Research Article

The Efficacy and Safety of Mesalamine and Probiotics in Mild-to-Moderate Ulcerative Colitis: A Systematic Review and Meta-Analysis

Table 1

General characteristics of included studies.

Author, Publication yearStudy designStudy locationSex (M/F)Age (year) (mean ± SD) (or range)The course of disease (mean ± SD) (or range)Sample sizeThe dosage of treatmentTreatment period (week)Outcome
TC

Wang 2018 [28]RCTChinaT: 32/31
C: 33/30
T: 32.49 ± 3.76
C: 32.61 ± 4.04
T: 16.75 ± 4.46 m
C: 16.94 ± 4.68 m
126Mesalamine 0.5 g, TID + Bifid Triple Viable Capsules 3 capsules, BIDMesalamine 0.5 g, TID4①⑤
Wang et al. 2013 [29]RCTChinaT: 19/14
C: 19/11
T: 0.5∼5.5y
C: 0.5∼6y
63Mesalamine 1.5 g, TID + Bifid Triple Viable Capsules 2 capsules, TIDMesalamine 1.5 g, TID8①⑤
Chen et al. 2019 [30]RCTChinaT: 25/25
C: 28/22
T: 69.26 ± 9.30
C: 69.11 ± 9.14
T: 3.41 ± 2.37y
C: 3.63 ± 2.50y
100Mesalamine 1.0 g, QID + Bifidobacterium triplex 0.42 g, TIDMesalamine 1.0 g, QID8
Luo 2008 [31]RCTChinaT: 25/14
C: 19/9
T: 19∼59
C: 21∼69
T: 0.5∼13y
C: 0.5∼11y
67Mesalamine 0.5∼1.0 g, TID + Bifid Triple Viable Capsules 0.42 g, TIDMesalamine 0.5∼1.0 g, TID8
Wang 2013 [32]RCTChinaT: 20∼75
C: 17∼72
T: 0.5∼5.5y
C: 0.5∼6y
70Mesalamine 1.0 g, QID + combined Bifidobacterium and Lactobacillus 2 g, TIDMesalamine 1.0 g, QID4①⑤
Zhang 2017 [33]RCTChinaT: 15/10
C: 14/11
T: 42.3 ± 2.1
C: 44.9 ± 3.7
50Mesalamine 1.0 g, QID + Bifidobacterium triplex 0.42 g, TIDMesalamine 1.0 g, QID8①②③⑤
Wang 2016 [34]RCTChinaT: 19/16
C: 21/14
T: 45.3 ± 9.7
C: 44.6 ± 9.4
T: 5.3 ± 1.5y
C: 4.8 ± 1.2y
70Mesalamine 1.0 g, TID + Lactobacillus 100 ml, TIDMesalamine 1.0 g, TID24
Xing et al. 2017 [19]RCTChinaT: 29/26
C: 28/27
T: 34.0 ± 5.0
C: 33.4 ± 4.5
T: 4.5 ± 0.5y
C: 4.0 ± 0.5y
110Mesalamine 1.0 g, QID + Bifid Triple Viable Capsules, 2∼4 capsule, BIDMesalamine 1.0 g, QID8①⑤
Liu et al. 2010 [35]RCTChina58Mesalamine 1.0 g, QID + Bifid Triple Viable Capsules 0.42 g, TIDMesalamine 1.0 g, QID4①⑤
Li et al. 2017 [36]RCTChinaT: 14/12
C: 13/12
T: 43.2 ± 5.1
C: 42.6 ± 4.9
51Mesalamine 1.0 g, QID + Bifidobacterium triplex 0.42 g, TIDMesalamine 1.0 g, QID8①②③④⑤
Gao 2018 [37]RCTChinaT: 33/25
C: 32/26
T: 35.26 ± 6.26
C: 35.67 ± 6.14
T: 5.52 ± 2.02y
C: 5.74 ± 1.68y
116Mesalamine 1.0 g, TID + Bifid Triple Viable Capsules 0.42 g, TIDMesalamine 1.0 g, TID12①⑤
Cheng 2018 [38]RCTChinaT: 22/21
C: 24/19
T: 39.5 ± 3.3
C: 38.4 ± 3.2
T: 3.6 ± 0.5y
C: 3.5 ± 0.8y
86Mesalamine 1.0 g, TID + Bifidobacterium quadruple viable tablet 0.2 g, TIDMesalamine 1.0 g, TID8①⑤
Liu et al. 2013 [39]RCTChinaT: 16/20
C: 14/22
T: 49.36 ± 2.62
C: 52.28 ± 2.53
72Mesalamine 1.0 g, QID + Bifidobacterium triplex 0.42 g, TIDMesalamine 1.0 g, QID8②③④⑤
Zhou 2019 [40]RCTChinaT: 13/7
C: 9/5
T: 19∼56
C: 21∼61
T: 0.5∼5y
C: 0.5∼12y
34Mesalamine 1.0 g, TID + Bifidobacterium triplex 0.42 g, TIDMesalamine 1.0 g, TID8①⑤
Huang et al. 2018 [41]RCTChinaT: 90/90
C: 81/99
T: 42.2 ± 9.4
C: 41.5 ± 8.3
T: 5.5 ± 1.8y
C: 5.2 ± 1.7y
360Mesalamine 1.0 g, TID + Bifid Triple Viable Capsules 0.42 g, TIDMesalamine 1.0 g, TID8①③

Note. —: not mentioned; ①: clinical efficacy; ②: the clinical symptom scores; ③: disease activity index (DAI); ④: endoscopic score; and ⑤: adverse events.