Evidence map›Paper›PMID 20028464›Full record

Trial reportNeurogastroenterology and motility2010

Serum correlates of the placebo effect in irritable bowel syndrome.

E Kokkotou, L A Conboy, D C Ziogas, M T Quilty, J M Kelley, R B Davis, A J Lembo, T J Kaptchuk

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurogastroenterology and motility, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 35% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Predictive biomarkers of placebo response in patients with cancer: an exploratory analysis of the ABCD randomized clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Placebo response variability on health-related quality of life outcomes in irritable bowel syndrome: an arm-based network meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Unanticipated Insights into Biomedicine from the Study of Acupuncture.Journal of alternative and complementary medicine (New York, N.Y.) · 2016
    Article
  11. Article
  12. Placebo studies and ritual theory: a comparative analysis of Navajo, acupuncture and biomedical healing.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2011
    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 at 3 institutions in 1 country.

E KokkotouBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. ekokkoto@bidmc.harvard.edu
L A Conboy
D C Ziogas
M T Quilty
J M Kelley
R B Davis
A J Lembo
T J Kaptchuk
Harvard University · USBeth Israel Deaconess Medical Center · USEndicott College · US

Funding

Omics and Variable Responses to Placebo and Acupuncture in Irritable Bowel SyndroR01AT004662 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KAPTCHUK, TED, KOKKOTOU, EFI G. · 2009 to 2013
$2.3M
Mentoring and Research in Placebo Studies, Asian Medicine, and CAMK24AT004095 · NCCIH · HARVARD MEDICAL SCHOOL · PI KAPTCHUK, TED · 2007 to 2016
$1.4M
NCCIH NIH HHS K24 AT004095NCCIH NIH HHS R01 AT004662NCCIH NIH HHS R01AT004662
6 · The paper itself

Abstract

BACKGROUND In diseases defined primarily by the subjective nature of patient self-report, placebo effects can overwhelm the capacity of randomized controlled trials to detect medication-placebo differences. Moreover, it is unclear whether such placebo effects represent genuine psychobiological phenomena or just shifts in selective attention. Knowledge of predictors of the placebo response could improve the design of clinical trials and the delivery of personalized medical care. METHODS In patients with irritable bowel syndrome (IBS), a subset of our previous study that were randomized to placebo treatment (sham acupuncture) or no-treatment group (waitlist), we tested an enriched panel of 10 serum biomarkers at the enrolment and the 3rd week of intervention, using a multiplex electrochemiluminescent immunoassay. KEY RESULTS More pronounced changes overtime in serum levels of osteoprotegerin (OPG) have been found in patients who received placebo treatment compared with the waitlist group (P = 0.039). Moreover, serum levels of OPG at baseline were found to be higher (P = 0.0167) in patients who subsequently achieved adequate relief (AR) of their IBS symptoms, independently of their treatment group. Besides, serum levels of TNF-related weak inducer of apoptosis (TWEAK) at baseline were also higher (P = 0.0144) in patients who reported AR and in particular in those who received the placebo treatment. CONCLUSIONS & INFERENCES These two measurable biological parameters associated with placebo, namely serum OPG and TWEAK, provide a proof of principle for discovering putative molecular signatures of placebo response in IBS and perhaps in other illnesses with patient self-reported outcomes.

Indexed as

Acupuncture TherapyAdultBiomarkersCytokine TWEAKFemaleHumansIrritable Bowel SyndromeMaleMiddle AgedOsteoprotegerinPatient SelectionPlacebo EffectStatistics, NonparametricSurveys and QuestionnairesTreatment OutcomeTumor Necrosis FactorsBiomarkersCytokine TWEAKOsteoprotegerinTNFSF12 protein, humanTumor Necrosis Factors

Identifiers

PMID20028464
PMCPMC2852478
OpenAlexW1982091615

What OpenQuestion holds

Textmetadata
LicenceTDM
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.