Evidence map›Paper›PMID 40595170›Full record

Trial reportScientific reports2025

A prospective, randomized, double-blind, placebo-controlled trial of the Kampo formula daiobotanpito combined with antibiotic therapy for acute diverticulitis.

Keiko Ogawa-Ochiai, Shigetsugu Tsuji, Atsuki Maeda, Hisatomo Ikehara, Kazumi Kawabata, Takahiro Dohmen, Eisuke Ojima, Goro Nakayama, Takashi Hisabe, Masaya Suenaga and 25 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

35 authors.

Keiko Ogawa-OchiaiKampo Clinical Center, Hiroshima University Hospital, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551, Japan. okeiko22@hiroshima-u.ac.jp.
Shigetsugu TsujiDepartment of Gastroenterology, Ishikawa Prefectural Central Hospital, 2-1, Kuratsuki- Higashi, Kanazawa City, Ishikawa, 920-8530, Japan.
Atsuki MaedaDepartment of Gastroenterology, Japanese Red Cross Kochi Hospital, 1-4-63-11 Hadaminami-machi, Kochi, 780-0026, Japan.
Hisatomo IkeharaDivision of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1, Oyaguchi Kami-cho, Itabashi-ku, Tokyo, 101-8309, Japan.
Kazumi KawabataGastroenterology Department, Hanwa Memorial Hospital, 3-5-8 Minami-Sumiyoshi, Sumiyoshi-ku, Osaka, 558-0041, Japan.
Takahiro DohmenDepartment of Gastroenterology, Yuri Kumiai General Hospital, 38 Yago, Kawaguchi, Yurihonjo, Akita, 015-8511, Japan.
Eisuke OjimaDepartment of Surgery, Asanogawa General Hospital, 83 Naka, Kosaka-machi, Kanazawa, Ishikawa, 920-0811, Japan.
Goro NakayamaGastroenterological Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan.
Takashi HisabeDepartment of Gastroenterology, Fukuoka University Chikushi Hospital, 1-1-1 Zokumyoin, Chikushino, Fukuoka, 818-8502, Japan.
Masaya SuenagaDepartment of Surgery, NHO Nagoya Medical Center, 4-1-1, Sannomaru, Naka-ku, Nagoya, Aichi, 460-0001, Japan.
Takashi KagayaDepartment of Gastroenterology, NHO Kanazawa Medical Center, 1-1 Shimoishibiki-machi, Kanazawa, Ishikawa, 920-8650, Japan.
Kiyoshi IshigureDepartment of Surgery, Konan Kosei Hospital, 137 Omatsubara, Takaya-cho, Konan, Aichi, 483-8704, Japan.
Osamu OkochiDepartment of Surgery, Tosei General Hospital, 160 Nishioiwake-cho, Seto, Aichi, 489- 0065, Japan.
Masashi HattoriDepartment of Surgery, Yokkaichi Municipal Hospital, 2-2-37 Shibata, Yokkaichi, 510- 0822, Japan.
Hirokazu HiraiGastroenterology Department, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526, Japan.
Toyotaka KasaiDepartment of Gastroenterology, Fukaya Red Cross Hospital, 5-8-1 Nishi Kamishiba- cho, Fukaya, 366-0052, Japan.
Toshiya TakedaDepartment of Surgery, Public Central Hospital of Matto Ishikawa, 3-8 Kuramitsu, Hakusan, 924-0865, Japan.
Takanori YamadaDepartment of Gastroenterology, Iwata City Hospital, 512-3 Okubo, Iwata, Shizuoka, 438-8550, Japan.
Isao YoshidaDepartment of Medicine, Community Health Care Organization, Kanazawa Hospital, Ha-15, Oki-machi, Kanazawa, Ishikawa, 920-8610, Japan.
Mitsuru SakaiDepartment of Surgery, Ichinomiya Municipal Hospital, 2-2-22 Bunkyo, Ichinomiya, Aichi, 491-8558, Japan.
Akira TakeharaDepartment of Surgery, Toyama Red Cross Hospital, 2-1-58 Ushijimahonmachi, Toyama, 930-0859, Japan.
Yoshinori MunemotoDepartment of Surgery, Fukui-ken Saiseikai Hospital, 7-1 Funabashi, Wadanaka-cho, Fukui, 918-8235, Japan.
Mitsuru EsakiDivision of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1, Oyaguchi Kami-cho, Itabashi-ku, Tokyo, 173-8610, Japan.
Yoshinari MochizukiDepartment of Surgery, Komaki City Hospital, 1-20, Jobushi, Komaki, Aichi, 485-8520, Japan.
Koji NishijimaDepartment of Surgery, Japanese Red Cross Kanazawa Hospital, 2-251 Minma, Kanazawa, Ishikawa, 921-8162, Japan.
Shinji KitamuraDepartment of Gastroenterology, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan.
Seisho SakaiDepartment of Pediatric Surgery, Kanazawa University Hospital, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.
Takuo HaraDepartment of Surgery, Kouseiren Takaoka Hospital, 5-10 Eiraku-machi, Takaoka, Toyama, 933-0843, Japan.
Li HonyangKampo Clinical Center, Hiroshima University Hospital, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551, Japan.
Hisashi DoyamaDepartment of Gastroenterology, Ishikawa Prefectural Central Hospital, 2-1, Kuratsuki- Higashi, Kanazawa City, Ishikawa, 920-8530, Japan.
Kunihisa UchitaDepartment of Gastroenterology, Japanese Red Cross Kochi Hospital, 1-4-63-11 Hadaminami-machi, Kochi, 780-0026, Japan.
Yasuhiro KoderaGastroenterological Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan.
Kenichi YoshimuraCenter for Integrated Medical Research, Hiroshima University Hospital, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551, Japan.
Keita MoriDepartment of Biostatistics, Clinical Research Center, Shizuoka Cancer Center, 1007 Sunto-gun Nagaizumi-cho Shimonagakubo, Shizuoka, 411-0943, Japan.
Hideki IshikawaDepartment of Molecular Targeting Cancer Prevention, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 3-2-17-2F Imabashi, Chuo-ku, Osaka, 541-0042, Japan.

