Article ; Online: Clinical Study on the Eradication of Helicobacter pylori by Vonoprazan Combined with Amoxicillin for 10-Day Dual Therapy.
Clinical pharmacology in drug development
2024 Volume 13, Issue 3, Page(s) 240–247
Abstract: Vonoprazan holds significant research promise for Helicobacter pylori eradication, with the goal of determining the most effective drug regimen. In this study, H. pylori patients (426) were enrolled and randomized into 3 groups: an EA14 group (20 mg of ... ...
Abstract | Vonoprazan holds significant research promise for Helicobacter pylori eradication, with the goal of determining the most effective drug regimen. In this study, H. pylori patients (426) were enrolled and randomized into 3 groups: an EA14 group (20 mg of esomeprazole qid and 1000 mg of amoxicillin tid for 14 days), a VA14 group (20 mg of vonoprazan bid and 750 mg of amoxicillin qid for 14 days), and a VA10 group (20 mg of vonoprazan bid and 1000 mg of amoxicillin tid for 10 days). Key outcomes encompassed the H. pylori eradication rate, patient adverse effects, and compliance. In the EA14, VA14, and VA10 groups, H. pylori eradication rates were 89.4%, 90.1%, and 88.7% in intention-to-treat analysis, and 94.2%, 94.4%, and 94.6% in per-protocol analysis, respectively. Adverse events incidences were 14.8%, 12.7%, and 5.6%, while compliance rates were 88.7%, 90.9%, and 95.8%, respectively. Notably, the VA10 regimen demonstrated comparable H. pylori eradication rates, adverse effect incidences, and compliance levels to the EA14 and VA14 regimens. |
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MeSH term(s) | Humans ; Amoxicillin/adverse effects ; Helicobacter pylori ; Helicobacter Infections/drug therapy ; Helicobacter Infections/chemically induced ; Proton Pump Inhibitors/adverse effects ; Metronidazole/adverse effects ; Pyrroles ; Sulfonamides |
Chemical Substances | Amoxicillin (804826J2HU) ; 1-(5-(2-fluorophenyl)-1-(pyridin-3-ylsulfonyl)-1H-pyrrol-3-yl)-N-methylmethanamine ; Proton Pump Inhibitors ; Metronidazole (140QMO216E) ; Pyrroles ; Sulfonamides |
Language | English |
Publishing date | 2024-01-10 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 2649010-9 |
ISSN | 2160-7648 ; 2160-763X |
ISSN (online) | 2160-7648 |
ISSN | 2160-763X |
DOI | 10.1002/cpdd.1357 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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