Evidence map›Paper›PMID 30694338›Full record

Trial reportEuropean journal of clinical pharmacology2019

Saccharomyces boulardii CNCM I-745 plus sequential therapy for Helicobacter pylori infections: a randomized, open-label trial.

Hassan Seddik, Hanae Boutallaka, Ilham Elkoti, Fouad Nejjari, Reda Berraida, Sanaa Berrag, Khaoula Loubaris, Sara Sentissi, Ahmed Benkirane

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Efficacy and safety ofFrontiers in cellular and infection microbiology · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Optimized sequential therapyWorld journal of gastroenterology · 2024
    Trial
  5. Effect of Probiotic-Assisted Eradication ofBioMed research international · 2022
    Trial
  6. Review
  7. Article
  8. Review
  9. Review
  10. Probiotics and autoprobiotics for treatment ofWorld journal of clinical cases · 2023
    Review
  11. Review
  12. Review
  13. Effect of Saccharomyces boulardii CNCM I-745 as complementary treatment of Helicobacter pylori infection on gut microbiome.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    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

9 authors at 1 institution in 1 country.

Hassan SeddikDepartment of Gastroenterology and Digestive Endoscopy, Mohamed V Military Teaching Hospital of Rabat, Mohamed V University, FAR Avenue, Hay Riad, 10045, Rabat, Morocco.
Hanae BoutallakaDepartment of Gastroenterology and Digestive Endoscopy, Mohamed V Military Teaching Hospital of Rabat, Mohamed V University, FAR Avenue, Hay Riad, 10045, Rabat, Morocco. hanaeboutallaka@gmail.com.ORCID http://orcid.org/0000-0002-8496-694X
Ilham ElkotiDepartment of Gastroenterology and Digestive Endoscopy, Mohamed V Military Teaching Hospital of Rabat, Mohamed V University, FAR Avenue, Hay Riad, 10045, Rabat, Morocco.
Fouad NejjariDepartment of Gastroenterology and Digestive Endoscopy, Mohamed V Military Teaching Hospital of Rabat, Mohamed V University, FAR Avenue, Hay Riad, 10045, Rabat, Morocco.
Reda BerraidaDepartment of Gastroenterology and Digestive Endoscopy, Mohamed V Military Teaching Hospital of Rabat, Mohamed V University, FAR Avenue, Hay Riad, 10045, Rabat, Morocco.
Sanaa BerragDepartment of Gastroenterology and Digestive Endoscopy, Mohamed V Military Teaching Hospital of Rabat, Mohamed V University, FAR Avenue, Hay Riad, 10045, Rabat, Morocco.
Khaoula LoubarisDepartment of Gastroenterology and Digestive Endoscopy, Mohamed V Military Teaching Hospital of Rabat, Mohamed V University, FAR Avenue, Hay Riad, 10045, Rabat, Morocco.
Sara SentissiDepartment of Gastroenterology and Digestive Endoscopy, Mohamed V Military Teaching Hospital of Rabat, Mohamed V University, FAR Avenue, Hay Riad, 10045, Rabat, Morocco.
Ahmed BenkiraneDepartment of Gastroenterology and Digestive Endoscopy, Mohamed V Military Teaching Hospital of Rabat, Mohamed V University, FAR Avenue, Hay Riad, 10045, Rabat, Morocco.
Mohammed V University · MA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo determine the effect of Saccharomyces boulardii CNCM I-745 (S. boulardii) plus sequential therapy on Helicobacter pylori (H. pylori) eradication rate.

methodsThis open-label prospective study randomized (1:1) patients with confirmed H. pylori infection to standard sequential therapy of twice-daily (bid) omeprazole 20 mg plus amoxicillin 1 g for 5 days, followed by bid omeprazole 20 mg, clarithromycin 500 mg and metronidazole 500 mg for the next 5 days (control group), or sequential therapy plus bid S. boulardii 250 mg (experimental group). Adverse events (AEs) were recorded throughout the study, and the H. pylori eradication rate was determined 4 weeks after treatment.

resultsThe study was conducted from May 2013 to May 2016 and included 199 patients (51.3% male; mean age 44.6 ± 13.6 years). The H. pylori eradication rate was higher in the experimental group than the control group (86.0% vs. 74.7%; P = 0.02). Compared with the control group, patients in the experimental group experienced a significantly lower overall incidence of AEs (17.0% vs. 55.7%; p < 0.001) and the incidence of antibiotic-associated diarrhea (2.0% vs. 46.4%; P = 0.02). The experimental group showed improved treatment compliance over the 10-day study period compared with the control group (95.0% vs. 91.2%, P < 0.001).

conclusionAddition of S. boulardii to sequential therapy improved H. pylori eradication rate and reduced the incidence of treatment-associated AEs in Moroccan patients with H. pylori infection.

Indexed as

Saccharomyces boulardiiAdultAmoxicillinAnti-Bacterial AgentsClarithromycinFemaleHelicobacter InfectionsHelicobacter pyloriHumansMaleMetronidazoleMiddle AgedOmeprazoleProbioticsProspective StudiesProton Pump InhibitorsAmoxicillinAnti-Bacterial AgentsClarithromycinMetronidazoleOmeprazoleProton Pump InhibitorsAntibiotic-induced diarrheaHelicobacter pyloriH. pylori eradication rateSaccharomyces boulardiiSequential treatmentTreatment compliance

Identifiers

PMID30694338
OpenAlexW2913971352

What OpenQuestion holds

Textmetadata
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.