Evidence map›Paper›PMID 22065160›Full record

Trial reportJournal of gastroenterology2012

A large-scale nationwide multicenter prospective observational study of triple therapy using rabeprazole, amoxicillin, and clarithromycin for Helicobacter pylori eradication in Japan.

Toshio Fujioka, Nobuo Aoyama, Kyoko Sakai, Yoshiyuki Miwa, Mineo Kudo, Junichi Kawashima, Yasuo Matsubara, Jun Miwa, Koji Yakabi

Abstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Journal of gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Clinical background factors affecting outcomes ofJournal of general and family medicine · 2019
    Article
  4. Observational
  5. Rifabutin and Furazolidone Could Be the Candidates of the Rescue Regimen for Antibiotic-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2019
    Article
  6. Article
  7. Review
  8. Antibiotic treatment for Helicobacter pylori: Is the end coming?World journal of gastrointestinal pharmacology and therapeutics · 2015
    Review
  9. Helicobacter pylori: management in 2013.World journal of gastroenterology · 2014
    Review
  10. Review
  11. Helicobacter pylori infection in Japan.Expert review of gastroenterology & hepatology · 2013
    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

9 authors at 6 institutions in 1 country.

Toshio FujiokaDepartment of Gastroenterology, Oita University, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita 879-5593, Japan. fujioka@oita-u.ac.jp
Nobuo Aoyama
Kyoko Sakai
Yoshiyuki Miwa
Mineo Kudo
Junichi Kawashima
Yasuo Matsubara
Jun Miwa
Koji Yakabi
Social Insurance Saitama Chuo Hospital · JPToshiba General Hospital · JPMiwa Internal Medicine Clinic · JPNara City Hospital · JPOita University · JPSapporo Hokuyu Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years in Japan, the rate of clarithromycin (CAM) resistance in Helicobacter pylori has risen to around 30%, and the eradication rate with triple therapy [proton pump inhibitor + amoxicillin (AMPC) + CAM] has been trending downward to around 70%. In 2007, rabeprazole (RPZ)-based triple therapy (RPZ + AMPC + CAM: RAC therapy) was approved in Japan, and a large-scale nationwide study was therefore initiated to evaluate the efficacy and safety of RAC therapy in clinical practice.

methodsPatients with H. pylori-positive gastric/duodenal ulcer (including ulcer scars) were administered triple therapy comprising RPZ 10 mg, AMPC 750 mg, and CAM 200 mg (or 400 mg), twice daily for 7 days.

resultsThe eradication rate was 80.7% (2,551/3,162). The results of multivariate analysis indicated the following as factors affecting the eradication rate: sex, treatment compliance, history of H. pylori treatment, presence of urologic disease, presence of respiratory disease, and year of starting treatment. The incidence of adverse drug reactions (such as diarrhea and dysgeusia) was 4.4% (166/3,789). The results of multivariate analysis indicated the following as factors affecting the incidence of adverse drug reactions: sex, daily CAM dose, and history of allergies.

conclusionIn a large-scale nationwide study of use in clinical practice, RAC therapy was confirmed to be effective and safe.

Indexed as

2-PyridinylmethylsulfinylbenzimidazolesAdolescentAdultAgedAmoxicillinAnti-Bacterial AgentsAnti-Ulcer AgentsClarithromycinDose-Response Relationship, DrugDrug Resistance, BacterialDrug Therapy, CombinationFemaleHelicobacter InfectionsHelicobacter pyloriHumansJapan2-PyridinylmethylsulfinylbenzimidazolesAmoxicillinAnti-Bacterial AgentsAnti-Ulcer AgentsClarithromycinRabeprazole

Identifiers

PMID22065160
OpenAlexW2064669559

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.