Evidence map›Paper›PMID 41479756›Full record

Trial reportWorld journal of gastroenterology2025

Regional multi-center randomized trial of three vonoprazan-amoxicillin dosing regimens for

Chao-Qun Wu, Xiu Zhou, Chang-Ping Li, Qing-Ling He, Zong-Hua Chen, Shun-Bin Ding, Lei Deng, Lin-Lin Chen, Kai Jiang, Cheng-Kui Dong and 12 more

Abstract readRandomized Controlled TrialMulticenter StudyEquivalence Trial
In one paragraph

Trial report in World journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

22 authors.

Chao-Qun WuDepartment of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China.
Xiu ZhouDepartment of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China.
Chang-Ping LiDepartment of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China. 506854209@qq.com.
Qing-Ling HeDepartment of Gastroenterology, Yibin Second People's Hospital, Yibin 644000, Sichuan Province, China.
Zong-Hua ChenDepartment of Gastroenterology, Yibin Second People's Hospital, Yibin 644000, Sichuan Province, China.
Shun-Bin DingDepartment of Gastroenterology, Deyang People's Hospital, Deyang 618000, Sichuan Province, China.
Lei DengDepartment of Gastroenterology, Deyang People's Hospital, Deyang 618000, Sichuan Province, China.
Lin-Lin ChenDepartment of Gastroenterology, Suining Central Hospital, Suining 629001, Sichuan Province, China.
Kai JiangThe Fourth Department of the Digestive Disease Center, Suining Central Hospital, Suining 629099, Sichuan Province, China.
Cheng-Kui DongDepartment of Gastroenterology, Second People's Hospital of Liangshan Yi Autonomous Prefecture, Xichang 615000, Sichuan Province, China.
Lian HuDepartment of Gastroenterology, Yibin First People's Hospital, Yibin 644000, Sichuan Province, China.
Guo-Bing ZhuDepartment of Gastroenterology, Longchang City People's Hospital, Neijiang 641000, Sichuan Province, China.
Cheng-Gang ZhangDepartment of Gastroenterology, Ningnan County People's Hospital, Ningnan 615400, Sichuan Province, China.
Yan ZhangDepartment of Gastroenterology, Zigong Fouth People's Hospital, Zigong 643000, Sichuan Province, China.
Li-Li WuDepartment of Gastroenterology, Suining First People's Hospital, Suining 629000, Sichuan Province, China.
Wei LiDepartment of Gastroenterology, Wenjiang District People's Hospital, Chengdu 611130, Sichuan Province, China.
Yi-Hong MaoDepartment of Gastroenterology, Hejiang County People's Hospital, Luzhou 646200, Sichuan Province, China.
Hua ZhangDepartment of Gastroenterology, Chengdu City Fifth People's Hospital, Chengdu 611130, Sichuan Province, China.
Xia AiDepartment of Gastroenterology, Deyang City Second People's Hospital, Deyang 618000, Sichuan Province, China.
Yuan-Qing HeDepartment of Gastroenterology, Longquanyi District People's Hospital, Chengdu 610100, Sichuan Province, China.
Yan MaDepartment of Gastroenterology, Xindu District Traditional Chinese Medicine Hospital, Chengdu 610500, Sichuan Province, China.
Shuang-Yan HeDepartment of Gastroenterology, Tianfu New Area People's Hospital, Chengdu 610000, Sichuan Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background

aimTo evaluate the efficacy, safety, and optimal dosing of vonoprazan (VPZ)-amoxicillin (AMO) dual therapy in a non-inferiority randomized trial for

methodsIn this multi-center, randomized trial conducted at 17 hospitals in Sichuan Province, China, 1717 adults with confirmed infection were assigned (1:1:1) to 14-day regimens: (1) VPZ 20 mg BID + AMO 0.5 g QID; (2) 0.75 g QID; or (3) 1.0 g TID. The primary endpoint was the eradication rate based on intention-to-treat (ITT) and per-protocol (PP) analyses; secondary endpoints included adverse events (AEs) and treatment compliance.

resultsEradication rates were consistently high (92.35%-97.43%). In the 0.5 g QID group, ITT and PP eradication rates were 93.3% (95%CI: 91.2-95.1) and 97.4% (95%CI: 95.7-98.5), respectively, with no significant differences among groups (

conclusionVPZ-AMO dual therapy achieved excellent eradication, safety, and patient compliance. All regimens were similarly effective, whereas the 0.5 g QID dosing strategy offered the most favorable balance of efficacy and tolerability, supporting its use as a first-line option in high-prevalence settings.

Indexed as

AmoxicillinAnti-Bacterial AgentsHelicobacter InfectionsHelicobacter pyloriProton Pump InhibitorsPyrrolesSulfonamidesAdultAgedChinaDrug Administration ScheduleDrug Therapy, CombinationFemaleHumansIntention to Treat AnalysisMale1-(5-(2-fluorophenyl)-1-(pyridin-3-ylsulfonyl)-1H-pyrrol-3-yl)-N-methylmethanamineAmoxicillinAnti-Bacterial AgentsProton Pump InhibitorsPyrrolesSulfonamidesAmoxicillinDoseHelicobacter pyloriPotassium-competitive acid blockersVonoprazan

Identifiers

PMID41479756
PMCPMC12754164

What Socratic holds

Textmetadata
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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.