Evidence map›Paper›PMID 26074708›Full record

Trial reportWorld journal of gastroenterology2015

Low efficacy of levofloxacin-doxycycline-based third-line triple therapy for Helicobacter pylori eradication in Italy.

Omero Alessandro Paoluzi, Giovanna Del Vecchio Blanco, Emanuela Visconti, Manuela Coppola, Carla Fontana, Marco Favaro, Francesco Pallone

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Third-line and rescue therapy for refractoryWorld journal of gastroenterology · 2023
    Pooled it
  4. Trial
  5. Trial
  6. The role of probiotic supplementation in reducingFrontiers in pharmacology · 2025
    Article
  7. Article
  8. Review
  9. Update on quinolone-containing rescue therapies forWorld journal of gastroenterology · 2020
    Review
  10. Article
  11. Review
  12. 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

7 authors.

Omero Alessandro PaoluziOmero Alessandro Paoluzi, Giovanna Del Vecchio Blanco, Emanuela Visconti, Manuela Coppola, Francesco Pallone, Gastroenterology Unit, Department of Internal Medicine, University Tor Vergata, 00133 Roma, Italy.
Giovanna Del Vecchio BlancoOmero Alessandro Paoluzi, Giovanna Del Vecchio Blanco, Emanuela Visconti, Manuela Coppola, Francesco Pallone, Gastroenterology Unit, Department of Internal Medicine, University Tor Vergata, 00133 Roma, Italy.
Emanuela ViscontiOmero Alessandro Paoluzi, Giovanna Del Vecchio Blanco, Emanuela Visconti, Manuela Coppola, Francesco Pallone, Gastroenterology Unit, Department of Internal Medicine, University Tor Vergata, 00133 Roma, Italy.
Manuela CoppolaOmero Alessandro Paoluzi, Giovanna Del Vecchio Blanco, Emanuela Visconti, Manuela Coppola, Francesco Pallone, Gastroenterology Unit, Department of Internal Medicine, University Tor Vergata, 00133 Roma, Italy.
Carla FontanaOmero Alessandro Paoluzi, Giovanna Del Vecchio Blanco, Emanuela Visconti, Manuela Coppola, Francesco Pallone, Gastroenterology Unit, Department of Internal Medicine, University Tor Vergata, 00133 Roma, Italy.
Marco FavaroOmero Alessandro Paoluzi, Giovanna Del Vecchio Blanco, Emanuela Visconti, Manuela Coppola, Francesco Pallone, Gastroenterology Unit, Department of Internal Medicine, University Tor Vergata, 00133 Roma, Italy.
Francesco PalloneOmero Alessandro Paoluzi, Giovanna Del Vecchio Blanco, Emanuela Visconti, Manuela Coppola, Francesco Pallone, Gastroenterology Unit, Department of Internal Medicine, University Tor Vergata, 00133 Roma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate a levofloxacin-doxycycline-based triple therapy with or without a susceptibility culture test in non-responders to Helicobacter pylori (H. pylori) eradication.

methodsA total of 142 (99 women, 43 men; mean 53.0 ± 12.7 years) non-responders to more than two H. pylori eradication therapies underwent susceptibility culture tests or were treated with a seven-day triple therapy consisting of esomeprazole, 20 mg b.i.d., levofloxacin, 500 mg b.i.d., and doxycycline, 100 mg b.i.d., randomly associated with (n = 71) or without (n = 71) Lactobacillus casei DG. H. pylori status was checked in all patients at enrollment and at least 8 wk after the end of therapy. Compliance and tolerability of regimens were also assessed.

resultsH. pylori eradication was achieved in < 50% of patients [per prototol (PP) = 49%; intention to treat (ITT) = 46%]. Eradication rate was higher in patients administered probiotics than in those without (PP = 55% vs 43%; ITT = 54% vs 40%). Estimated primary resistance to levofloxacin was 18% and multiple resistance was 31%. Therapy was well tolerated, and side effects were generally mild, with only one patient experiencing severe effects.

conclusionThird-line levofloxacin-doxycycline triple therapy had a low H. pylori eradication efficacy, though the success and tolerability of this treatment may be enhanced with probiotics.

Indexed as

AdolescentAdultAgedAnti-Bacterial AgentsDoxycyclineDrug Administration ScheduleDrug Resistance, Multiple, BacterialDrug Therapy, CombinationEsomeprazoleFemaleHelicobacter InfectionsHelicobacter pyloriHumansItalyLacticaseibacillus caseiLevofloxacinAnti-Bacterial AgentsDoxycyclineEsomeprazoleLevofloxacinProton Pump InhibitorsDoxycyclineEradication therapyEsomeprazoleHelicobacter pyloriLevofloxacinUrea breath test

Identifiers

PMID26074708
PMCPMC4458780

What Socratic 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 Socratic graph.