Korean J Gastroenterol.
2000 Jul;36(1):29-38.
Comparison of the Different Products of Omeprazole based Triple Therapy
for Helicobacter pylori-Positive Peptic Ulcer Disease
Abstract
- BACKGROUND/AIMS
We prospectively compared the efficacy and safety
of the two products of omeprazole based triple therapy in patients with Helicobacter
pylori (H. pylori)-positive active peptic ulcer. METHODS: Seventy-four patients
with endoscopically proven active peptic ulcer were divided into two groups:
OAC-I group (n=37) which received the 6-weeks treatment of A product of omeprazole
(20 mg, b.i.d.) plus 2 weeks treatment of amoxicillin (500 mg, b.i.d.) and
clarithromycin (500 mg, b.i.d.); OAC-II group (n=37) which received 6 weeks
treatment of B product of omeprazole (20 mg, b.i.d.) plus 2 weeks treatment
of the same antibiotics. The H. pylori and ulcer healing status were assessed
at baseline and at the end of the 6-week therapy. Gastrointestnal symptoms,
adverse events were checked and the standard laboratory examination was
performed at each visit. RESULTS: Eradication of H. pylori [intention to
treat (n=77)/per protocol (n=66)] and healing rate of ulcer were 83.8%/ 96.9%
and 93.8% in OAC-I group, 91.9%/100% and 97.1% in OAC-II group (P=0.477, P=0.608).
No significant differences were found in symptom resolution, adverse events,
and laboratory monitoring between the two groups. CONCLUSIONS: The two different
products of omeprazole based triple therapy for ulcer showed similar healing rates
and safety after 6-weeks treatment in patients with H. pylori-positive active
peptic ulcer.