Evidence map›Paper›PMID 22367114›Full record

Trial reportDigestive diseases and sciences2012

A study on the efficacy of rebamipide for patients with proton pump inhibitor-refractory non-erosive reflux disease.

Kyoichi Adachi, Kenji Furuta, Hiroto Miwa, Tadayuki Oshima, Masaharu Miki, Yoshinori Komazawa, Katsuhiko Iwakiri, Takahisa Furuta, Tomoyuki Koike, Tomohiko Shimatani and 1 more

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Digestive diseases and sciences, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Refractory gastroesophageal reflux disease.Gastroenterology report · 2015
    Review
  9. New and future drug development for gastroesophageal reflux disease.Journal of neurogastroenterology and motility · 2014
    Review
  10. Article
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 8 institutions in 1 country.

Kyoichi AdachiDepartment of Clinical Nursing, Shimane University Faculty of Medicine, Izumo City, Shimane, Japan. kadachi@med.shimane-u.ac.jp
Kenji Furuta
Hiroto Miwa
Tadayuki Oshima
Masaharu Miki
Yoshinori Komazawa
Katsuhiko Iwakiri
Takahisa Furuta
Tomoyuki Koike
Tomohiko Shimatani
Yoshikazu Kinoshita
Hyogo Medical University · JPShimane University · JPHamamatsu University School of Medicine · JPHiroshima University Hospital · JPHyogo Prefectural Awaji Medical Center · JPNippon Medical School · JPTohoku University · JPUniversity of Shimane · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimReflux symptoms in patients with non-erosive reflux disease (NERD) cannot be easily controlled by treatment with proton pump inhibitors (PPI). The anti-inflammatory function of rebamipide may be effective for protecting the esophageal mucosa. This prospective randomized multicenter placebo-controlled study was performed to clarify the efficacy of rebamipide for NERD patients whose reflux symptoms were refractory to PPI treatment.

methodsOne hundred forty-nine patients were enrolled on the basis of a QUEST score of over 6 and absence of endoscopically proven esophageal mucosal breaks. All the patients were initially administered 15 mg of lansoprazole for 4 weeks, and the symptoms were then assessed using QUEST and GSRS. PPI-refractory patients were randomly assigned to administration of rebamipide or placebo t.i.d. for 4 weeks.

resultsThree of the 149 patients were lost to follow-up, and 60 among the remaining 146 patients were found to be PPI-refractory. Among these PPI-refractory patients, 31 were randomly assigned to a rebamipide group and 29 to a placebo group. At the end of drug administration, the QUEST and GSRS scores did not differ between the rebamipide and placebo groups, although a significantly higher proportion of patients in the rebamipide group showed amelioration of abdominal pain and diarrhea.

conclusionAdministration of rebamipide cannot effectively control reflux symptoms in NERD patients whose symptoms are refractory to PPI therapy.

Indexed as

Drug Resistance2-PyridinylmethylsulfinylbenzimidazolesAdultAgedAged, 80 and overAlanineDose-Response Relationship, DrugDrug Administration ScheduleEsophageal pH MonitoringEsophagoscopyFemaleFollow-Up StudiesGastroesophageal RefluxHumansLansoprazoleMale2-PyridinylmethylsulfinylbenzimidazolesAlanineLansoprazoleProton Pump InhibitorsQuinolonesrebamipide

Identifiers

PMID22367114
OpenAlexW1965311396

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.