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Comparison of 7-day and 14-day Proton Pump Inhibitor-Containing Triple Therapy for Helicobacter pylori Eradication: Neither Treatment Duration Provides Acceptable Eradication Rate in Korea

Authors
 Byeong Gwan Kim  ;  Dong Ho Lee  ;  Hyun Chae Jung  ;  Sang Woo Lee  ;  Su Jin Hong  ;  Ki Baik Hahm  ;  Hoon Jai Chun  ;  Jin Hyug Lee  ;  Jun Haeng Lee  ;  Yong Chan Lee  ;  Gwang Ho Baik  ;  Chang Young Park  ;  Jong Jae Park  ;  Hak Yang Kim  ;  Jae J. Kim  ;  Sung Kook Kim  ;  Sang Woo Kim  ;  Sang Gyun Kim  ;  Beung Wook Kim  ;  Kwang Hyuck Lee  ;  Byong Duk Ye 
Citation
 HELICOBACTER, Vol.12(1) : 31-35, 2007 
Journal Title
 HELICOBACTER 
ISSN
 1083-4389 
Issue Date
2007
MeSH
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Amoxicillin/therapeutic use ; Anti-Bacterial Agents/therapeutic use* ; Clarithromycin/therapeutic use ; Drug Administration Schedule ; Drug Therapy, Combination ; Female ; Helicobacter Infections/drug therapy* ; Helicobacter pylori* ; Humans ; Korea ; Male ; Middle Aged ; Omeprazole ; Proton Pump Inhibitors ; Proton Pumps/therapeutic use* ; Treatment Outcome
Abstract
BACKGROUND AND AIMS: Although triple combination therapy containing a proton pump inhibitor (PPI) and two antibiotics is considered as a standard regimen for the first-line anti-Helicobacter pylori treatment, there are still debates on the ideal duration of treatment. The aim of this study was to compare the efficacies of 7-day and 14-day PPI-containing triple therapy. MATERIALS AND METHODS: This study was performed in a randomized, multicenter, prospective manner. After upper gastrointestinal endoscopy, H. pylori-infected patients with a gastric ulcer and/or a duodenal ulcer were randomly assigned to a PAC7 group (omeprazole 20 mg or equivalent dose of other PPIs, amoxicillin 1000 mg, and clarithromycin 500 mg twice daily for 7 days) or to a PAC14 group (the same regimen as the PAC7 group but for 14 days). H. pylori status was evaluated by (13)C urea breath test 5 weeks after anti-ulcer treatment completion. RESULTS: A total of 598 patients were enrolled; 337 were randomized to the PAC7 group and 261 to the PAC14 group. The two groups were comparable in terms of baseline characteristics. The eradication rates of the PAC7 group were not inferior to those of the PAC14 group in both intention-to-treat analysis (71.2% vs. 75.5%) and per-protocol analysis (83.6% vs. 86.6%). Incidences of adverse events were comparable. CONCLUSIONS: Although the 7-day PPI-containing triple anti-H. pylori therapy is not inferior to the 14-day therapy, neither treatment duration provides acceptable eradication rate reaching 90% in per-protocol analysis. New combination regimen with higher efficacy should be developed as a first-line eradication therapy for H. pylori in Korea.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1523-5378.2007.00468.x/abstract
DOI
10.1111/j.1523-5378.2007.00468.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Yong Chan(이용찬) ORCID logo https://orcid.org/0000-0001-8800-6906
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96080
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