with UC were included in meta-analysis. The summary relative risks (RRs) (95% CI) in comparing nicotine to placebo were 1.40 (0.63-3.12) (P = NS) for clinical remission, 1.95 (1.38-2.78) (P < 0.001) for AEs, and 3.44 (0.71-16.71) (P = NS) for withdrawal due to AEs. The summary RRs in comparing nicotine to corticosteroids (prednisolone/prednisone) were 0.74 (0.5-1.09) (P = NS) for clinical remission in 2 trials and 2.28 (0.76-6.83) (P = NS) for withdrawal due to AEs. CONCLUSION: The findings from this meta-analysis do not support the efficacy or tolerability of nicotine preparations in inducing remission in UC. CI - Copyright (c) 2010. Published by EM Inc USA. FAU - Nikfar, Shekoufeh AU - Nikfar S AD - Department of Pharmacoeconomics and Pharmaceutical Administration, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran. FAU - Ehteshami-Ashar, Solmaz AU - Ehteshami-Ashar S FAU - Rahimi, Roja AU - Rahimi R FAU - Abdollahi, Mohammad AU - Abdollahi M LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review PL - United States TA - Clin Ther JT - Clinical therapeutics JID - 7706726 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Anti-Inflammatory Agents) RN - 6M3C89ZY6R (Nicotine) SB - IM MH - Adrenal Cortex Hormones/administration & dosage/adverse effects/*therapeutic use MH - Anti-Inflammatory Agents/administration & dosage/adverse effects/*therapeutic use MH - Clinical Trials as Topic MH - Colitis, Ulcerative/*drug therapy/epidemiology MH - Humans MH - Nicotine/administration & dosage/adverse effects/*therapeutic use MH - Remission Induction MH - Treatment Outcome EDAT- 2011/03/01 06:00 MHDA- 2011/06/28 06:00 CRDT- 2011/03/01 06:00 PHST- 2010/10/26 00:00 [accepted] PHST- 2011/03/01 06:00 [entrez] PHST- 2011/03/01 06:00 [pubmed] PHST- 2011/06/28 06:00 [medline] AID - S0149-2918(11)00005-1 [pii] AID - 10.1016/j.clinthera.2011.01.004 [doi] PST - ppublish SO - Clin Ther. 2010 Dec;32(14):2304-15. doi: 10.1016/j.clinthera.2011.01.004.