Meta‐analysis: efficacy of bovine lactoferrin in Helicobacter pylori eradication

Summary Background  Several randomized‐controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication with equivocal results. Aim  To evaluate the effect of bovine lactoferrin supplementation in H. pylori eradication. Methods  Electronic datab...

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Veröffentlicht in:Alimentary pharmacology & therapeutics Jg. 29; H. 7; S. 720 - 730
Hauptverfasser: SACHDEVA, A., NAGPAL, J.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Oxford, UK Blackwell Publishing Ltd 01.04.2009
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ISSN:0269-2813, 1365-2036, 1365-2036
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Abstract Summary Background  Several randomized‐controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication with equivocal results. Aim  To evaluate the effect of bovine lactoferrin supplementation in H. pylori eradication. Methods  Electronic databases, reviews, bibliographies, s and conference proceedings were searched. Included trials had to be randomized or quasi‐randomized and controlled, using bovine lactoferrin in the intervention group, treating Helicobacter‐infected subjects and evaluating eradication of H. pylori as an outcome. Results  The search identified five eligible RCTs (of 169). Data were available for 682 subjects (bovine lactoferrin group‐n = 316; control group‐n = 366). The pooled odds ratio (five studies) for eradication by intention‐to‐treat analysis was 2.22 (95% CI 1.44–3.44; P = 0.0003) using the fixed effects model (FEM) and 2.24 (95% CI 1.15–4.35; P = 0.0003) using the random effects model (REM) (Cochran’s Q = 6.83; P = 0.145). The pooled risk difference was 0.11 (95% CI 0.05–0.16; P = 0.0001) by FEM (Cochran’s Q = 6.67; P = 0.154) and 0.10 (95% CI 0.04–0.17; P = 0.0023) by REM. There was no significant difference in incidence of adverse effects. Conclusion  Bovine lactoferrin potentially improves H. pylori eradication rates without any impact on adverse effects, but available evidence is limited and further research is necessary to confirm the findings.
AbstractList Summary Background  Several randomized‐controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication with equivocal results. Aim  To evaluate the effect of bovine lactoferrin supplementation in H. pylori eradication. Methods  Electronic databases, reviews, bibliographies, s and conference proceedings were searched. Included trials had to be randomized or quasi‐randomized and controlled, using bovine lactoferrin in the intervention group, treating Helicobacter‐infected subjects and evaluating eradication of H. pylori as an outcome. Results  The search identified five eligible RCTs (of 169). Data were available for 682 subjects (bovine lactoferrin group‐n = 316; control group‐n = 366). The pooled odds ratio (five studies) for eradication by intention‐to‐treat analysis was 2.22 (95% CI 1.44–3.44; P = 0.0003) using the fixed effects model (FEM) and 2.24 (95% CI 1.15–4.35; P = 0.0003) using the random effects model (REM) (Cochran’s Q = 6.83; P = 0.145). The pooled risk difference was 0.11 (95% CI 0.05–0.16; P = 0.0001) by FEM (Cochran’s Q = 6.67; P = 0.154) and 0.10 (95% CI 0.04–0.17; P = 0.0023) by REM. There was no significant difference in incidence of adverse effects. Conclusion  Bovine lactoferrin potentially improves H. pylori eradication rates without any impact on adverse effects, but available evidence is limited and further research is necessary to confirm the findings.
Background  Several randomized‐controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication with equivocal results. Aim  To evaluate the effect of bovine lactoferrin supplementation in H. pylori eradication. Methods  Electronic databases, reviews, bibliographies, abstracts and conference proceedings were searched. Included trials had to be randomized or quasi‐randomized and controlled, using bovine lactoferrin in the intervention group, treating Helicobacter ‐infected subjects and evaluating eradication of H. pylori as an outcome. Results  The search identified five eligible RCTs (of 169). Data were available for 682 subjects (bovine lactoferrin group‐ n  = 316; control group‐ n  = 366). The pooled odds ratio (five studies) for eradication by intention‐to‐treat analysis was 2.22 (95% CI 1.44–3.44; P  = 0.0003) using the fixed effects model (FEM) and 2.24 (95% CI 1.15–4.35; P  = 0.0003) using the random effects model (REM) (Cochran’s Q  = 6.83; P  = 0.145). The pooled risk difference was 0.11 (95% CI 0.05–0.16; P  = 0.0001) by FEM (Cochran’s Q  = 6.67; P  = 0.154) and 0.10 (95% CI 0.04–0.17; P  = 0.0023) by REM. There was no significant difference in incidence of adverse effects. Conclusion  Bovine lactoferrin potentially improves H. pylori eradication rates without any impact on adverse effects, but available evidence is limited and further research is necessary to confirm the findings.
Several randomized-controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication with equivocal results. To evaluate the effect of bovine lactoferrin supplementation in H. pylori eradication. Electronic databases, reviews, bibliographies, abstracts and conference proceedings were searched. Included trials had to be randomized or quasi-randomized and controlled, using bovine lactoferrin in the intervention group, treating Helicobacter-infected subjects and evaluating eradication of H. pylori as an outcome. The search identified five eligible RCTs (of 169). Data were available for 682 subjects (bovine lactoferrin group-n = 316; control group-n = 366). The pooled odds ratio (five studies) for eradication by intention-to-treat analysis was 2.22 (95% CI 1.44-3.44; P = 0.0003) using the fixed effects model (FEM) and 2.24 (95% CI 1.15-4.35; P = 0.0003) using the random effects model (REM) (Cochran's Q = 6.83; P = 0.145). The pooled risk difference was 0.11 (95% CI 0.05-0.16; P = 0.0001) by FEM (Cochran's Q = 6.67; P = 0.154) and 0.10 (95% CI 0.04-0.17; P = 0.0023) by REM. There was no significant difference in incidence of adverse effects. Bovine lactoferrin potentially improves H. pylori eradication rates without any impact on adverse effects, but available evidence is limited and further research is necessary to confirm the findings.
