Evidence map›Paper›PMID 27838874›Full record

Trial reportChinese journal of integrative medicine2017

No additional cholesterol-lowering effect observed in the combined treatment of red yeast rice and Lactobacillus casei in hyperlipidemic patients: A double-blind randomized controlled clinical trial.

Chien-Ying Lee, Min-Chien Yu, Wu-Tsun Perng, Chun-Che Lin, Ming-Yung Lee, Ya-Lan Chang, Ya-Yun Lai, Yi-Ching Lee, Yu-Hsiang Kuan, James Cheng-Chung Wei and 1 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Chinese journal of integrative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 86% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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 6 institutions in 1 country.

Chien-Ying LeeInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan, 40201, China.
Min-Chien YuDepartment of Pharmacology, Chung Shan Medical University, Taichung, Taiwan, 40201, China.
Wu-Tsun PerngDepartment of Recreation Sport & Health Promotion, National Pingtung University of Science and Technology, Taiwan, 91201, China.
Chun-Che LinInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan, 40201, China.
Ming-Yung LeeDepartment of Statistics and Informatics Science, Providence University, Taiwan, 43301, China.
Ya-Lan ChangDepartment of Pharmacy, Chung Shan Medical University Hospital, Taichung, Taiwan, 40201, China.
Ya-Yun LaiDepartment of Applied Cosmetology, National Tainan Junior College of Nursing, China, Taiwan, 700.
Yi-Ching LeeDepartment of Pharmacy, Chung Shan Medical University Hospital, Taichung, Taiwan, 40201, China.
Yu-Hsiang KuanDepartment of Pharmacy, Chung Shan Medical University Hospital, Taichung, Taiwan, 40201, China.
James Cheng-Chung WeiInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan, 40201, China.
Hung-Che ShihInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan, 40201, China. shj525@csmu.edu.tw.
Chung Shan Medical University Hospital · TWChung Shan Medical University · TWChina Medical University Hospital · TWNational Pingtung University of Science and Technology · TWNational Tainan Institute of Nursing · TWProvidence University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo observe the effect of combining red yeast rice and Lactobacillus casei (L. casei) in lowering cholesterol in patients with primary hyperlipidemia, the later has also been shown to remove cholesterol in in vitro studies.

methodsA double-blind clinical trial was conducted to evaluate the cholesterol-lowering effect of the combination of red yeast rice and L. casei. Sixty patients with primary hyperlipidemia were recruited and randomized equally to either the treatment group (red yeast rice + L. casei) or the control group (red yeast rice + placebo). One red yeast rice capsule and two L. casei capsules were taken twice a day. The treatment lasted for 8 weeks, with an extended follow-up period of 4 weeks. The primary endpoint was a difference of serum low-density lipoprotein cholesterol (LDL-C) level at week 8.

resultsAt week 8, the LDL-C serum level in both groups was lower than that at baseline, with a decrease of 33.85±26.66 mg/dL in the treatment group and 38.11±30.90 mg/dL in the control group; however, there was no statistical difference between the two groups (P>0.05). The total cholesterol was also lower than the baseline in both groups, yet without a statistical difference between the two groups. The only statistically signifificant difference between the two groups was the average diastolic pressure at week 12, which dropped by 2.67 mm Hg in the treatment group and increased by 4.43 mm Hg in the placebo group (P<0.05). The antihypertensive activity may be associated with L. casei. Red yeast rice can signifificantly reduce LDL-C, total cholesterol and triglyceride.

conclusionThe combination of red yeast rice and L. casei did not have an additional effect on lipid profifiles.

Indexed as

Biological ProductsBlood PressureCholesterolCholesterol, HDLCholesterol, LDLCombined Modality TherapyDemographyDouble-Blind MethodEndpoint DeterminationFemaleHumansHyperlipidemiasHypolipidemic AgentsLacticaseibacillus caseiMaleMiddle AgedBiological ProductsCholesterolCholesterol, HDLCholesterol, LDLHypolipidemic Agentsred yeast riceTriglyceridesLactobacillus caseilow-density lipoprotein cholesterolrandomized controlled trialred yeast rice

Identifiers

PMID27838874
OpenAlexW2556015852

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.