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埃索美拉唑与奥美拉唑治疗反流性食管炎患者的疗效比较——一项III期、多中心、随机、双盲、平行组试验

[Efficacy of esomeprazole compared with omeprazole in reflux esophagitis patients -a phase III, multicenter, randomized, double-blind, parallel-group trial-].

作者信息

Kinoshita Yoshikazu, Miwa Hiroto, Kasugai Kunio

机构信息

Second Department of Internal Medicine, Shimane University School of Medicine, Japan.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 2013 Feb;110(2):234-42.

Abstract

Efficacy of esomeprazole 40mg/day (E40) and 20mg/day (E20) as initial treatment for reflux esophagitis (RE) was compared with omeprazole 20mg/day (O20) in this multicenter, prospective, randomized, double-blind study. Healing rates at week 8 (primary endpoint) were 90.0% (171/190), 87.3% (165/189), and 87.4% (166/190) for the E40, E20, and O20 groups, respectively, confirming the non-inferiority of E40 and E20 to O20. Drug-related adverse events were reported in 4.2%, 7.9%, and 8.4% of patients in the E40, E20 and O20 groups, respectively, but none of these events were serious. Initial treatment of esomeprazole for RE was generally well tolerated, confirming the non-inferiority effect with omeprazole.

摘要

在这项多中心、前瞻性、随机、双盲研究中,比较了艾司奥美拉唑40mg/天(E40)和20mg/天(E20)作为反流性食管炎(RE)初始治疗与奥美拉唑20mg/天(O20)的疗效。E40、E20和O20组在第8周(主要终点)的愈合率分别为90.0%(171/190)、87.3%(165/189)和87.4%(166/190),证实了E40和E20不劣于O20。E40、E20和O20组分别有4.2%、7.9%和8.4%的患者报告了与药物相关的不良事件,但这些事件均不严重。艾司奥美拉唑用于RE的初始治疗总体耐受性良好,证实了其与奥美拉唑的非劣效性。

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