Seol Sang-Yong, Kim Myung-Hwan, Ryu Jong-Sun, Choi Myung-Gyu, Shin Dong-Wook, Ahn Byoung-Ok
Dong-A Pharmaceutical Research Institute, 47-5, Sanggal-ri, Kiheung-up, Yongin-shi, Kyunggi-do 449-905, Korea.
World J Gastroenterol. 2004 Aug 15;10(16):2379-82. doi: 10.3748/wjg.v10.i16.2379.
To determine the efficacy and safety of DA-9601 on erosive gastritis versus cetraxate as a standard drug by gastrointestinal endoscopy.
Five hundred and twelve patients with erosive gastritis were divided into three groups. The groups received 180 mg or 360 mg of DA-9601, or 600 mg of cetraxate (Neuer) t.i.d. for 2 wk, respectively. Endoscopic observations were performed before and 2 wk after the treatment, and the cure and improvement rates were investigated.
Of the 512 intention-to-treat (ITT) population, 457 patients comprised the per protocol (PP) analysis. Endoscopic cure rate was significantly higher in the DA-9601 group than in the cetraxate group in both the PP (56%, 58% vs 36%; DA-9601 180 mg, 360 mg and cetraxate, respectively) and ITT (52%, 51% vs 35%) populations. Two DA-9601 groups (180 and 360 mg) had significantly higher endoscopic improvement rates than the cetraxate group in both the PP (67%, 65% vs 46%) and ITT (63%, 58% vs 45%) populations. The percentage of symptom relief over the 2 wk was found not significantly different between groups. During the study, both DA-9601 and cetraxate produced no treatment-associated adverse events.
From these results, it appears that DA-9601 has excellent efficacy on erosive gastritis. This study also confirms the safety profile of DA-9601.
通过胃肠内镜检查确定DA - 9601治疗糜烂性胃炎相对于标准药物西曲酸酯的疗效和安全性。
512例糜烂性胃炎患者分为三组。各组分别接受180毫克或360毫克的DA - 9601,或600毫克西曲酸酯(Neuer),每日三次,共2周。在治疗前和治疗2周后进行内镜观察,并调查治愈率和改善率。
在512例意向性治疗(ITT)人群中,457例患者纳入符合方案(PP)分析。在PP人群(分别为56%、58%对36%;DA - 9601 180毫克、360毫克组和西曲酸酯组)和ITT人群(52%、51%对35%)中,DA - 9601组的内镜治愈率均显著高于西曲酸酯组。两个DA - 9601组(180毫克和360毫克)在PP人群(67%、65%对46%)和ITT人群(63%、58%对45%)中的内镜改善率均显著高于西曲酸酯组。发现各组在2周内症状缓解的百分比无显著差异。在研究期间,DA - 9601和西曲酸酯均未产生与治疗相关的不良事件。
从这些结果来看,DA - 9601对糜烂性胃炎似乎具有优异的疗效。本研究也证实了DA - 9601的安全性。