Yanai A, Sakamoto K, Akanuma M, Ogura K, Maeda S. Non-bismuth quadruple therapy for first-line Helicobacter pylori eradication: A randomized study in Japan. World J Gastrointest Pharmacol Ther 2012; 3(1): 1-6 [PMID: 22408744 DOI: 10.4292/wjgpt.v3.i1.1]
Corresponding Author of This Article
Ayako Yanai, MD, PhD, Department of Gastroenterology, Toranomon Hospital Kajigaya, 1-3-1 Kajigaya, Takatsu-ku, Kawasaki, Kanagawa 213-8587, Japan. a-yanai@toranomon.gr.jp
Article-Type of This Article
Brief Article
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World J Gastrointest Pharmacol Ther. Feb 6, 2012; 3(1): 1-6 Published online Feb 6, 2012. doi: 10.4292/wjgpt.v3.i1.1
Table 1 Characteristics of patients
Treatment groups
Characteristics
LACM7 (n = 59)
LAC7 (n = 60)
P value
Age (mean) (yr)
63 ± 8.7
60 ± 11.5
0.05
Sex (male/female)
48/11
45/15
0.40
Endoscopic diagnosis
0.37
Atrophic gastritis
31
23
Gastric ulcer
15
16
Duodenal ulcer
10
17
Table 2 Characteristics of patients whose Helicobacter pylori status was checked only by serological test
Treatment groups
Characteristics
LACM7 (n = 52)
LAC7 (n = 44)
P value
Age (mean) (yr)
63 ± 8.9
63 ± 8.6
0.95
Sex (male/female)
41/11
33/1
0.66
Endoscopic diagnosis
0.34
Atrophic gastritis
24
13
Gastric ulcer
15
14
Duodenal ulcer
10
12
Table 3Helicobacter pylori eradication rates
Treatment groups
LACM7
LAC7
P value
Eradication
n
%
n
%
ITT analysis
Success
56
94.9
41
68.3
0.0002
Failure
3
5.1
19
31.7
Per protocol analysis
Success
56
98.3
41
73.2
0.0001
Failure
1
1.7
15
26.8
Table 4 Eradication rates excluding patients whose Helicobacter pylori status was checked only by serological test
Treatment groups
LACM7
LAC7
P value
Eradication
n
%
n
%
ITT analysis
Success
49
94.2
30
68.2
0.0009
Failure
3
5.8
14
31.8
Per protocol analysis
Success
49
98.0
30
75.0
0.0009
Failure
1
2.0
10
25.0
Table 5 Degree of adverse events
Treatment groups
LACM7
LAC7
P value
Adverse events
n
%
n
%
None
32
57.1
33
61.1
0.67
Present
24
42.9
21
38.9
Table 6 Frequency of adverse events
Adverse events
LACM7n = 56 (%)
LAC7n = 54 (%)
P value
Diarrhea
17 (30.1)
13 (24.1)
0.53
Taste disturbance
7 (12.5)
2 (3.7)
0.16
Loss of appetite
5 (8.9)
0 (0.0)
0.06
Heart burn
5 (8.9)
4 (7.4)
1.00
Nausea
2 (3.6)
0 (0.0)
0.50
Abdominal pain/distention
7 (12.5)
3 (5.6)
0.32
Belching
3 (5.4)
2 (3.7)
1.00
Rash
0 (0.0)
1 (1.9)
0.49
General fatigue
2 (3.6)
1 (1.9)
1.00
Citation: Yanai A, Sakamoto K, Akanuma M, Ogura K, Maeda S. Non-bismuth quadruple therapy for first-line Helicobacter pylori eradication: A randomized study in Japan. World J Gastrointest Pharmacol Ther 2012; 3(1): 1-6