Evidence map›Paper›PMID 25197703›Full record

SynthesisTheScientificWorldJournal2014

Efficacy and safety of acotiamide for the treatment of functional dyspepsia: systematic review and meta-analysis.

Guoguang Xiao, Xiaoping Xie, Juan Fan, Jianjun Deng, Shan Tan, Yu Zhu, Qin Guo, Chaomin Wan

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in TheScientificWorldJournal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Efficacy of Acotiamide in Pediatric Patients with Functional Dyspepsia.Pediatric gastroenterology, hepatology & nutrition · 2025
    Article
  5. Review
  6. Review
  7. Clinical Practice Guidelines for Functional Dyspepsia in Korea.Journal of neurogastroenterology and motility · 2020
    Review
  8. Article
  9. The Diagnosis and Treatment of Functional Dyspepsia.Deutsches Arzteblatt international · 2018
    Article
  10. Review
  11. Review
  12. Article
  13. Profile of acotiamide in the treatment of functional dyspepsia.Clinical and experimental gastroenterology · 2016
    Review
  14. Women and functional dyspepsia.Women's health (London, England) · 2016
    Article
  15. 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.

Guoguang XiaoDepartment of Pediatrics, West China Second Hospital, Sichuan University, No. 20, Section 3, Renmin Nanlu, Chengdu, Sichuan 610041, China.ORCID 0000-0002-0535-6642
Xiaoping XieDepartment of Pediatrics, The Medical Center of Dujiangyan, Chengdu 611830, China.
Juan FanDepartment of Pediatrics, Sichuan Academy of Medical Science and Sichuan Provincial People's Hospital, Chengdu 610072, China.
Jianjun DengDepartment of Pediatrics, West China Second Hospital, Sichuan University, No. 20, Section 3, Renmin Nanlu, Chengdu, Sichuan 610041, China.
Shan TanDepartment of Pediatrics, West China Second Hospital, Sichuan University, No. 20, Section 3, Renmin Nanlu, Chengdu, Sichuan 610041, China.
Yu ZhuDepartment of Pediatrics, West China Second Hospital, Sichuan University, No. 20, Section 3, Renmin Nanlu, Chengdu, Sichuan 610041, China.
Qin GuoDepartment of Pediatrics, West China Second Hospital, Sichuan University, No. 20, Section 3, Renmin Nanlu, Chengdu, Sichuan 610041, China.
Chaomin WanDepartment of Pediatrics, West China Second Hospital, Sichuan University, No. 20, Section 3, Renmin Nanlu, Chengdu, Sichuan 610041, China.ORCID 0000-0003-1480-3050

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are no treatments with established efficacy for this disorder so far.

aimTo systematically review the efficacy of acotiamide in the treatment of patients with FD.

methodsWe searched main electronic databases through November 2013. RCTs evaluating the efficacy of acotiamide versus placebo in FD patients were included. Pooled risk ratio (RR) with 95% confidential interval (CI) was calculated.

resultsSix publications including seven RCTs were eligible for inclusion. The summary RR of overall improvement of FD symptoms in patients receiving acotiamide versus placebo was 1.29 (95% CI, 1.19-1.40, P < 0.00001; I(2) = 15%). Acotiamide improved the symptoms of patients with postprandial distress syndrome (PDS) (RR, 1.29; 95% CI, 1.09-1.53, P = 0.003; I(2) = 0%), and the summary RR for patients with epigastric pain syndrome (EPS) was 0.92 (95% CI, 0.76-1.11, P = 0.39; I(2) = 0%). Acotiamide showed a significantly beneficial effect on the elimination of some individual FD symptoms compared with placebo. Adverse events were not significantly different between acotiamide and placebo groups. Subgroup analyses suggested that acotiamide 100 mg three times daily (tid) showed consistent efficacy not only for the overall improvement but also for the elimination of some individual symptoms in FD patients.

conclusionsAcotiamide has the potential to improve the symptoms of patients with FD, particularly of patients with PDS, without major adverse effects. The dosage of acotiamide 100 mg tid might be the appropriate dose in the treatment of FD.

Indexed as

BenzamidesDose-Response Relationship, DrugDyspepsiaHumansOdds RatioRandomized Controlled Trials as TopicThiazolesBenzamidesThiazolesZ 338

Identifiers

PMID25197703
PMCPMC4146483

What OpenQuestion holds

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Registered trials

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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.