SummaryBackgroundSeveral randomized-controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication with equivocal results.AimTo evaluate the effect of bovine lactoferrin supplementation in H. pylori eradication.MethodsElectronic databases, reviews, bibliographies, abstracts and conference proceedings were searched. Included trials had to be randomized or quasi-randomized and controlled, using bovine lactoferrin in the intervention group, treating Helicobacter-infected subjects and evaluating eradication of H. pylori as an outcome.ResultsThe search identified five eligible RCTs (of 169). Data were available for 682 subjects (bovine lactoferrin group-n=316; control group-n=366). The pooled odds ratio (five studies) for eradication by intention-to-treat analysis was 2.22 (95% CI 1.44-3.44; P=0.0003) using the fixed effects model (FEM) and 2.24 (95% CI 1.15-4.35; P=0.0003) using the random effects model (REM) (Cochran's Q=6.83; P=0.145). The pooled risk difference was 0.11 (95% CI 0.05-0.16; P=0.0001) by FEM (Cochran's Q=6.67; P=0.154) and 0.10 (95% CI 0.04-0.17; P=0.0023) by REM. There was no significant difference in incidence of adverse effects.ConclusionBovine lactoferrin potentially improves H. pylori eradication rates without any impact on adverse effects, but available evidence is limited and further research is necessary to confirm the findings.
Several randomized-controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication with equivocal results.BACKGROUNDSeveral randomized-controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication with equivocal results.To evaluate the effect of bovine lactoferrin supplementation in H. pylori eradication.AIMTo evaluate the effect of bovine lactoferrin supplementation in H. pylori eradication.Electronic databases, reviews, bibliographies, abstracts and conference proceedings were searched. Included trials had to be randomized or quasi-randomized and controlled, using bovine lactoferrin in the intervention group, treating Helicobacter-infected subjects and evaluating eradication of H. pylori as an outcome.METHODSElectronic databases, reviews, bibliographies, abstracts and conference proceedings were searched. Included trials had to be randomized or quasi-randomized and controlled, using bovine lactoferrin in the intervention group, treating Helicobacter-infected subjects and evaluating eradication of H. pylori as an outcome.The search identified five eligible RCTs (of 169). Data were available for 682 subjects (bovine lactoferrin group-n = 316; control group-n = 366). The pooled odds ratio (five studies) for eradication by intention-to-treat analysis was 2.22 (95% CI 1.44-3.44; P = 0.0003) using the fixed effects model (FEM) and 2.24 (95% CI 1.15-4.35; P = 0.0003) using the random effects model (REM) (Cochran's Q = 6.83; P = 0.145). The pooled risk difference was 0.11 (95% CI 0.05-0.16; P = 0.0001) by FEM (Cochran's Q = 6.67; P = 0.154) and 0.10 (95% CI 0.04-0.17; P = 0.0023) by REM. There was no significant difference in incidence of adverse effects.RESULTSThe search identified five eligible RCTs (of 169). Data were available for 682 subjects (bovine lactoferrin group-n = 316; control group-n = 366). The pooled odds ratio (five studies) for eradication by intention-to-treat analysis was 2.22 (95% CI 1.44-3.44; P = 0.0003) using the fixed effects model (FEM) and 2.24 (95% CI 1.15-4.35; P = 0.0003) using the random effects model (REM) (Cochran's Q = 6.83; P = 0.145). The pooled risk difference was 0.11 (95% CI 0.05-0.16; P = 0.0001) by FEM (Cochran's Q = 6.67; P = 0.154) and 0.10 (95% CI 0.04-0.17; P = 0.0023) by REM. There was no significant difference in incidence of adverse effects.Bovine lactoferrin potentially improves H. pylori eradication rates without any impact on adverse effects, but available evidence is limited and further research is necessary to confirm the findings.CONCLUSIONBovine lactoferrin potentially improves H. pylori eradication rates without any impact on adverse effects, but available evidence is limited and further research is necessary to confirm the findings.
Author SACHDEVA, A.
NAGPAL, J.
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Issue 7
Keywords Spirillales
Bovine
Treatment efficiency
Spirillaceae
Ox
Eradication
Metaanalysis
Infection
Vertebrata
Lactoferrin
Mammalia
Helicobacter pylori
Animal
Bacteriosis
Bacteria
Artiodactyla
Ungulata
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Snippet Summary Background  Several randomized‐controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication...
Background  Several randomized‐controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication with...
Several randomized-controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication with equivocal...
SummaryBackgroundSeveral randomized-controlled trials (RCTs) have sought to determine the efficacy of bovine lactoferrin in Helicobacter pylori eradication...
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SubjectTerms Anti-Bacterial Agents - therapeutic use
Bacterial diseases
Bacterial diseases of the digestive system and abdomen
Biological and medical sciences
Dietary Supplements
Digestive system
Gastroenterology. Liver. Pancreas. Abdomen
Helicobacter Infections - drug therapy
Helicobacter pylori
Helicobacter pylori - drug effects
Human bacterial diseases
Humans
Infectious diseases
Lactoferrin - therapeutic use
Medical sciences
Pharmacology. Drug treatments
Randomized Controlled Trials as Topic
Title Meta‐analysis: efficacy of bovine lactoferrin in Helicobacter pylori eradication
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1365-2036.2009.03934.x
https://www.ncbi.nlm.nih.gov/pubmed/19183156
https://www.proquest.com/docview/20545100
https://www.proquest.com/docview/733320688
Volume 29
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