Evidence map›Paper›PMID 38946172›Full record

Trial reportNeurogastroenterology and motility2024

Effects of ondansetron on symptoms during a gastric emptying study and enteral lipid challenge and on daily symptoms in diabetic gastroenteropathy.

Revati Varma, Subhankar C Chakraborty, Shivabalan Kathavarayan Ramu, Duane D Burton, Brototo Deb, Michael D Ryks, Kelly J Feuerhak, Kent R Bailey, Adil E Bharucha

Abstract readRandomized Controlled Trial
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Major Adverse Cardiac Events with Ondansetron: A Systematic Review.Clinical pharmacology and therapeutics · 2026
    Pooled it
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

9 authors.

Revati VarmaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Subhankar C ChakrabortyDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Shivabalan Kathavarayan RamuDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Duane D BurtonDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Brototo DebDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Michael D RyksDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Kelly J FeuerhakDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Kent R BaileyDivision of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, Minnesota, USA.
Adil E BharuchaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0002-7644-0390

Funding

Pathophysiology of Anorectal DisordersR01DK078924 · NIDDK · MAYO CLINIC ROCHESTER · PI BHARUCHA, ADIL E. · 2008 to 2023
$5.0M
Single-cell epigenomics and transcriptomics of diabetic gastroparesis in humansR01DK131455 · NIDDK · MAYO CLINIC ROCHESTER · PI BHARUCHA, ADIL E., ORDOG, TAMAS · 2021 to 2025
$2.0M
NIDDK NIH HHS R01 DK078924NIDDK NIH HHS R01 DK131455
6 · The paper itself

Abstract

backgroundThis study compared the effects of ondansetron and placebo in patients with diabetes mellitus and symptoms of dyspepsia (diabetic gastroenteropathy [DGE]).

methodsWe performed a randomized, double-blinded, placebo-controlled study of ondansetron tablets (8 mg) three times daily for 4 weeks in DGE patients. Symptoms were assessed with the Gastroparesis Cardinal Symptom Index daily diaries. Gastric emptying (GE) of solids (scintigraphy) and duodenal lipid infusions (300 kcal over 2 h) were each assessed twice, with placebo and ondansetron. Drug effects on GE, symptoms during the GE study and during lipid infusion, and daily symptoms were analyzed. KEY

resultsOf 41 patients, 37 completed both GE studies and one completed 1; 31 completed both lipid infusions and four only placebo; and all 35 randomized patients completed 4 weeks of treatment. Compared to placebo, ondansetron reduced the severity of fullness (p = 0.02) and belching (p = 0.049) during lipid infusion but did not affect GE T CONCLUSIONS & INFERENCES: Ondansetron significantly reduced fullness during enteral lipid infusion in patients with DGE. Overall, ondansetron did not improve daily symptoms versus placebo. But patients in whom ondansetron improved symptoms during enteral lipid challenge were perhaps more likely to experience symptom relief during daily treatment.

Indexed as

Gastric EmptyingOndansetronAdultAgedAntiemeticsDiabetes ComplicationsDouble-Blind MethodDyspepsiaFemaleGastroparesisHumansLipidsMaleMiddle AgedTreatment OutcomeAntiemeticsLipidsOndansetronabdominal paingastroparesisnauseapharmacological challengevomiting

Identifiers

PMID38946172
PMCPMC11321918

What Socratic holds

Textmetadata
LicenceTDM
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.