Funding

Japan Agency for Medical Research and Development 17lk0310031h0001
6 · The paper itself

Abstract

Daiobotanpito (DBT) is a Kampo formula traditionally used to treat abscesses in intestinal disorders. This double-blind, multicenter, randomized controlled trial was conducted at participating hospitals in Japan. Patients with CT-proven moderate acute diverticulitis received conventional therapy along with an oral DBT (treatment group) or placebo (control group) administered thrice a day for 10 days (Registration: jRCTs041180063). The primary outcome was the treatment success rate: fever reduction to < 37.5 °C within 3 days or/and elimination of abdominal pain within 4 days. Secondary endpoints included hospitalization days, changes in the inflammatory response, number of days before food intake, recurrence rate within 1-year, and adverse event rate. 171 participants were included in this study. No significant difference was observed in the treatment success rates between the DBT and placebo groups (P = .348). However, the DBT group showed a significant reduction in CRP levels on day 5 (P = .023), and patients with abscesses started oral intake significantly earlier than those in the placebo group (P = .046). In conclusion, the results of this study do not suggest that an add-on treatment with DBT in patients with moderate acute diverticulitis provides additional benefit., However, DBT may offer clinical benefits in cases involving abscesses or severe inflammation. Further prospective studies focusing on complicated diverticulitis are necessary.

Indexed as

Anti-Bacterial AgentsDiverticulitisDrugs, Chinese HerbalPlant ExtractsAcute DiseaseAdultAgedAged, 80 and overDouble-Blind MethodDrug Therapy, CombinationFemaleHumansJapanMaleMedicine, KampoMiddle AgedAnti-Bacterial AgentsDrugs, Chinese HerbalPlant ExtractsAbscessColonic diverticular diseaseDa Huang Mu Dan TangDaiobotanpito, colon diverticulitisJapanese traditional medicine (Kampo)

Identifiers

PMID40595170
PMCPMC12218930

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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.