Efficacy and Safety of Vonoprazan-Based versus Proton Pump Inhibitor-Based Triple Therapy for Helicobacter pylori Eradication: A Meta-Analysis of Randomized Clinical Trials.

Aims. To compare the efficacy and safety of vonoprazan-based versus proton pump inhibitor (PPI)-based triple therapy in the eradication of Helicobacter pylori. Methods. We performed a systematic search in PubMed, Embase, and the Cochrane Library databases for relevant randomized controlled trials up...

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Publicado en:BioMed Research International pp. 1 - 9
Autores principales: Lyu, Qiu-Ju, Pu, Qiang-Hong, Zhong, Xian-Fei, Zhang, Jin
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell 5/9/2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 5/9/2019
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2019/9781212
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        atl: Efficacy and Safety of Vonoprazan-Based versus Proton Pump Inhibitor-Based Triple Therapy for Helicobacter pylori Eradication: A Meta-Analysis of Randomized Clinical Trials.
      aug:
        au:
          Lyu, Qiu-Ju
          Pu, Qiang-Hong
          Zhong, Xian-Fei
          Zhang, Jin
        affil: Department of Endocrinology, People's Hospital of Leshan, Sichuan 614000, China
      sug:
        subj:
          Proton Pump Inhibitors Therapeutic Use
          Enzyme Inhibitors Therapeutic Use
          Drug Therapy, Combination
          Helicobacter Infections Drug Therapy
          Disease Eradication
          Human
          Treatment Outcomes
          PubMed
          Embase
          Cochrane Library
          Systematic Review
          Meta Analysis
          Odds Ratio
          Confidence Intervals
          Incidence
          Adverse Drug Event
      ab: Aims. To compare the efficacy and safety of vonoprazan-based versus proton pump inhibitor (PPI)-based triple therapy in the eradication of Helicobacter pylori. Methods. We performed a systematic search in PubMed, Embase, and the Cochrane Library databases for relevant randomized controlled trials up to March 2019. Studies were included if they compared the efficacy and safety of H. pylori eradication of vonoprazan-based and PPI-based triple therapy. Results. Three studies with 897 patients were evaluated in this meta-analysis. The H. pylori eradication rate of vonoprazan-based triple therapy was higher than that of PPI-based triple therapy as first-line regimens (intention-to-treat analysis: pooled eradication rates, 91.4% vs 74.8%; odds ratio [OR], 3.68; 95% confidence interval (CI): [1.87–7.26]; P<0.05). The incidence of adverse events in vonoprazan-based triple therapy was lower than that in PPI-based triple therapy (pooled incidence, 32.7% vs 40.5%; OR, 0.71; 95%CI: [0.53–0.95]; P<0.05). Conclusions. Efficacy of vonoprazan-based triple therapy is superior to that of PPI-based triple therapy for first-line H. pylori eradication. Additionally, vonoprazan-based triple therapy is better tolerated than PPI-based triple therapy.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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