Evidence map›Paper›PMID 34199189›Full record

Trial reportNutrients2021

Data Recorded in Real Life Support the Safety of Nattokinase in Patients with Vascular Diseases.

Giuseppe Gallelli, Giulio Di Mizio, Caterina Palleria, Antonio Siniscalchi, Paolo Rubino, Lucia Muraca, Erika Cione, Monica Salerno, Giovambattista De Sarro, Luca Gallelli

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  4. Genomic and Transcriptomic Analysis of MutantFoods (Basel, Switzerland) · 2025
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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

10 authors at 6 institutions in 1 country.

Giuseppe GallelliDepartment of Vascular Surgery, Pugliese Ciaccio Hospital, 88100 Catanzaro, Italy.
Giulio Di MizioForensic Medicine, Department of Law, Magna Graecia University of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0001-7279-3693
Caterina PalleriaDepartment of Health Science, School of Medicine, University of Catanzaro, Clinical Pharmacology and Pharmacovigilance Unit, Mater Domini University Hospital, 88100 Catanzaro, Italy.
Antonio SiniscalchiDepartment of Neurology and Stroke Unit, Annunziata Hospital of Cosenza, 87100 Cosenza, Italy.
Paolo RubinoDepartment of Vascular Surgery, Pugliese Ciaccio Hospital, 88100 Catanzaro, Italy.
Lucia MuracaDepartment of General Medicine, ASP 7 Catanzaro, 88100 Catanzaro, Italy.
Erika CioneDepartment of Pharmacy Helath and Nutritional Sciences, Department of Excellence 2018-2022, University of Calabria, 87036 Rende, Italy.ORCID 0000-0002-0562-0597
Monica SalernoDepartment of Medical, Surgical and Advanced Technologies "G.F. Ingrassia", University of Catania, 95041 Catania, Italy.
Giovambattista De SarroDepartment of Health Science, School of Medicine, University of Catanzaro, Clinical Pharmacology and Pharmacovigilance Unit, Mater Domini University Hospital, 88100 Catanzaro, Italy.
Luca GallelliDepartment of Health Science, School of Medicine, University of Catanzaro, Clinical Pharmacology and Pharmacovigilance Unit, Mater Domini University Hospital, 88100 Catanzaro, Italy.ORCID 0000-0003-0858-7902
Magna Graecia University · ITAzienda Ospedaliera Pugliese Ciaccio · ITAzienda Ospedaliero Universitario Mater Domini · ITOspedale Annunziata di Cosenza · ITUniversity of Calabria · ITUniversity of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nattokinase (NK) is a serine protease enzyme with fibrinolytic activity. Even if it could be used for the treatment of several diseases, no data have been published supporting its use patients who underwent vascular surgery. In this study, we evaluated both the efficacy and the safety of nattokinase (100 mg/day per os) in patients admitted to vascular surgery. Patients were of both sexes, >18 years of age, with vascular diseases (i.e., deep vein thrombosis, superficial vein thrombosis, venous insufficiency), and naïve to specific pharmacological treatments (anticoagulants or anti-platelets). Patients were divided into three groups. Group 1: patients with deep vein thrombosis, treated with fondaparinux plus nattokinase. Group 2: patients with phlebitis, treated with enoxaparin plus nattokinase. Group 3: patients with venous insufficiency after classical surgery, treated with nattokinase one day later. During the study, we enrolled 153 patients (age 22-92 years), 92 females (60.1%) and 61 males (39.9%;), and documented that nattokinase was able to improve the clinical symptoms (

Indexed as

AdultAgedAged, 80 and overEnoxaparinFemaleFibrinolytic AgentsFondaparinuxHumansMaleMiddle AgedSubtilisinsVascular Surgical ProceduresVenous InsufficiencyVenous ThrombosisYoung AdultEnoxaparinFibrinolytic AgentsFondaparinuxnattokinaseSubtilisinsClinical Risk Managementclinical triallow-molecular-weight heparinnattokinasesafety of care in pharmacological treatmentsvascular diseases

Identifiers

PMID34199189
PMCPMC8231931
OpenAlexW3169270918

What OpenQuestion holds

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Registered trials

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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.