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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Pharmacol+Pharmacother
2017 ; 8
(2
): 62-67
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Hybrid Therapy versus Sequential Therapy for Eradication of Helicobacter pylori:
A Randomized Controlled Trial
#MMPMID28706400
Ashokkumar S
; Agrawal S
; Mandal J
; Sureshkumar S
; Sreenath GS
; Kate V
J Pharmacol Pharmacother
2017[Apr]; 8
(2
): 62-67
PMID28706400
show ga
OBJECTIVE: To compare the sequential therapy (ST) with the hybrid therapy (HT)
for the eradication of Helicobacter pylori. MATERIALS AND METHODS: Patients with
peptic ulcer disease and gastritis found to be H. pylori positive were randomized
to HT group who received omeprazole (20 mg bid) and amoxicillin (1 g bid) for 7
days followed by omeprazole (20 mg bid), amoxicillin (1 g bid), clarithromycin
(500 mg bid), and metronidazole (400 mg tid) for the next 7 days and ST group who
received omeprazole and amoxicillin for 5 days followed by omeprazole,
clarithromycin, and metronidazole for the next 5 days. Eradication rate,
compliance, and complications were compared. RESULTS: A total of 120 patients
were included, sixty in each group. H. pylori eradication rate was significantly
higher in HT group on intention-to-treat analysis (88.3% [confidence interval
(CI) 78.3%-94.8%] vs. 73.3% [CI 61.1%-83.3%]; P = 0.037). Per-protocol analysis
showed higher eradication rate with HT (93% [CI 83.9%-93.7%] vs. 81.5% [CI
69.5%-90.2%]; P = 0.068); however, the difference was insignificant. Compliance
and side effects were similar. A complete course of HT costs $10.77, while ST
costs only $6.347. CONCLUSIONS: HT achieves significantly higher H. pylori
eradication rate than ST with comparable patient compliance and side effects but
at an higher price. However, it can be used in places where ST is ineffective.