Evidence map›Paper›PMID 28333952›Full record

Trial reportPloS one2017

Adjuvant treatment with the bacterial lysate (OM-85) improves management of atopic dermatitis: A randomized study.

Christine Bodemer, Gerard Guillet, Frederic Cambazard, Franck Boralevi, Stefania Ballarini, Christian Milliet, Paola Bertuccio, Carlo La Vecchia, Jean-François Bach, Yves de Prost

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Bacterial lysate treatment in allergic disease: A systematic review and meta-analysis.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2021
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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

10 authors at 8 institutions in 3 countries.

Christine BodemerAssistance Publique-Hôpitaux de Paris, Hôpital Necker-Enfants Malades, Department of Dermatology, Paris, France.
Gerard GuilletUniversité de Poitiers, Department of Dermatology, Poitiers, France.
Frederic CambazardUniversité de St-Etienne, Hôpital de St-Etienne, Department of Dermatology, Saint-Etienne, France.
Franck BoraleviUniversité de Bordeaux, Hôpital Pellegrin-enfants, Pediatric Dermatology Unit, Bordeaux, France.
Stefania BallariniVifor Pharma/OM Pharma, Meyrin, Switzerland.
Christian MillietVifor Pharma/OM Pharma, Meyrin, Switzerland.
Paola BertuccioUniversità degli Studi di Milano, Department of Clinical Sciences and Community Health, Milan, Italy.
Carlo La VecchiaUniversità degli Studi di Milano, Department of Clinical Sciences and Community Health, Milan, Italy.
Jean-François BachUniversité Paris Descartes, Sorbone Paris Cité, Paris, France.
Yves de ProstAssistance Publique-Hôpitaux de Paris, Hôpital Necker-Enfants Malades, Department of Dermatology, Paris, France.
University of Milan · ITVifor Pharma (Switzerland) · CHAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Universitaire de Saint-Étienne · FRCentre National de la Recherche Scientifique · FRHôpital Necker-Enfants Malades · FRHôpital Pellegrin · FRUniversité de Poitiers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnvironmental factors play a major role on atopic dermatitis (AD) which shows a constant rise in prevalence in western countries over the last decades. The Hygiene Hypothesis suggesting an inverse relationship between incidence of infections and the increase in atopic diseases in these countries, is one of the working hypothesis proposed to explain this trend.

objectiveThis study tested the efficacy and safety of oral administration of the bacterial lysate OM-85 (Broncho-Vaxom®, Broncho-Munal®, Ommunal®, Paxoral®, Vaxoral®), in the treatment of established AD in children.

methodsChildren aged 6 months to 7 years, with confirmed AD diagnosis, were randomized in a double-blind, placebo-controlled trial to receive, in addition to conventional treatment with emollients and topical corticosteroids, 3.5mg of the bacterial extract OM-85 or placebo daily for 9 months. The primary end-point was the difference between groups in the occurrence of new flares (NF) during the study period, evaluated by Hazard Ratio (HR) derived from conditional Cox proportional hazard regression models accounting for repeated events.

resultsAmong the 179 randomized children, 170 were analysed, 88 in the OM-85 and 82 in the placebo group. As expected most children in both treatment groups experienced at least 1 NF during the study period (75 (85%) patients in the OM-85 group and 72 (88%) in the placebo group). Patients treated with OM-85 as adjuvant therapy had significantly fewer and delayed NFs (HR of repeated flares = 0.80; 95% confidence interval (CI): 0.67-0.96), also when potential confounding factors, as family history of atopy and corticosteroids use, were taken into account (HR = 0.82; 95% CI: 0.69-0.98). No major side effect was reported, with comparable and good tolerability for OM-85 and placebo.

conclusionsResults show an adjuvant therapeutic effect of a well standardized bacterial lysate OM-85 on established AD.

Indexed as

Adjuvants, PharmaceuticAdministration, OralAdrenal Cortex HormonesBacterial LysatesCell ExtractsChildChild, PreschoolDermatitis, AtopicDermatologic AgentsDouble-Blind MethodFemaleHumansInfantMalePrevalenceTreatment OutcomeAdjuvants, PharmaceuticAdrenal Cortex HormonesBacterial LysatesBroncho-VaxomCell ExtractsDermatologic Agents

Identifiers

PMID28333952
PMCPMC5363804
OpenAlexW2601552683

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.