Evidence map›Paper›PMID 29739175›Full record

ReviewJournal of neurogastroenterology and motility2018

Potent Potassium-competitive Acid Blockers: A New Era for the Treatment of Acid-related Diseases.

Tadayuki Oshima, Hiroto Miwa

4 registry-linked trialsOpen access · diamondAbstract readReview
In one paragraph

Review in Journal of neurogastroenterology and motility, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 111 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 8 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT04028466 phase4terminatednot on this mapstarted 2019, after this paper: background citation

Effectiveness of Vonoprazan vs Omeprazole as Empiric Therapy for Gastroesophageal Reflux Disease (GERD) Patients Without Alarm Features in a Primary Care Setting: A Pragmatic, Randomized, Single Blind Study

TypeinterventionalSponsorSt. Luke's Medical Center, PhilippinesRan2019 to 2020Enrolled82ConditionsGERD, Gastro Esophageal RefluxArmsVonoprazan, Omeprazole
NCT05005910 early_phase1completednot on this mapstarted 2021, after this paper: background citation

Efficacy of Vonoprazan Versus Intravenous Proton Pump Inhibitors for Prevention of Rebleeding in High Risk Peptic Ulcers Bleeding After Successful Endoscopic Hemostasis

TypeinterventionalSponsorUayporn KaosombatwattanaRan2021 to 2022Enrolled194ConditionsPeptic Ulcer With HaemorrhageArmsVonoprazan, PPIs IV infusion
NCT07608536 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Comparison of Rabeprazole and Vonoprazan in the Prevention of Post-endoscopic Variceal Ligation Ulcer in Patients With Cirrhosis

TypeinterventionalSponsorKing George's Medical UniversityRan2026 to 2026Enrolled300ConditionsEndoscopic Variceal Band LigationArmsVonoprazan, Rabeprazol
NCT07707011 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Potassium Competitive Acid Blocker (PCAB) Test-Guided vs Physiologic Test-Guided Treatment in Patients With Typical Reflux Symptoms: A Randomized Non-inferiority Trial

TypeinterventionalSponsorMahidol UniversityRan2026 to 2027Enrolled120ConditionsGERD, Acid Reflux, TreatmentArmsPCAB-test guided
3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 8 syntheses or guidelines pooled it, 207 citations in OpenAlex.

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  6. Treatment ofWorld journal of gastroenterology · 2024
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  8. Efficacy of second-line regimens forBMJ open gastroenterology · 2020
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51 more citing papers are in PubMed but not listed here.

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

2 authors at 1 institution in 1 country.

Tadayuki OshimaDivision of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.
Hiroto MiwaDivision of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.
Hyogo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conventional proton pump inhibitors (PPIs) are used as a first-line therapy to treat acid-related diseases worldwide. However, they have a number of limitations including slow onset of action, influence by cytochrome P450 polymorphisms, unsatisfactory effects at night, and instability in acidic conditions. Alternative formulations of conventional PPIs have been developed to overcome these problems; however, these drugs have only introduced small advantages for controlling acid secretion compared to conventional PPIs. Potassium-competitive acid blockers (P-CABs) were developed and have beneficial effects including rapid, long-lasting, and reversible inhibition of the gastric hydrogen potassium ATPase, the proton pump of the stomach. Vonoprazan was recently innovated as a novel, orally active P-CAB. It is currently indicated for the treatment of gastric and duodenal ulcers, reflux esophagitis, and prevention of low-dose aspirin- or nonsteroidal anti-inflammatory drug-related gastric and duodenal ulcer recurrence in Japan. Vonoprazan does not require enteric coating as it is acid-stable, and it can be taken without food because it is quickly absorbed. Vonoprazan accumulates in parietal cells under both acidic and neutral conditions. It does not require an acidic environment for activation, has long-term stability at the site of action, and has satisfactory safety and tolerability. Thus, vonoprazan may address the unmet medical need for the treatment of acid-related diseases.

Indexed as

Anti-inflammatory agents, non-steroidalEsophagitisHelicobacter pyloriH+, K+-exchanging ATPasePotassium-competitive acid blocker

Identifiers

PMID29739175
PMCPMC6034668
OpenAlexW2801245286

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.