Evidence map›Paper›PMID 22883440›Full record

Trial reportJournal of Crohn's & colitis2013

Bilberry ingestion improves disease activity in mild to moderate ulcerative colitis - an open pilot study.

Luc Biedermann, Jessica Mwinyi, Michael Scharl, Pascal Frei, Jonas Zeitz, Gerd A Kullak-Ublick, Stephan R Vavricka, Michael Fried, Achim Weber, Hans-Ulrich Humpf and 4 more

RetractedErratum issuedAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Journal of Crohn's & colitis, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 147 citations in OpenAlex.

  1. Guideline
  2. Preventing Colitis-Associated Colon Cancer With Antioxidants: A Systematic Review.Cellular and molecular gastroenterology and hepatology · 2021
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Nutrients · 2023
    Review
  15. Article
  16. Review
  17. Molecules (Basel, Switzerland) · 2023
    Review
  18. Review
  19. Article
  20. Anti-Inflammatory Activity of Bilberry (Current issues in molecular biology · 2022
    Review
4 · The record

Corrections and comments

  • Expression of concern · 2022-01-24Civil Proceedings · Concerns/Issues about Data · Concerns/Issues about Results and/or Conclusions · Legal Reasons and/or Threats · · See also: https://doi.org/10.1093/ecco-jcc/jjab225 Journal was previously published by Elsevier until 2015.
  • Commented on by
  • Erratum issued
5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Luc BiedermannDivision of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
Jessica Mwinyi
Michael Scharl
Pascal Frei
Jonas Zeitz
Gerd A Kullak-Ublick
Stephan R Vavricka
Michael Fried
Achim Weber
Hans-Ulrich Humpf
Simone Peschke
Alexander Jetter
Gerhard Krammer
Gerhard Rogler
University Hospital of Zurich · CHSymrise (Germany) · DETriemli Hospital · CHUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsA significant fraction of patients with ulcerative colitis (UC) is not sufficiently controlled with conventional therapy or suffers from therapy related side effects. Anthocyanins, highly abundant in bilberries (Vaccinium myrtillus), were shown to have antioxidative and anti-inflammatory effects. We aimed to explore the therapeutic potential of bilberries in active UC.

methodsIn an open pilot trial with a total follow-up of 9 weeks the effect of a daily standardized anthocyanin-rich bilberry preparation was tested in 13 patients with mild to moderate UC. Clinical, biochemical, endoscopic and histologic parameters were assessed.

resultsAt the end of the 6 week treatment interval 63.4% of patients achieved remission, the primary endpoint, while 90.9% of patients showed a response. In all patients a decrease in total Mayo score was detected (mean: 6.5 and 3.6 at screening and week 7, respectively; p<0.001). Fecal calprotectin levels significantly decreased during the treatment phase (baseline: mean 778 μg/g, range 192-1790 μg/g; end of treatment: mean 305 μg/g, range <30-1586 μg/g; p=0.049), including 4 patients achieving undetectable levels at end of treatment. A decrease in endoscopic Mayo score and histologic Riley index confirmed the beneficial effect. However, an increase of calprotectin levels and disease activity was observed after cessation of bilberry intake. No serious adverse events were observed.

conclusionsThis is the first report on the promising therapeutic potential of a standardized anthocyanin-rich bilberry preparation in UC in humans. These results clearly indicate a therapeutic potential of bilberries in UC. Further studies on mechanisms and randomized clinical trials are warranted.

Indexed as

FruitPhytotherapyVaccinium myrtillusAdolescentAdultAgedAnthocyaninsAntioxidantsColitis, UlcerativeDrug Administration ScheduleFemaleFollow-Up StudiesHumansInduction ChemotherapyMaleMiddle AgedAnthocyaninsAntioxidants

Identifiers

PMID22883440
OpenAlexW2136050868

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.