Evidence map›Paper›PMID 15113451›Full record

Trial reportBMC gastroenterology2004

Lactobacillus GG in inducing and maintaining remission of Crohn's disease.

Michael Schultz, Antje Timmer, Hans H Herfarth, R Balfour Sartor, Jon A Vanderhoof, Heiko C Rath

Open access · goldAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMC gastroenterology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 12 pooled it
10.3field-weighted citation impact, top 1% 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

87 citing papers in PubMed, 12 syntheses or guidelines pooled it, 342 citations in OpenAlex.

  1. Pooled it
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  5. Guideline
  6. Probiotics for induction of remission in Crohn's disease.The Cochrane database of systematic reviews · 2020
    Pooled it
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  12. Probiotics for induction of remission in Crohn's disease.The Cochrane database of systematic reviews · 2008
    Pooled it
  13. Trial
  14. Review
  15. Review
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  18. Article
  19. Article
  20. Review

27 more citing papers are in PubMed but not listed here.

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

6 authors at 3 institutions in 2 countries.

Michael SchultzDepartment of Internal Medicine I, University of Regensburg, Regensburg, Germany. michael.schultz@klinik.uni-regensburg.de
Antje Timmer
Hans H Herfarth
R Balfour Sartor
Jon A Vanderhoof
Heiko C Rath
University of Regensburg · DEUniversity of Nebraska at Omaha · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExperimental studies have shown that luminal antigens are involved in chronic intestinal inflammatory disorders such as Crohn's disease and ulcerative colitis. Alteration of the intestinal microflora by antibiotic or probiotic therapy may induce and maintain remission. The aim of this randomized, placebo-controlled trial was to determine the effect of oral Lactobacillus GG (L. GG) to induce or maintain medically induced remission.

methodsEleven patients with moderate to active Crohn's disease were enrolled in this trial to receive either L. GG (2 x 10(9) CFU/day) or placebo for six months. All patients were started on a tapering steroid regime and received antibiotics for the week before the probiotic/placebo medication was initiated. The primary end point was sustained remission, defined as freedom from relapse at the 6 months follow-up visit. Relapse was defined as an increase in CDAI of >100 points.

results5/11 patients finished the study, with 2 patients in each group in sustained remission. The median time to relapse was 16 +/- 4 weeks in the L. GG group and 12 +/- 4.3 weeks in the placebo group (p = 0.5).

conclusionIn this study we could not demonstrate a benefit of L. GG in inducing or maintaining medically induced remission in CD.

Indexed as

LactobacillusProbioticsAnti-Bacterial AgentsCiprofloxacinCrohn DiseaseDouble-Blind MethodDrug Therapy, CombinationHumansMetronidazoleRecurrenceRemission InductionTreatment OutcomeAnti-Bacterial AgentsCiprofloxacinMetronidazole

Identifiers

PMID15113451
PMCPMC394324
OpenAlexW1530091852

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.