Evidence map›Paper›PMID 36528706›Full record

ArticleJournal of gastroenterology2023

Efficacy and safety of vonoprazan-based regimen for Helicobacter pylori eradication therapy in Japanese adolescents: a prospective multicenter study.

Toshihiko Kakiuchi, Muneaki Matsuo, Hiroyoshi Endo, Yasuhisa Sakata, Motohiro Esaki, Takahiro Noda, Ichiro Imamura, Kazutoshi Hashiguchi, Shinichi Ogata, Yasuhiko Fujioka and 13 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Potassium-competitive acid blockers forFrontiers in cellular and infection microbiology · 2026
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  10. Asia-Pacific Survey on the Management of Helicobacter pylori Infection.Journal of gastroenterology and hepatology · 2025
    Article
  11. Article
  12. Rights and wrongs ofTherapeutic advances in gastroenterology · 2023
    Article
  13. Article
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  15. Commentary: Association betweenFrontiers in endocrinology · 2023
    Article
  16. Important Recommendations Regarding the Test-and-Treat Strategy forInquiry : a journal of medical care organization, provision and financing
    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

23 authors at 13 institutions in 1 country.

Toshihiko KakiuchiDepartments of Pediatrics, Faculty of Medicine, Saga University, Saga, Japan. kakiucht@cc.saga-u.ac.jp.ORCID 0000-0002-9995-5522
Muneaki MatsuoDepartments of Pediatrics, Faculty of Medicine, Saga University, Saga, Japan.
Hiroyoshi EndoDepartment of Internal Medicine, Saiseikai Karatsu Hospital, Karatsu, Japan.
Yasuhisa SakataDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Motohiro EsakiDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Takahiro NodaDepartment of Internal Medicine, Karatsu Red Cross Hospital, Karatsu, Japan.
Ichiro ImamuraDepartment of Gastroenterology, Imamura Hospital, Tosu, Japan.
Kazutoshi HashiguchiDepartment of Gastroenterology, Imamura Hospital, Tosu, Japan.
Shinichi OgataDepartment of Gastroenterology, Saga-Ken Medical Centre Koseikan, Saga, Japan.
Yasuhiko FujiokaDepartment of Gastroenterology, Fujioka Hospital, Saga, Japan.
Keiichiro HanadaDepartment of Surgery, Hashimoto Hospital, Kanzaki, Japan.
Kayoko FukudaDepartment of Gastroenterology, Hiramatsu Hospital, Ogi, Japan.
Masaya YoshimuraDepartment of Gastroenterology, National Hospital Organization East Saga Hospital, Miyaki, Japan.
Tetsuro KajiwaraDepartment of Gastroenterology, Shiroishikyoritsu Hospital, Shiroishi, Japan.
Kentaroh YamamotoDepartment of Surgery, Yamamoto Memorial Hospital, Imari, Japan.
Daisuke YamaguchiDepartment of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, Japan.
Hiroharu KawakuboDepartment of Gastroenterology, Imari Arita Kyouritsu Hospital, Arita, Japan.
Takuya MatsunagaDepartment of Internal Medicine, National Hospital Organization Saga Hospital, Saga, Japan.
Michihiro SuminoDepartment of Internal Medicine, Inutsuka Hospital, Kashima, Japan.
Keiji MatsunagaDepartment of Gastroenterology, Oda Hospital, Kashima, Japan.
Eriko MuroDepartments of Pediatrics, Takashima Hospital, Shiroishi, Japan.
Akira WatanabeDepartment of Internal Medicine, Taku City Hospital, Taku, Japan.
Kazuma FujimotoDepartment of Gastroenterology, International University of Health and Welfare, Okawa, Japan.
Saga University · JPImamura Hospital · JPImari Arita Kyoritsu Hospital · JPInternational University of Health and Welfare · JPKanzaki (Japan) · JPNational Hospital Organization · JPNational Hospital Organization Miyazaki Higashi Hospital · JPNational Sagamihara Hospital · JPSaga-Ken Medical Centre Koseikan · JPTakamatsu Red Cross Hospital · JPTakao Hospital · JPTamashima Hospital · JPYamamoto Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVonoprazan (VPZ)-based regimen for Helicobacter pylori (H. pylori) is safe and more efficacious than the proton pump inhibitor-based regimen mainly in adults. This study aimed to evaluate the efficacy and safety of a VPZ-based regimen for H. pylori eradication therapy in adolescents.

methodsAn H. pylori screening and treatment longitudinal project for third-year junior high school students in Saga Prefecture began in 2016. Students who tested positive for both urine and stool tests received a VPZ-based regimen. On the checklist, students were asked for diarrhea, fever, abdominal pain, nausea, vomiting, urticaria, dysgeusia, or bloody stool occurrence during the therapy.

resultsThe longitudinal project for H. pylori screening and treatment among third-grade students in Saga Prefecture targeted 41,115 students from 2017 to 2021 and 836 as positive. Of the 645 students, 542 (84.0% in per protocol [PP] analysis and 73.6% in intention-to-treat [ITT] analysis) were successful in primary eradication therapy. The secondary eradication therapy was successful in 79 (96.3% in PP analysis and 76.7% in ITT analysis) of 82 students. In the primary eradication therapy, abdominal pain occurred in 164 (27.9%), diarrhea in 217 (36.9%), nausea or vomiting in 7 (1.2%), and urticaria in 13 (2.2%) students. In the secondary eradication therapy, abdominal pain occurred in 12 (19.4%) and diarrhea in 17 (27.4%) students. The eradication therapy of 5 students was interrupted due to adverse events only by primary eradication therapy.

conclusionsVPZ-based regimen for H. pylori was efficacious and safe for adolescents, as in adults, for both primary and secondary eradication therapies.

Indexed as

Anti-Bacterial AgentsHelicobacter InfectionsAbdominal PainAdolescentAmoxicillinClarithromycinDrug Therapy, CombinationEast Asian PeopleHelicobacter pyloriHumansProspective StudiesProton Pump InhibitorsPyrrolesSulfonamidesTreatment Outcome1-(5-(2-fluorophenyl)-1-(pyridin-3-ylsulfonyl)-1H-pyrrol-3-yl)-N-methylmethanamineAmoxicillinAnti-Bacterial AgentsClarithromycinProton Pump InhibitorsPyrrolesSulfonamidesAbdominal painHelicobacter pyloriUrticaria

Identifiers

PMID36528706
OpenAlexW4311811262

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.