Evidence map›Paper›PMID 17764013›Full record

Trial reportInternational journal of colorectal disease2007

Boswellia serrata extract for the treatment of collagenous colitis. A double-blind, randomized, placebo-controlled, multicenter trial.

Ahmed Madisch, Stephan Miehlke, Otto Eichele, Jenny Mrwa, Birgit Bethke, Eberhard Kuhlisch, Elke Bästlein, Georg Wilhelms, Andrea Morgner, Bernd Wigginghaus and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of colorectal disease, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 5 pooled it
3.5field-weighted citation impact, top 7% 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

32 citing papers in PubMed, 5 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Interventions for treating collagenous colitis.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Systemic Redox Imbalance in Chronic Kidney Disease: A Systematic Review.Oxidative medicine and cellular longevity · 2016
    Pooled it
  4. Pooled it
  5. Frankincense: systematic review.BMJ (Clinical research ed.) · 2008
    Pooled it
  6. Trial
  7. Article
  8. Review
  9. Article
  10. The journey of boswellic acids from synthesis to pharmacological activities.Naunyn-Schmiedeberg's archives of pharmacology · 2024
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Management of microscopic colitis: challenges and solutions.Clinical and experimental gastroenterology · 2019
    Review
  16. Article
  17. Antioxidant Supplements and Gastrointestinal Diseases: A Critical Appraisal.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2017
    Article
  18. Optimal management of collagenous colitis: a review.Clinical and experimental gastroenterology · 2016
    Review
  19. Review of Anti-Inflammatory Herbal Medicines.Advances in pharmacological sciences · 2016
    Review
  20. 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

11 authors at 5 institutions in 2 countries.

Ahmed MadischMedical Department I, Technical University Hospital, Fetscherstrasse 74, 01307, Dresden, Germany. ahmed.madisch@uniklinikum-dresden.de
Stephan Miehlke
Otto Eichele
Jenny Mrwa
Birgit Bethke
Eberhard Kuhlisch
Elke Bästlein
Georg Wilhelms
Andrea Morgner
Bernd Wigginghaus
Manfred Stolte
TU Dresden · DEBayreuth Medical Center · DEAmerican Pharmacists Association · USInstitut für Medizinische Informatik, Biometrie und Epidemiologie · DEKlinik und Poliklinik für Psychotherapie und Psychosomatik · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe objective of this study was to investigate the effect of Boswellia serrata extract (BSE) on symptoms, quality of life, and histology in patients with collagenous colitis. MATERIALS AND

methodsPatients with chronic diarrhea and histologically proven collagenous colitis were randomized to receive either oral BSE 400 mg three times daily for 6 weeks or placebo. Complete colonoscopy and histology were performed before and after treatment. Clinical symptoms and quality of life were assessed by standardized questionnaires and SF-36. The primary endpoint was the percentage of patients with clinical remission after 6 weeks (stool frequency<or=3 soft /solid stools per day on average during the last week). Patients of the placebo group with persistent diarrhea received open-label BSE therapy for a further 6 weeks.

resultsThirty-one patients were randomized; 26 patients were available for per-protocol-analysis. After 6 weeks, the proportion of patients in clinical remission was higher in the BSE group than in the placebo group (per protocol 63.6%; 95%CI, 30.8-89.1 vs 26.7%, 95%CI, 7.7-55.1; p=0.04; intention-to-treat 43.8% vs 26.7%, p=0.25). Compared to placebo, BSE treatment had no effect on histology and quality of life. Five patients discontinued BSE treatment prematurely. Discontinuation was due to adverse events (n=1), unwillingness to continue (n=3), or loss to follow-up for unknown reasons (n=1). Seven patients received open-label BSE therapy, five of whom achieved complete remission.

conclusionsOur study suggests that BSE might be clinically effective in patients with collagenous colitis. Larger trials are clearly necessary to establish the clinical efficacy of BSE.

Indexed as

BoswelliaAdministration, OralAgedAnti-Inflammatory AgentsChronic DiseaseColitis, CollagenousColonDiarrheaDouble-Blind MethodFemaleGastrointestinal AgentsGermanyHumansMaleMiddle AgedPatient ComplianceAnti-Inflammatory AgentsGastrointestinal AgentsPlant Extracts

Identifiers

PMID17764013
OpenAlexW2055067214

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.