Evidence map›Paper›PMID 37550781›Full record

SynthesisEuropean journal of medical research2023

The efficacy and safety of vonoprazan-amoxicillin dual therapy in eradicating Helicobacter pylori: a systematic review and meta-analysis.

Jia-Hui Feng, Jie Cheng, Yao-Jia Lao, Kai Huang, Juan-Li Mou, Fan Hu, Meng-Lu Lin, Jun Lin

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European journal of medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Vonoprazan and proton pump inhibitors: Which is superior forWorld journal of gastroenterology · 2025
    Article
  7. Review
  8. 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

8 authors.

Jia-Hui Feng *Department of Gastroenterology/Hepatology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Jie Cheng *Department of Gastroenterology/Hepatology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Yao-Jia LaoDepartment of Gastroenterology/Hepatology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Kai HuangDepartment of Gastroenterology/Hepatology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Juan-Li MouDepartment of Gastroenterology/Hepatology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Fan HuDepartment of Gastroenterology/Hepatology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Meng-Lu LinDepartment of Gastroenterology/Hepatology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Jun LinDepartment of Gastroenterology/Hepatology, Zhongnan Hospital of Wuhan University, Wuhan, China. linjun64@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the efficacy and safety of vonoprazan-amoxicillin (VA) dual therapy for radically eradicating Helicobacter pylori (H. pylori).

methodsThe PubMed, Cochrane Library, Embase, China National Knowledge  Infrastructure (CNKI) and Wanfang databases were searched up to July 7, 2022, to identify clinical trials comparing the efficacy of VA dual therapy and triple therapy for H. pylori eradication. After evaluating the quality of the included studies, random effects models were conducted, and risk ratios (RRs) with 95% confidence intervals (CIs) were calculated to estimate the efficacy and safety of each approach.

resultsSix publications (including four randomized controlled trials) involving 2019 patients were included in this meta-analysis. Overall, the eradication rate for VA dual therapy was 89.9%, while it was 85.2% for triple therapy based on other acid inhibitors. The eradication rate of H. pylori in the VA dual regimen group was higher than that in the PPI-based (omeprazole or lansoprazole) triple therapy group (RR = 1.15, 95% CI 1.07-1.23, p < 0.0001). However, the efficacy of VA dual therapy was comparable with VA-Clarithromycin (VAC) triple therapy (RR = 0.97, 95% CI 0.93-1.02). Besides, the incidence of adverse reactions in VA dual therapy was also lower than that in triple therapy (RR = 0.80, 95% CI 0.70-0.91, p = 0.0009).

conclusionCompared with PPI-based triple therapy, VA dual therapy showed a better therapeutic effect, safety and patient compliance rate for eradicating H. pylori, which should be used as a novel curative strategy in the future.

Indexed as

Helicobacter InfectionsHelicobacter pyloriAmoxicillinAnti-Bacterial AgentsDrug Therapy, CombinationHumansProton Pump InhibitorsPyrrolesRandomized Controlled Trials as TopicSulfonamidesTreatment Outcome1-(5-(2-fluorophenyl)-1-(pyridin-3-ylsulfonyl)-1H-pyrrol-3-yl)-N-methylmethanamineAmoxicillinAnti-Bacterial AgentsProton Pump InhibitorsPyrrolesSulfonamidesAmoxicillinDual therapyHelicobacter pyloriMeta-analysisVonoprazan

Identifiers

PMID37550781
PMCPMC10405488

What Socratic holds

Textmetadata
LicenceCC BY
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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.