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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 Gastroenterol+Res+Pract
2017 ; 2017
(ä): 2019802
Nephropedia Template TP
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English Wikipedia
First-Line Helicobacter pylori Eradication with Vonoprazan, Clarithromycin, and
Metronidazole in Patients Allergic to Penicillin
#MMPMID29181022
Sue S
; Suzuki N
; Shibata W
; Sasaki T
; Yamada H
; Kaneko H
; Tamura T
; Ishii T
; Kondo M
; Maeda S
Gastroenterol Res Pract
2017[]; 2017
(ä): 2019802
PMID29181022
show ga
AIM: To assess the efficacy of 7-day first-line Helicobacter pylori eradication
with vonoprazan (VPZ), clarithromycin (CAM), and metronidazole (MNZ) in patients
with penicillin allergy. METHODS: Patients with penicillin allergy, diagnosed
with Helicobacter pylori infection and did not have history of Helicobacter
pylori eradication, were eligible for the study. Twenty patients were
prospectively treated with 20?mg VPZ twice daily, 200 or 400?mg CAM twice daily,
and 250?mg MNZ twice daily for 7 days. We also collected the data from 30
patients retrospectively treated with proton pump inhibitor (PPI), CAM, and MNZ.
Safety was evaluated in patients completing an adverse effect questionnaire.
RESULTS: Both the intention-to-treat and per-protocol effectiveness of VPZ-based
eradication were 100% (95% CI: 86.1-100%; n = 20). The eradication rates of
PPI-based regimen were 83.3% (95% CI: 65.3-94.4%) in the ITT and 82.7% (95% CI:
64.2-94.2%) in the PP analyses. Abdominal fullness was more frequent in VCM
compared to PCM. However, all patients with VCM regimen had taken 100% of their
course of medication. CONCLUSION: Triple therapy with VPZ, CAM, and MNZ is well
tolerated and effective for eradicating Helicobacter pylori in patients allergic
to penicillin. This study was registered in the UMIN Clinical Trials Registry as
UMIN000016335.