Evidence map›Paper›PMID 41245387›Full record

ArticleTherapeutic advances in gastroenterology2025

Comparison of tegoprazan-based high-dose dual therapy versus bismuth-containing quadruple therapy for

Jinxia Yang, Xiuhong Zhang, Lihong Yang, Ronggui Wu, Hong Fan, Ni Xie, Liping Gao, Yeze Dong, Baoyuan Xie, Yuanyuan Wang and 3 more

Abstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
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

13 authors.

Jinxia YangDepartment of Gastroenterology, Lanzhou University Second Hospital, Lanzhou, China.ORCID https://orcid.org/0009-0005-7685-8681
Xiuhong ZhangDepartment of Gastroenterology, Lintao County People's Hospital, Dingxi, China.
Lihong YangDepartment of Gastroenterology, Lanzhou University Second Hospital, Lanzhou, China.ORCID https://orcid.org/0000-0001-7581-1324
Ronggui WuDepartment of Gastroenterology, Affiliated Hospital of Gansu Medical College, Pingliang, China.
Hong FanDepartment of Gastroenterology, Lanzhou University Second Hospital, Lanzhou, China.ORCID https://orcid.org/0009-0003-9768-2465
Ni XieDepartment of Gastroenterology, Zhenyuan County First People's Hospital, Qingyang, China.
Liping GaoDepartment of Gastroenterology, Lanzhou University Second Hospital, Lanzhou, China.
Yeze DongDepartment of Gastroenterology, Lanzhou University Second Hospital, Lanzhou, China.ORCID https://orcid.org/0009-0007-1519-9293
Baoyuan XieDepartment of Gastroenterology, Lanzhou University Second Hospital, Lanzhou, China.ORCID https://orcid.org/0009-0003-2830-0371
Yuanyuan WangDepartment of Gastroenterology, Lanzhou University Second Hospital, Lanzhou, China.ORCID https://orcid.org/0009-0005-8449-3635
Xinglan ChenDepartment of Gastroenterology, Lanzhou University Second Hospital, Lanzhou, China.ORCID https://orcid.org/0009-0000-1546-4527
Yi YuDepartment of Gastroenterology, Lanzhou University Second Hospital, Lanzhou, Gansu, China.
Dekui ZhangDepartment of Gastroenterology, Lanzhou University Second Hospital, Cuiyingmen No. 82, Chengguan District, Lanzhou, Gansu 730030, China.ORCID https://orcid.org/0000-0002-1392-7927

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Potassium-competitive acid blocker-based regimens, such as tegoprazan, have demonstrated promising efficacy for Objectives: To compare the eradication rates and safety profiles of TA and BQT. Design: Prospective, multicentre, randomised controlled trial. Methods: Patients were enrolled from 10 centres across Gansu Province, China, between September and December 2024. Participants were randomised 1:1 to receive either BQT (esomeprazole 20 mg twice daily + bismuth potassium citrate 600 mg twice daily + amoxicillin 1000 mg twice daily + metronidazole 400 mg four times daily) or TA (tegoprazan 50 mg twice daily + amoxicillin 750 mg four times daily) for 14 days. The primary outcome was eradication rate. Secondary outcomes included adverse event (AE) rates, treatment compliance and cost-effectiveness. Results: A total of 288 patients were randomised, with baseline characteristics well balanced between the TA and BQT groups ( Conclusion: TA did not achieve non-inferiority to BQT and yielded significantly lower eradication rates. The inferior eradication efficacy of TA precludes its recommendation as a first-line therapy in high-resistance settings, such as Gansu. Trial registration: This trial was registered on the Chinese Clinical Trial Registry with the registration number ChiCTR2400081873.

Indexed as

bismuth-containing quadruple therapyeradication rateHelicobacter pylorihigh-dose dual therapyrandomised controlled trialtegoprazan

Identifiers

PMID41245387
PMCPMC12618851

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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.