Evidence map›Paper›PMID 30167954›Full record

Trial reportSurgical endoscopy2019

Effect of ilaprazole on the healing of endoscopic submucosal dissection-induced gastric ulcer: randomized-controlled, multicenter study.

Chang Seok Bang, Woon Geon Shin, Seung In Seo, Min Ho Choi, Hyun Joo Jang, Se Woo Park, Sea Hyub Kae, Young Joo Yang, Suk Pyo Shin, Gwang Ho Baik and 1 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02638584 (Effects of Ilaprazole 20mg on Ulcer Healing Rate and Prevention of Gastrointestinal Bleeding in the Patients Undergone Endoscopic Submucosal Dissection), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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.

NCT02638584 phase4completednot on this map

Effects of Ilaprazole 20mg on Ulcer Healing Rate and Prevention of Gastrointestinal Bleeding in the Patients Undergone Endoscopic Submucosal Dissection(ESD) for Gastric Adenoma or Early Gastric Cancer.

TypeinterventionalSponsorIl-Yang Pharm. Co., Ltd.Ran2015 to 2018Enrolled176ConditionsGastric CancerArmsIlaprazole, Rabeprazole
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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 1 institution in 1 country.

Chang Seok BangDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Woon Geon ShinDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, South Korea. sgun9139@gmail.com.ORCID 0000-0002-9851-5576
Seung In SeoDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Min Ho ChoiDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Hyun Joo JangDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Se Woo ParkDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Sea Hyub KaeDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Young Joo YangDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Suk Pyo ShinDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Gwang Ho BaikDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Hak Yang KimDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, South Korea.
Hallym University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal treatment regimen or the duration of treatment for an endoscopic submucosal dissection (ESD)-induced gastric ulcer has not been established. The aim of this study was to assess the efficacy of novel proton-pump inhibitor, ilaprazole, for the treatment of ESD-induced gastric ulcer.

methodsThis was a prospective, open-label, randomized multicenter study. Between June 2015 and March 2018, a total of 176 patients (178 lesions) who underwent ESD for a gastric neoplasm were randomly allocated to receive the oral proton-pump inhibitor ilaprazole 20 mg or rabeprazole 20 mg daily for 8 weeks. The primary outcome was the ulcer healing rate at 4 and 8 weeks.

resultsA total of 155 (157 lesions) and 154 patients (156 lesions) were included in the modified intention-to-treat (mITT) and per-protocol analyses, respectively. There was no significant difference in the ulcer healing rate (ilaprazole vs. rabeprazole, 97.4% vs. 97.0 p = 0.78 at 4 weeks, 100% vs. 100%, p = 0.95 at 8 weeks in the mITT analysis) or stage of ulcer (scar stage, 25.6% vs. 17.7%, p = 0.25 at 4 weeks, 92.3% vs. 88.6%, p = 0.59 at 8 weeks in the mITT analysis) between the treatment groups. The quality of ulcer healing was not significantly different between the two groups. No independent predictive factor for higher-quality ulcer healing was found in the multivariate analysis.

conclusionsAccording to this trial, ilaprazole and rabeprazole showed no significant difference in the healing of artificial gastric ulcers. Most of the ulcers achieved complete healing within 4-8 weeks.

trial registrationClinicalTrial.gov NCT02638584.

Indexed as

2-PyridinylmethylsulfinylbenzimidazolesAgedAnti-Ulcer AgentsEndoscopic Mucosal ResectionFemaleHumansMaleMiddle AgedPostoperative ComplicationsProspective StudiesProton Pump InhibitorsRabeprazoleStomach NeoplasmsStomach UlcerWound Healing2-PyridinylmethylsulfinylbenzimidazolesAnti-Ulcer AgentsilaprazoleProton Pump InhibitorsRabeprazoleEndoscopic submucosal dissectionEndoscopyGastric ulcerIlaprazoleRabeprazole

Identifiers

PMID30167954
OpenAlexW2889331266

What OpenQuestion holds

Textmetadata
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.