Evidence map›Paper›PMID 35276991›Full record

Trial reportNutrients2022

A Four-Probiotics Regimen Combined with A Standard Helicobacter pylori-Eradication Treatment Reduces Side Effects and Increases Eradication Rates.

Nikos Viazis, Konstantinos Argyriou, Katerina Kotzampassi, Dimitrios K Christodoulou, Periklis Apostolopoulos, Sotirios D Georgopoulos, Christos Liatsos, Olga Giouleme, Kanellos Koustenis, Christos Veretanos and 6 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 5 pooled it
17.2field-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

61 citing papers in PubMed, 5 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Efficacy and safety ofFrontiers in cellular and infection microbiology · 2025
    Pooled it
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  7. AdjuvantMicrobiology spectrum · 2026
    Trial
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  16. Beyond Antibiotics: Alternative Strategies TargetingExpert reviews in molecular medicine · 2026
    Review
  17. Update on the pathogenesis and clinical management ofWorld journal of gastrointestinal pathophysiology · 2025
    Review
  18. Article
  19. Review
  20. Article

1 more citing papers are in PubMed but not listed here.

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 8 institutions in 1 country.

Nikos ViazisGastroenterology Department, Evangelismos Hospital, 10676 Athens, Greece.ORCID 0000-0002-0918-1587
Konstantinos ArgyriouDepartment of Gastroenterology, University Hospital of Larisa, 41334 Larissa, Greece.ORCID 0000-0002-2026-9678
Katerina KotzampassiEndoscopy Unit, Department of Surgery, Aristotle University of Thessaloniki, 15341 Athens, Greece.ORCID 0000-0003-0241-7216
Dimitrios K ChristodoulouDepartment of Gastroenterology, University Hospital of Ioannina, 45500 Ioannina, Greece.
Periklis ApostolopoulosGastroenterology Department, Army Share Fund Hospital (NIMTS), 11521 Athens, Greece.
Sotirios D GeorgopoulosGastroenterology Department, Athens Medical, P. Faliro Hospital, 17562 Athens, Greece.
Christos LiatsosGastroenterology Department, 401 General Military Hospital of Athens, 11525 Athens, Greece.ORCID 0000-0001-8025-0808
Olga GioulemeSecond Propedeutic Department of Internal Medicine, Medical School, Hippokration Hospital, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece.
Kanellos KoustenisGastroenterology Department, Evangelismos Hospital, 10676 Athens, Greece.
Christos VeretanosGastroenterology Department, Evangelismos Hospital, 10676 Athens, Greece.
Dimitris StogiannouEndoscopy Unit, Department of Surgery, Aristotle University of Thessaloniki, 15341 Athens, Greece.
Miltiadis MoutzoukisDepartment of Gastroenterology, University Hospital of Ioannina, 45500 Ioannina, Greece.
Charalambos PoutakidisGastroenterology Department, Army Share Fund Hospital (NIMTS), 11521 Athens, Greece.
Ioannis Ioardanis MylonasGastroenterology Department, 401 General Military Hospital of Athens, 11525 Athens, Greece.
Ioulia TsetiUni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A., 14564 Athens, Greece.
Gerassimos J MantzarisGastroenterology Department, Evangelismos Hospital, 10676 Athens, Greece.
Evangelismos Hospital · GRAristotle University of Thessaloniki · GR401 General Military Hospital of Athens · GRNIMTS Hospital · GRUniversity Hospital of Ioannina · GRAthens Medical Center · GRUni Pharma (Greece) · GRUniversity Hospital of Larissa · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To establish whether the addition of probiotics to a globally accepted Helicobacter pylori (H. pylori)-eradication scheme may reduce the rates of side effects and increase the eradication rates. Methods. Prospective, randomized, placebo-controlled trial of patients receiving eradication therapy for H. pylori in the eight participating centers. All patients received a 10-day proton pump inhibitor containing non-bismuth quadruple therapeutic regimen for H. pylori eradication (omeprazole 20 mg, amoxycillin 1 g, clarithromycin 500 mg, and metronidazole 500 mg all twice daily orally) and were randomized to receive either probiotics (group A) or placebo (group B). The probiotic used combined four probiotic strains, i.e., Lactobacillus Acidophilus, Lactiplantibacillus plantarum, Bifidobacterium lactis, and Saccharomyces boulardii. Results. Data were analyzed for 329 patients in group A and 335 patients in group B. Fifty six (17.0%) patients in group A and 170 (50.7%) patients in group B reported the occurrence of an H. pylori treatment-associated new symptom or the aggravation of a pre-existing symptom of any severity (p < 0.00001). H. pylori was successfully eradicated in 303 patients in group A (92.0%) and 291 patients in group B (86.8%), (p = 0.028). Conclusion: Adding probiotics to the 10-day concomitant non-bismuth quadruple H. pylori eradication regimen increases the eradication rate and decreases side effects.

Indexed as

Helicobacter InfectionsHelicobacter pyloriProbioticsAnti-Bacterial AgentsBismuthDrug Therapy, CombinationHumansProspective StudiesAnti-Bacterial AgentsBismuthHelicobacter pylorinon-bismuth quadruple eradication regimenprobiotics

Identifiers

PMID35276991
PMCPMC8838490
OpenAlexW4210708427

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.