Evidence map›Paper›PMID 39023173›Full record

Trial reportClinical and translational gastroenterology2024

Efficacy and Safety of Postbiotic Contained Inactivated Lactobacillus reuteri ( Limosilactobacillus reuteri ) DSM 17648 as Adjuvant Therapy in the Eradication of Helicobacter pylori in Adults With Functional Dyspepsia: A Randomized Double-Blind Placebo-Controlled Trial.

Vladimir Ivashkin, Igor Maev, Elena Poluektova, Alexander Sinitsa, Elena Avalueva, Marina Mnatsakanyan, Vladimir Simanenkov, Julia Karpeeva, Daria Kopylova, Irina Kuprina and 7 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Clinical and translational gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Beyond Antibiotics: Alternative Strategies TargetingExpert reviews in molecular medicine · 2026
    Review
  6. Review
  7. Review
  8. TargetingNutrients · 2025
    Review
  9. Article
  10. Postbiotics enhance the efficacy of derivative compound mouthwash against clinicalFrontiers in cellular and infection microbiology · 2025
    Article
  11. 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

17 authors.

Vladimir IvashkinInstitute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Igor MaevDepartment of Propedeutics of Internal Diseases and Gastroenterology, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.
Elena PoluektovaInstitute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Alexander SinitsaScientific Department, «Kraft Group», Saint Petersburg, Russia.
Elena AvaluevaGastroenterology Department, Federal State Establishment Clinical Diagnostic Medical Centre, Saint Petersburg, Russia.
Marina MnatsakanyanInstitute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Vladimir SimanenkovDepartment of Internal Medicine, Clinical Pharmacology and Nephrology, North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.
Julia KarpeevaGastroenterology Department, Federal State Establishment Clinical Diagnostic Medical Centre, Saint Petersburg, Russia.
Daria KopylovaGastroenterology Department, Voronezh Regional Clinical Hospital No. 1, Voronezh, Russia.
Irina KuprinaInstitute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Yury KucheryavyyGastroenterology Department, Ilyinskaya Hospital, Glukhovo, Russia.
Tatiana LapinaInstitute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Olga SolovyevaDepartment of Internal Medicine, Clinical Pharmacology and Nephrology, North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.
Malle SoomScientific Department, Parusin GmbH, Hamburg, Germany .
Natalia CheremushkinaDepartment of Propedeutics of Internal Diseases and Gastroenterology, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.
Evgeniya MaevskayaDepartment of Propedeutics of Internal Diseases and Gastroenterology, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.
Roman MaslennikovInstitute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.ORCID 0000-0001-7513-1636

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIncreasing the effectiveness of eradication therapy is an important task in gastroenterology. The aim of this study was to evaluate the efficacy and safety of postbiotic containing inactivated (nonviable) Limosilactobacillus (Lactobacillus) reuteri DSM 17648 (Pylopass) as adjuvant treatment of Helicobacter pylori eradication in patients with functional dyspepsia (FD).

methodsThis randomized, double-blind, placebo-controlled, multicenter, parallel study included H. pylori -positive patients with FD. The postbiotic group received Pylopass 200 mg bid for 14 days in combination with eradication therapy (esomeprazole 20 mg bid + amoxicillin 1,000 mg bid + clarithromycin 500 mg bid for 14 days) and another 14 days after the completion of eradication therapy. The study was registered in the ISRCTN registry (ISRCTN20716052).

resultsEradication efficiency was 96.7% for the postbiotic group vs 86.0% for the placebo group ( P = 0.039). Both groups showed significant improvements in quality of life and reduction of most gastrointestinal symptoms with no significant differences between groups. The overall number of digestive adverse effects in the postbiotic group was lower than in the placebo group. Serious adverse effects were not registered. DISCUSSION: The postbiotic containing inactivated L. reuteri DSM 17648 significantly improves the effectiveness of H. pylori eradication therapy in FD and decreases overall number of digestive adverse effects of this therapy.

Indexed as

AmoxicillinAnti-Bacterial AgentsClarithromycinDrug Therapy, CombinationDyspepsiaHelicobacter InfectionsHelicobacter pyloriLimosilactobacillus reuteriProbioticsQuality of LifeAdultDouble-Blind MethodEsomeprazoleFemaleHumansMaleAmoxicillinAnti-Bacterial AgentsClarithromycinEsomeprazole

Identifiers

PMID39023173
PMCPMC11421730

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.