Evidence map›Paper›PMID 25167799›Full record

Trial reportGut and liver2015

Additive Effect of Pronase on the Eradication Rate of First-Line Therapy for Helicobacter pylori Infection.

Chang Seok Bang, Yeon Soo Kim, Sang Hyun Park, Jin Bong Kim, Gwang Ho Baik, Ki Tae Suk, Jai Hoon Yoon, Dong Joon Kim

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Gut and liver, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01645761 (Additive Effect of Endonase on Eradication Rate of the 7-day Standard Proton Pump Inhibitor-based Triple Therapy for Helicobacter Pylori), which is not on this map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 16% 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.

NCT01645761 nacompletednot on this map

Additive Effect of Endonase on Eradication Rate of the 7-day Standard Proton Pump Inhibitor-based Triple Therapy for Helicobacter Pylori

TypeinterventionalSponsorChuncheon Sacred Heart HospitalRan2012 to 2013Enrolled112ConditionsGastric Ulcer Associated With Helicobacter PyloriArmsEndonase
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Gut and liver · 2019
    Pooled it
  4. Trial
  5. Trial
  6. Asclepain cI, a proteolytic enzyme fromFrontiers in microbiology · 2022
    Article
  7. Article
  8. Article
  9. Efforts to increase image quality during endoscopy: The role of pronase.World journal of gastrointestinal endoscopy · 2016
    Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Chang Seok BangDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Yeon Soo KimDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Sang Hyun ParkDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Jin Bong KimDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Gwang Ho BaikDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Ki Tae SukDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Jai Hoon YoonDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Dong Joon KimDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Hallym University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsHelicobacter pylori colonizes on the apical surface of gastric surface mucosal cells and the surface mucous gel layer. Pronase is a premedication enzyme for endoscopy that can disrupt the gastric mucus layer. We evaluated the additive effects of pronase combined with standard triple therapy for H. pylori eradication.

methodsThis prospective, single-blinded, randomized, controlled study was conducted between June and October 2012. A total of 116 patients with H. pylori infection were enrolled in the study (n=112 patients, excluding four patients who failed to meet the inclusion criteria) and were assigned to receive either the standard triple therapy, which consists of a proton pump inhibitor with amoxicillin and clarithromycin twice a day for 7 days (PAC), or pronase (20,000 tyrosine units) combined with the standard triple therapy twice a day for 7 days (PACE).

resultsIn the intention-to-treat analysis, the eradication rates of PAC versus PACE were 76.4% versus 56.1% (p=0.029). In the per-protocol analysis, the eradication rates were 87.5% versus 68.1% (p=0.027). There were no significant differences concerning adverse reactions between the two groups.

conclusionsAccording to the interim analysis of the trial, pronase does not have an additive effect on the eradication of H. pylori infection (ClinicalTrial.gov NCT01645761).

Indexed as

AdultAmoxicillinAnti-Bacterial AgentsClarithromycinDrug Administration ScheduleDrug Therapy, CombinationFemaleGastric MucosaHelicobacter InfectionsHelicobacter pyloriHumansMaleMiddle AgedPronaseProspective StudiesProton Pump InhibitorsAmoxicillinAnti-Bacterial AgentsClarithromycinPronaseProton Pump InhibitorsHelicobacter pyloriPronase

Identifiers

PMID25167799
PMCPMC4413967
OpenAlexW2028700981

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.