Evidence map›Paper›PMID 36631092›Full record

ArticleInternal medicine (Tokyo, Japan)2023

A Vonoprazan, Clarithromycin, and Metronidazole Regimen as Helicobacter pylori Eradication Therapy for Patients with Penicillin Allergy in Light of Clarithromycin Resistance.

Kazunori Adachi, Shunsuke Kato, Akira Koshino, Kazuhiro Nagao, Tomoya Sugiyama, Takashi Yoshimine, Yoshiharu Yamaguchi, Shinya Izawa, Wataru Ohashi, Masahide Ebi and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Differences and trends in worldwide clinical guidelines forTranslational gastroenterology and hepatology · 2026
    Review
  4. A Review on the Progress and Strategies ofGastroenterology research and practice · 2026
    Review
  5. Review
  6. Journal of clinical medicine · 2024
    Review
  7. A review for non-antibiotic treatment ofFrontiers in microbiology · 2024
    Review
  8. Article
  9. Treatment ofAntibiotics (Basel, Switzerland) · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Kazunori AdachiDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Shunsuke KatoDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Akira KoshinoDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Kazuhiro NagaoDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Tomoya SugiyamaDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Takashi YoshimineDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Yoshiharu YamaguchiDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Shinya IzawaDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Wataru OhashiDivision of Biostatistics, Clinical Research Center, Aichi Medical University Hospital, Japan.
Masahide EbiDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Yasushi FunakiDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Naotaka OgasawaraDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Makoto SasakiDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Kunio KasugaiDepartment of Gastroenterology, Aichi Medical University Hospital, Japan.
Aichi Medical University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Vonoprazan (VPZ), clarithromycin (CAM), metronidazole (MNZ) and VPZ, MNZ, and sitafloxacin (STFX) regimen are all established Helicobacter pylori eradication therapies for patients with penicillin allergy in Japan. However, no study has assessed the efficacy of a VPZ, CAM, and MNZ (VCM) regimen in patients with clarithromycin resistance (CAM-R). We therefore assessed the efficacy of a VCM regimen for treating H. pylori infection in patients with CAM-R and penicillin allergy. Methods Fifty-three patients with penicillin allergy who received H. pylori eradication therapy were retrospectively analyzed. Eight patients received a 7-day proton-pump inhibitor, CAM, and MNZ (PCM) regimen; 35 patients [11 CAM-R, and 10 with clarithromycin sensitivity (CAM-S)] received 7-day VCM regimens; and 10 patients received 7-day VPZ, MNZ, and STFX (VMS) regimens. A

Indexed as

Helicobacter InfectionsHelicobacter pyloriHypersensitivityAmoxicillinAnti-Bacterial AgentsClarithromycinDrug Therapy, CombinationHumansMetronidazolePenicillinsProton Pump InhibitorsPyrrolesRetrospective StudiesSulfonamidesTreatment Outcome1-(5-(2-fluorophenyl)-1-(pyridin-3-ylsulfonyl)-1H-pyrrol-3-yl)-N-methylmethanamineAmoxicillinAnti-Bacterial AgentsClarithromycinMetronidazolePenicillinsProton Pump InhibitorsPyrrolesSulfonamidesclarithromycin-resistanceeradication therapyHelicobacter pyloripenicillin allergyvonoprazan

Identifiers

PMID36631092
PMCPMC10484763
OpenAlexW4315630736

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.