Evidence map›Paper›PMID 29188387›Full record

Trial reportJournal of gastroenterology2018

Efficacy and safety of twice-daily rabeprazole maintenance therapy for patients with reflux esophagitis refractory to standard once-daily proton pump inhibitor: the Japan-based EXTEND study.

Yoshikazu Kinoshita, Mototsugu Kato, Mitsuhiro Fujishiro, Hironori Masuyama, Ryo Nakata, Hisanori Abe, Shinji Kumagai, Yasushi Fukushima, Yoshiumi Okubo, Seiichiro Hojo and 1 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02135107 (A Double-blind Comparative Study of the Efficacy and Safety of E3810 10mg Once and Twice Daily in Maintenance Therapy for PPI Resistant Gastroesophageal Reflux Disease Patients), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 14% 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.

NCT02135107 phase3completednot on this map

A Double-blind Comparative Study of the Efficacy and Safety of E3810 10mg Once and Twice Daily in Maintenance Therapy for PPI Resistant Gastroesophageal Reflux Disease Patients

TypeinterventionalSponsorEisai Co., Ltd.Ran2013 to 2016Enrolled517ConditionsGastroesophageal Reflux DiseaseArmsRabeprazole
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Observational
  4. Acid peptic disorder compass: An Indian expert consensus on comprehensive management.World journal of gastrointestinal pharmacology and therapeutics · 2026
    Review
  5. Review
  6. [Drug Therapy for Gastroesophageal Reflux Disease].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
    Review
  7. Review
  8. Article
  9. Observational
  10. Review
  11. Review
  12. Article
  13. Advantages and Disadvantages of Long-term Proton Pump Inhibitor Use.Journal of neurogastroenterology and motility · 2018
    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

11 authors at 9 institutions in 1 country.

Yoshikazu KinoshitaDepartment of Internal Medicine II, Faculty of Medicine, Shimane University, 89-1, Enya-cho, Izumo, Shimane, 693-8501, Japan. kinosita@med.shimane-u.ac.jp.
Mototsugu KatoDepartment of Gastroenterology, National Hospital Organization Hakodate Hospital, Hakodate, Hokkaido, Japan.
Mitsuhiro FujishiroDepartment of Endoscopy and Endoscopic Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Hironori MasuyamaMasuyama Gastrointestinal Clinic, Ohtawara, Tochigi, Japan.
Ryo NakataJapanese Red Cross Medical Center, Tokyo, Japan.
Hisanori AbeArita GI Hospital, Oita, Oita, Japan.
Shinji KumagaiNakajima Hospital, Sendai, Miyagi, Japan.
Yasushi FukushimaTokyo-Eki Center-Building Clinic, Tokyo, Japan.
Yoshiumi OkuboClinical Development Department, EA Pharma Co., Ltd, Tokyo, Japan.
Seiichiro HojoClinical Data Science Department, Eisai Co., Ltd, Tokyo, Japan.
Motoyasu KusanoDepartment of Gastroenterology, Gunma University Hospital, Maebashi, Gunma, Japan.
EA Pharma (Japan) · JPEisai (Japan) · JPGunma University Hospital · JPHakodate National Hospital · JPImari Arita Kyoritsu Hospital · JPJapanese Red Cross Medical Center · JPSaiseikai Matsuyama Hospital · JPShimane University · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRabeprazole at 10 or 20 mg twice daily (b.i.d.) has been reported to be highly effective in the treatment of proton pump inhibitor (PPI)-resistant reflux esophagitis (RE) that is refractory to the standard once-daily PPI regimen. We evaluated the efficacy and safety of rabeprazole maintenance therapy at 10 mg once daily (q.d.) or b.i.d. for longer than 8 weeks.

methodsPatients with RE refractory to standard PPI regimens for at least 8 weeks were enrolled. They were treated with rabeprazole at 10 or 20 mg b.i.d. for 8 weeks during the open-label treatment period. After endoscopic examination, those with confirmed healing entered the subsequent double-blind maintenance therapy. During this period, the subjects were randomized to receive rabeprazole 10 mg q.d. (control) or 10 mg b.i.d. The primary endpoint was the endoscopic no-recurrence rate at Week 52.

resultsIn total, 517 subjects entered the treatment, and 359 subjects continued on maintenance therapy. The full analysis set for central assessment included 343 subjects. The no-recurrence rate at Week 52 was significantly higher in the b.i.d. group (73.9%; p < 0.001, χ

conclusionsIn the maintenance treatment of PPI-resistant RE, rabeprazole at 10 mg b.i.d. exerted a stronger recurrence-preventing effect than 10 mg q.d. over 52 weeks. No particular safety issues were noted during long-term administration. ClinicalTrials.gov number: NCT02135107.

Indexed as

AgedAnti-Ulcer AgentsDouble-Blind MethodDrug Administration ScheduleDrug ResistanceEndoscopyEsophagitis, PepticFemaleGastrinsGastroesophageal RefluxHumansJapanKaplan-Meier EstimateMaleMiddle AgedPolypsAnti-Ulcer AgentsGastrinsProton Pump InhibitorsRabeprazoleEndoscopyGERDLos Angeles ClassificationProton pump inhibitorReflux esophagitis

Identifiers

PMID29188387
PMCPMC6006226
OpenAlexW2770873389

What OpenQuestion holds

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LicenceCC BY
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.