Efficacy and safety of rebamipide/nizatidine in patients with erosive gastritis: A randomized, multicenter, phase 4 study
- Author(s)
- Donghoon Kang; Myung-Gyu Choi; Ki-Nam Shim; Hye-Kyung Jung; Seung-Joo Nam; Jung Ho Park; Sang Gyun Kim; Nam-Hoon Kim; Su Jin Hong; Tae Joo Jeon; Jae Il Chung; Hang Lak Lee; Ju Yup Lee; Tae Oh Kim; Chang Min Lee; Sun Moon Kim; Jeong-Hwan Kim; Jang Eon Kim; Jeong Seop Moon; Ho Dong Kim; Wan-Sik Lee; Hong Jun Park
- Keimyung Author(s)
- Lee, Ju Yup
- Department
- Dept. of Internal Medicine (내과학)
- Journal Title
- World J Gastroenterol
- Issued Date
- 2024
- Volume
- 30
- Issue
- 8
- Keyword
- Gastritis; Erosive gastritis; Combination therapy; Rebamipide; Nizatidine
- Abstract
- BACKGROUND:
For the treatment of gastritis, rebamipide, a mucoprotective agent, and nizatidine, a gastric acid suppressant, are commonly employed individually.
AIM:
To compare the efficacy of Mucotra® SR (rebamipide 150 mg) and Axid® (nizatidine 150 mg) combination therapy with the sole administration of Axid® in managing erosive gastritis.
METHODS:
A total of 260 patients diagnosed with endoscopically confirmed erosive gastritis were enrolled in this open-label, multicenter, randomized, phase 4 clinical trial, allocating them into two groups: Rebamipide/nizatidine combination twice daily vs nizatidine twice daily for 2 weeks. The full-analysis set analysis encompassed 239 patients (rebamipide/nizatidine, n = 121; nizatidine, n = 118), while the per-protocol analysis included 218 patients (n = 110 vs 108). Post-treatment assessments comprised primary (erosion improvement rate) and secondary (erosion and edema cure rates, erythema improvement rates, hemorrhage, and gastrointestinal symptoms) endpoints. Furthermore, drug-related adverse effects were evaluated.
RESULTS:
Primary efficacy assessment showed a statistically significant improvement rate in mucosal erosions in the combination group compared to the control group in the full-analysis set (rebamipide/nizatidine 62.0%, nizatidine 49.2%, P = 0.046), with a similar trend noted in the per-protocol analysis (62.7% vs 50.0%, P = 0.058). Both groups were effective in curing erosion and edema and improvement of bleeding, erythema, and gastrointestinal symptoms, whereas no inter-group differences were noted. When confined to the participants with gastritis symptoms, improvement of erosion was more optimal in the combination group (63.0% vs 49.5%, P = 0.046). No adverse events related to the drugs were observed.
CONCLUSION:
Rebamipide/nizatidine combination is effective in treatment of erosive gastritis.
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