Evidence map›Paper›PMID 30702488›Full record

Trial reportClinical and translational gastroenterology2019

A Multicenter, Randomized, Controlled Trial of Rebamipide Plus Lansoprazole for the Treatment of Postendoscopic Submucosal Dissection Ulcers.

Bin Yan, Zhongsheng Lu, Zhizheng Ge, Side Liu, Xuegang Guo, Dean Tian, Yuxiu Yang, Xiaobo Li, Wei Gong, Zhiguo Liu and 6 more

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical and translational gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

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

  1. Pooled it
  2. Rebamipide in gastric mucosal protection and healing: An Asian perspective.World journal of gastrointestinal pharmacology and therapeutics · 2025
    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

16 authors at 5 institutions in 1 country.

Bin YanDepartment of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, China.
Zhongsheng LuDepartment of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, China.
Zhizheng GeDepartment of Gastroenterology and Hepatology, Renji Hospital, Shanghai, China.
Side LiuDepartment of Gastroenterology and Hepatology, Nanfang Hospital, Guangzhou, Guangdong Province, China.
Xuegang GuoDepartment of Gastroenterology and Hepatology, Xijing Hospital, Xian, Shanxi province, China.
Dean TianDepartment of Gastroenterology and Hepatology, Tongji Hospital, Wuhan, Hubei province, China.
Yuxiu YangDepartment of Gastroenterology and Hepatology, Henan provincial People's Hospital, Zhengzhou, Henan province, China.
Xiaobo LiDepartment of Gastroenterology and Hepatology, Renji Hospital, Shanghai, China.
Wei GongDepartment of Gastroenterology and Hepatology, Nanfang Hospital, Guangzhou, Guangdong Province, China.
Zhiguo LiuDepartment of Gastroenterology and Hepatology, Xijing Hospital, Xian, Shanxi province, China.
Mei LiuDepartment of Gastroenterology and Hepatology, Tongji Hospital, Wuhan, Hubei province, China.
Bingxi ZhouDepartment of Gastroenterology and Hepatology, Henan provincial People's Hospital, Zhengzhou, Henan province, China.
Kabing ZhaoDepartment of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, China.
Fei PanDepartment of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, China.
Jing YangDepartment of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, China.
Yunsheng YangDepartment of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNNanfang Hospital · CNRenji Hospital · CNTongji Hospital · CNXijing Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the healing efficacy of rebamipide and lansoprazole combination therapy with lansoprazole alone for endoscopic submucosal dissection (ESD)-induced ulcers and clarify the ulcer healing-associated factors.

methodsThree hundred patients were randomized into control and experimental groups after they underwent ESD. The patients received intravenous pantoprazole (30 mg) every 12 hours and oral rebamipide (100 mg, experimental group) or placebo (control group) 3 times daily on days 1-3. On days 4-56, patients received oral lansoprazole (30 mg daily) and rebamipide (100 mg) or placebo 3 times daily. Endoscopic evaluations were performed at postoperative weeks 4 and 8.

resultsAt week 4, the ulcer reduction rate was significantly higher in the experimental than in the control group (0.97 ± 0.034 vs. 0.94 ± 0.078; P < 0.001). The ulcer healing (18.2% vs 20.3%; P = 0.669) and ulcer improvement rates (94.2% vs 88.7%; P = 0.109) in the 2 groups were not significantly different. At week 8, the ulcer healing and ulcer improvement rates were 90.6% and 100%, respectively, in both groups. Multivariate analysis showed that the combination treatment was an independent factor associated with ulcer area reduction after ESD. The maximum diameter of the initial ulcer (≥35.5 mm vs <35.5 mm) was an independent factor associated with the ulcer improvement rate after ESD.

conclusionsThe rebamipide and lansoprazole combination therapy can help accelerate the reduction rate of post-ESD ulcer compared with the lansoprazole monotherapy at 4 weeks of therapy.

Indexed as

Administration, OralAgedAlanineAnti-Ulcer AgentsBiopsyDouble-Blind MethodDrug Therapy, CombinationEndoscopic Mucosal ResectionFemaleGastric MucosaGastroscopyHumansLansoprazoleMaleMiddle AgedProspective StudiesAlanineAnti-Ulcer AgentsLansoprazoleQuinolonesrebamipide

Identifiers

PMID30702488
PMCPMC6369969
OpenAlexW2913566483

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.