Evidence map›Paper›PMID 35092498›Full record

Trial reportJournal of gastroenterology2022

A study for every second day administration of vonoprazan for maintenance treatment of erosive GERD (ESD von GERD): a multicenter randomized cross-over study.

Soichiro Matsuda, Mototsugu Kato, Yuko Sakakibara, Hiroshige Hamada, Yoshihiro Sasaki, Hideki Mori, Yuichiro Hirai, Shuji Inoue, Tatsuya Toyokawa, Takashi Kagaya and 10 more

Abstract readMulticenter StudyRandomized Controlled TrialEquivalence Trial
PubMed Publisher
In one paragraph

Trial report in Journal of gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. 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

20 authors at 11 institutions in 1 country.

Soichiro MatsudaDepartment of Gastroenterology, National Hospital Organization Hakodate National Hospital, 18-16, Kawahara-chou, Hakodate, Hokkaido, 041-8512, Japan.ORCID 0000-0002-7051-0263
Mototsugu KatoDepartment of Gastroenterology, National Hospital Organization Hakodate National Hospital, 18-16, Kawahara-chou, Hakodate, Hokkaido, 041-8512, Japan. mkato1957@gmail.com.
Yuko SakakibaraDepartment of Gastroenterology, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Hiroshige HamadaDepartment of Gastroenterology, National Hospital Organization Higashihiroshima Medical Center, Hiroshima, Japan.
Yoshihiro SasakiDepartment of Gastroenterology, National Hospital Organization Disaster Medical Center, Tokyo, Japan.
Hideki MoriDepartment of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.
Yuichiro HiraiDepartment of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.
Shuji InoueDepartment of Gastroenterology, National Hospital Organization Kochi National Hospital, Kochi, Japan.
Tatsuya ToyokawaDepartment of Gastroenterology, National Hospital Organization Fukuyama Medical Center, Hiroshima, Japan.
Takashi KagayaDepartment of Gastroenterology, National Hospital Organization Kanazawa Medical Center, Ishikawa, Japan.
Toshio KuwaiDepartment of Gastroenterology, National Hospital Organization Kure Medical Center, Hiroshima, Japan.
Naoki EsakaDepartment of Gastroenterology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Haruhiro YamashitaDepartment of Gastroenterology, National Hospital Organization Okayama Medical Center, Okayama, Japan.
Noriko WatanabeDepartment of Gastroenterology, National Hospital Organization Mie Chou Medical Center, Mie, Japan.
Mio MatsumotoDepartment of Gastroenterology, National Hospital Organization Hokkaido Medical Center, Hokkaido, Japan.
Hiroyuki FujiiDepartment of Gastroenterology, National Hospital Organization Fukuokahigashi Medical Center, Fukuoka, Japan.
Mamiko DemuraDepartment of Clinical Research, National Hospital Organization Hakodate National Hospital, Hokkaido, Japan.
Kimitoshi KuboDepartment of Gastroenterology, National Hospital Organization Hakodate National Hospital, 18-16, Kawahara-chou, Hakodate, Hokkaido, 041-8512, Japan.
Katsuhiro MabeDepartment of Gastroenterology, National Hospital Organization Hakodate National Hospital, 18-16, Kawahara-chou, Hakodate, Hokkaido, 041-8512, Japan.
Naohiko HaradaDepartment of Gastroenterology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
National Hospital Organization · JPTokyo Medical Center · JPFukuoka Higashi Medical Center · JPFukuyama Cardiovascular Hospital · JPHigashihiroshima Medical Center · JPKanazawa Medical Center · JPKyoto Medical Center · JPNational Hospital Organization Hokkaido Medical Center · JPNational Hospital Organization Kochi National Hospital · JPNational Kyushu Medical Center · JPOsaka National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVonoprazan is a potassium competitive acid blocker used to treat erosive gastroesophageal reflux disease (GERD) with stronger, more stable acid-suppressing effects than proton pump inhibitors (PPIs). This study clarified the usefulness and superiority of vonoprazan administered every second day over PPIs in the maintenance therapy of erosive GERD.

methodsThis is a prospective, multicenter, open-label, two-period randomized cross-over study. Patients were randomized to either the vonoprazan-lansoprazole (VP-LZ) group, who were given vonoprazan 10 mg for the first 4 weeks and then lansoprazole 15 mg for the next 4 weeks both administered once every second day, or the lansoprazole-vonoprazan (LZ-VP) group, who were treated in reverse. GERD symptoms were compared using symptom diaries, the frequency scale for symptoms of GERD (FSSG), and the gastrointestinal symptom rating scale (GSRS).

resultsWe enrolled 122 patients between December 2017 and May 2019. Symptoms were well controlled in vonoprazan administration and lansoprazole administration were 93.6% and 82.1%, respectively, with a significant difference on McNemar's test (P = 0.003). During the second 4 weeks, 94.4% and 76.7% of patients in the VP-LZ and LZ-VP groups, respectively, were well controlled following for ≥ 6 consecutive days a week (P = 0.009). During the first 4 weeks, 96.7% and 80.0% of patients were well controlled with < 1 weekly in the VP-LZ and LZ-VP groups, respectively, during the first 4 weeks (P = 0.007). GERD symptoms, assessed via FSSG and GSRS, significantly decreased with vonoprazan administration once every second day.

conclusionsVonoprazan administered once every second day could be an effective alternative to PPIs in the maintenance treatment of erosive GERD (UMIN000030393).

Indexed as

Gastroesophageal RefluxPyrrolesCross-Over StudiesHumansProspective StudiesProton Pump InhibitorsSulfonamidesTreatment Outcome1-(5-(2-fluorophenyl)-1-(pyridin-3-ylsulfonyl)-1H-pyrrol-3-yl)-N-methylmethanamineProton Pump InhibitorsPyrrolesSulfonamidesAcid-related diseasesErosive oesophagitisGastroesophageal reflux diseaseProton pump inhibition

Identifiers

PMID35092498
OpenAlexW4210371707

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.