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Efficacy and safety of rebamipide/nizatidine in patients with erosive gastritis: A randomized, multicenter, phase 4 study

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Author(s)
Donghoon KangMyung-Gyu ChoiKi-Nam ShimHye-Kyung JungSeung-Joo NamJung Ho ParkSang Gyun KimNam-Hoon KimSu Jin HongTae Joo JeonJae Il ChungHang Lak LeeJu Yup LeeTae Oh KimChang Min LeeSun Moon KimJeong-Hwan KimJang Eon KimJeong Seop MoonHo Dong KimWan-Sik LeeHong 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
GastritisErosive gastritisCombination therapyRebamipideNizatidine
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.
Keimyung Author(s)(Kor)
이주엽
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2219-2840
Source
https://www.wjgnet.com/1007-9327/full/v30/i48/5152.htm
DOI
10.3748/wjg.v30.i48.5152
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/46032
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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