KMID : 0359020070340060312
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Korean Journal of Gastrointestinal Endoscopy 2007 Volume.34 No. 6 p.312 ~ p.319
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Phase III Clinical Trial of Revaprazan (Revanex) for Gastric Ulcer
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Chang Rin
Song Geun-Am Rew Jong-Sun Choi Ho-Soon Chung In-Sik Seol Sang-Yong Lee Jin Kim Hyun-Soo Kim Sung-Kook Choi Seok-Reyol Kim Dong-Joon Hahm Ki-Baik Kim Tae-Nyeun Park Soo-Heon Choi Suck-Chei Lee Yong-Chan Lee Jung-Eun Song Geun-Seog Moon Byung-Seok Joo Sang-Aun
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Abstract
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Background/Aims: This randomized, double-blind, phase III, multicenter trial was carried out to compare the efficacy and safety of revaprazan, a novel acid pump antagonist, with that of omeprazole in patients with more than one of gastric ulcers.
Methods: Two hundred and ninety two subjects were randomized to 4¡8 weeks of treatment with either revaprazan 200 mg or omeprazole 20 mg. The primary efficacy parameter was the cumulative healing rate determined by endoscopy after 4 and 8 weeks of treatment, and the secondary efficacy parameter was an improvement rate of pain.
Results: The intention-to-treat analysis revealed revaprazan and omeprazole to have similar cumulative healing rates (93.0% and 89.6%, respectively; p=0.3038). The per-protocol analysis revealed revaprazan and omeprazole to also have similar cumulative healing rates (99.1% and 100%, respectively; p= 0.3229). In both analyses, there were no significant differences in an improvement rate of pain between the two groups. Both drugs were well tolerated.
Conclusions: Revaprazan has similar efficacy to omeprazole in the treatment of patients with gastric ulcer with a once a day application of revaprazan 200 mg or omeprazole 20 mg over a 4 to 8-week period. In terms of safety, revaprazan was well tolerated.
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KEYWORD
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Revaprazan, Omeprazole, Gastric ulcer, Clinical trial phase III
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