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World J Gastroenterol. Apr 7, 2026; 32(13): 117115
Published online Apr 7, 2026. doi: 10.3748/wjg.v32.i13.117115
Efficacy and safety of lansoprazole combined with flupentixol-melitracen for functional dyspepsia: A randomized, double-blinded, placebo-controlled clinical trial
Xin-Yuan Wang, Ke-Han Yin, Li Cheng, Xiao-Yu Wang, Ying Qiao, Xing-Ru Tang, Bo Wang, Xiu-Juan Yan, Sheng-Liang Chen
Xin-Yuan Wang, Ke-Han Yin, Li Cheng, Xiao-Yu Wang, Ying Qiao, Xing-Ru Tang, Bo Wang, Xiu-Juan Yan, Sheng-Liang Chen, Division of Gastroenterology and Hepatology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200001, China
Co-first authors: Xin-Yuan Wang and Ke-Han Yin.
Co-corresponding authors: Xiu-Juan Yan and Sheng-Liang Chen.
Author contributions: Chen SL and Yan XJ designed and planned the study as co- corresponding authors; Wang XY (Wang Xin-Yuan) and Yin KH contributed equally as co-first authors; Wang XY (Wang Xin-Yuan), Yin KH, Cheng L, and Wang XY (Wang Xiao-Yu) recruited and followed up patients; Wang XY (Wang Xin-Yuan), Qiao Y, and Tang XR analyzed the data; Wang XY (Wang Xin-Yuan) drafted the manuscript; Chen SL, Wang B, and Yan XJ provided critical revisions to the manuscript and supervised the research. All authors have approved the final manuscript and had full access to all the data in the study.
Supported by National Natural Science Foundation of China, No. 82570628, No. 82170554, and No. 82300643.
Institutional review board statement: The study was reviewed and approved by the Clinical Research Ethics Committee of Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. LY2024-323-C.
Clinical trial registration statement: The trial is registered at ClinicalTrials.gov, No. NCT06931223.
Informed consent statement: All study participants provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: The data used in this study are available upon reasonable request to the corresponding author.
Corresponding author: Sheng-Liang Chen, MD, PhD, Division of Gastroenterology and Hepatology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 145 Middle Shandong Road, Shanghai 200001, China. chenslmd@shsmu.edu.cn
Received: December 1, 2025
Revised: January 19, 2026
Accepted: February 12, 2026
Published online: April 7, 2026
Processing time: 119 Days and 1.8 Hours
Core Tip

Core Tip: This randomized, double-blind, placebo-controlled trial assessed the efficacy and safety of flupentixol-melitracen combined with lansoprazole for functional dyspepsia (FD). Our study demonstrated that this low-dose short-term regimen not only improved FD symptoms and quality of life within two weeks but also sustained efficacy for four weeks post-treatment. Future long-term follow-up and multicenter studies are warranted to verify its lasting benefits and health economic value, potentially advancing FD management from a “stepwise sequential” approach to a “brain-gut co-management” therapy.