Evidence map›Paper›PMID 32714397›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2020

An Oral Formulation of the Probiotic,

Sayed Yossef, Frances Clark, Sarah S Bubeck, John Abernethy, Thomas Bayne, Kiran Krishnan, Aicacia Young

Open access · hybridAbstract read
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 40% 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, 9 citations in OpenAlex.

  1. Microbial Approaches to Treat and Prevent Hepatic Encephalopathy.Gastroenterology clinics of North America · 2025
    Review
  2. 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

7 authors at 1 institution in 1 country.

Sayed YossefSayed Yossef, Inc., 3304 Stones Throw Ave, Poland, OH 44514, USA.
Frances ClarkSayed Yossef, Inc., 3304 Stones Throw Ave, Poland, OH 44514, USA.
Sarah S BubeckBubeck Scientific, 194 Rainbow Dr. #9418, Livingston, TX 77399, USA.ORCID https://orcid.org/0000-0002-4576-4042
John AbernethyAmk Research, 1026 SW 2 Ave D, Gainesville, FL 32601, USA.
Thomas BayneMicrobiome Labs, 101 E Town Place, Suite 210, Saint Augustine, FL 32092, USA.
Kiran KrishnanMicrobiome Labs, 101 E Town Place, Suite 210, Saint Augustine, FL 32092, USA.
Aicacia YoungMicrobiome Labs, 101 E Town Place, Suite 210, Saint Augustine, FL 32092, USA.
University of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatic encephalopathy often results in high blood ammonia levels because of inefficient ammonia processing by the liver. Lactulose treatment promotes the growth of urease-producing gut bacteria and a reduced colon pH, thus reducing blood ammonia absorption. It is thought that probiotics as an add-on therapy may be beneficial.

resultsForty patients participated (placebo, 11; probiotic, 29). Baseline characteristics were generally comparable; the mean baseline blood ammonia level was somewhat higher in the probiotic group. Mild or moderate treatment-emergent adverse events (TEAEs) were reported in 27.3% and 17.2% of patients in the placebo and probiotic groups, respectively; no severe TEAEs were reported. One patient (9.1%) taking placebo and two (6.9%) taking the probiotic experienced serious TEAEs (SAEs); none resulted in study discontinuation and all were considered to have no/unlikely relationship to the study product. There were no significant differences in the mean percent change (MPC) of blood ammonia levels between groups, though the probiotic group exhibited a trend toward a milder increase. Stratification of the probiotic group by baseline blood ammonia level (>60

conclusionsDaily treatment with oral

Identifiers

PMID32714397
PMCPMC7345602
OpenAlexW3038702251

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.