Evidence map›Paper›PMID 31915235›Full record

ArticleGut2020

Seven-day vonoprazan and low-dose amoxicillin dual therapy as first-line

Sho Suzuki, Takuji Gotoda, Chika Kusano, Hisatomo Ikehara, Ryoji Ichijima, Motoki Ohyauchi, Hirotaka Ito, Masashi Kawamura, Yohei Ogata, Masahiko Ohtaka and 2 more

Open access · hybridAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Gut, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 15 pooled it
28.8field-weighted citation impact, top 1% 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

132 citing papers in PubMed, 15 syntheses or guidelines pooled it, 225 citations in OpenAlex.

  1. Guideline
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  8. First-line Eradication of Helicobacter pylori Infection with High-Dose Amoxicillin and Vonoprazan: A Systematic Review and Meta-analysis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
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  14. High-Dose Dual Therapy Versus Bismuth-Containing Quadruple Therapy for the Treatment of Helicobacter pylori Infection: A Systematic Review with Meta-Analysis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022
    Pooled it
  15. Vonoprazan-amoxicillin dual therapy forSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Pooled it
  16. Trial
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72 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Sho SuzukiDivision of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.ORCID 0000-0003-4831-1409
Takuji GotodaDivision of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan takujigotoda@yahoo.co.jp.ORCID 0000-0001-6904-6777
Chika KusanoDivision of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Hisatomo IkeharaDivision of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Ryoji IchijimaDivision of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Motoki OhyauchiDepartment of Gastroenterology, Osaki Citizen Hospital, Osaki, Miyagi, Japan.
Hirotaka ItoDepartment of Gastroenterology, Osaki Citizen Hospital, Osaki, Miyagi, Japan.
Masashi KawamuraDepartment of Gastroenterology, Sendai City Hospital, Sendai, Miyagi, Japan.
Yohei OgataDepartment of Gastroenterology, Sendai City Hospital, Sendai, Miyagi, Japan.
Masahiko OhtakaYamanashi Koseiren Health Care Center, Kofu, Yamanashi, Japan.
Moriyasu NakaharaDepartment of Gastroenterology, Chichibu Municipal Hospital, Chichibu, Saitama, Japan.
Koichi KawabeDepartment of Gastroenterology, Fukaya Red Cross Hospital, Fukaya, Saitama, Japan.
Nihon University · JPOsaki Citizen Hospital · JPSendai City Hospital · JPSaitama Municipal Hospital · JPYamanashi Research Institute · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo date, no randomised trials have compared the efficacy of vonoprazan and amoxicillin dual therapy with other standard regimens for

designThis prospective, randomised clinical trial was performed at seven Japanese institutions. Patients with

resultsBetween October 2018 and June 2019, 629 subjects were screened and 335 were randomised. The eradication rates of VA-dual and VAC-triple therapies were 84.5% and 89.2% (p=0.203) by intention-to-treat analysis, respectively, and 87.1% and 90.2% (p=0.372) by per-protocol analysis, respectively. VA-dual was non-inferior to VAC-triple in the per-protocol analysis. The eradication rates in strains resistant to clarithromycin for VA-dual were significantly higher than those for VAC-triple (92.3% vs 76.2%; p=0.048). The incidence of adverse events was equal between groups.

conclusionThe 7-day vonoprazan and low-dose amoxicillin dual therapy provided acceptable TRIAL REGISTRATION NUMBER: UMIN000034140.

Indexed as

Helicobacter pyloriAdultAgedAmoxicillinAnti-Bacterial AgentsClarithromycinDrug Administration ScheduleDrug Therapy, CombinationFemaleHelicobacter InfectionsHumansMaleMiddle AgedPyrrolesSulfonamides1-(5-(2-fluorophenyl)-1-(pyridin-3-ylsulfonyl)-1H-pyrrol-3-yl)-N-methylmethanamineAmoxicillinAnti-Bacterial AgentsClarithromycinPyrrolesSulfonamidesantibiotics - clinical trialsclinical trialsgastric inflammationhelicobacter pylori - treatment

Identifiers

PMID31915235
PMCPMC7282559
OpenAlexW2998847875

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.