Evidence map›Paper›PMID 41443523›Full record

Trial reportClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2026

Randomized Controlled Trial of Upper Esophageal Sphincter Assist Device in Laryngopharyngeal Reflux Disease.

Rena Yadlapati, Lorijane Robles, Mary K Clarke, Eric E Low, Erin Walsh, Amanda J Krause, Alexander Kaizer

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04827355 (Randomized Sham-Controlled Trial of the Reflux Band in Laryngopharyngeal Reflux), which is not on this map. Cited by 1 paper.

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

NCT04827355 naactive not recruitingnot on this map

Randomized Sham-Controlled Trial of the Reflux Band in Laryngopharyngeal Reflux (LPR)

TypeinterventionalSponsorUniversity of California, San DiegoRan2021 to 2026Enrolled72ConditionsLaryngopharyngeal RefluxArmsExternal Upper Esophageal Sphincter (UES) Compression Device, Sham Device
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

7 authors.

Rena YadlapatiDivision of Gastroenterology and Hepatology, University of California San Diego, San Diego, California. Electronic address: ryadlapati@ucsd.edu.
Lorijane RoblesDivision of Gastroenterology and Hepatology, University of California San Diego, San Diego, California.
Mary K ClarkeDivision of Gastroenterology and Hepatology, University of California San Diego, San Diego, California.
Eric E LowDivision of Gastroenterology and Hepatology, University of California San Diego, San Diego, California.
Erin WalshDepartment of Otolaryngology, Center for Airway, Voice, and Swallowing, University of California San Diego Health, San Diego, California.
Amanda J KrauseVatche and Tamar Manoukian Division of Digestive Diseases, University of California Los Angeles, Los Angeles, California.
Alexander KaizerDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Denver, Colorado.

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
San Diego Digestive Diseases Research CenterP30DK120515 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Bernd G. Schnabl · 2019 to 2026
$10.8M
The MVP Trial: A Randomized Controlled Trial of Mechanism Guided vs PPI Strategy for Laryngopharyngeal RefluxR01DK139089 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Rena Hiren Yadlapati · 2024 to 2026
$2.0M
Mechanism Guided Therapy for Laryngopharyngeal RefluxK23DK125266 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI YADLAPATI, RENA HIREN · 2021 to 2025
$963k
Role of Psychological Processes on Symptom Burden in Laryngopharyngeal RefluxR03DK135513 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI YADLAPATI, RENA HIREN · 2023 to 2024
$245k
NCATS NIH HHS UL1 TR001442NIDDK NIH HHS K23 DK125266NIDDK NIH HHS P30 DK120515NIDDK NIH HHS R01 DK139089NIDDK NIH HHS R03 DK135513
6 · The paper itself

Abstract

BACKGROUND &

aimsEffective therapies for laryngopharyngeal reflux disease (LPRD) are limited. The noninvasive upper esophageal sphincter assist device (UESAD) applies external cricoid pressure to prevent esophago-pharyngeal reflux events and has been associated with symptom improvement in uncontrolled single-arm studies. We aimed to conduct the first randomized controlled trial of the UESAD in patients with LPRD refractory to anti-secretory therapy.

methodsEnrolled adults with objective LPRD and ≥8 weeks of laryngopharyngeal symptoms despite anti-secretory therapy were randomly assigned 1:1 to 8 weeks of intervention (UESAD applying therapeutic pressure [20-30 mm Hg]) or comparator (UESAD applying low pressure [4-11 mm Hg]), followed by an optional 4-week open-label extension. The primary outcome was change in reflux symptom index (RSI); secondary outcomes included salivary pepsin concentration and adverse events.

resultsOf 72 participants enrolled, 68 were randomized: mean age, 56.0 years (standard deviation [SD], 16.4 years); 60.3% female; body mass index, 26 kg/m

conclusionsIn this randomized double-blinded controlled trial of patients with LPRD, significant differences in laryngopharyngeal symptoms were not seen between application of the UESAD at therapeutic vs lower pressures. Laryngopharyngeal symptoms as well as pepsin concentrations significantly improved among both groups, suggesting that application of external cricoid pressure, even at lower levels, is a safe, noninvasive, well-tolerated, and effective therapy for LPRD. CLINICALTRIALS: gov, Number: NCT04827355.

Indexed as

Esophageal Sphincter, UpperLaryngopharyngeal RefluxAdultAgedFemaleHumansMaleMiddle AgedSalivaTreatment OutcomeCoughExtra-esophageal RefluxGastroesophageal Reflux

Identifiers

PMID41443523
PMCPMC13222040

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.