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10-day vs. 14-day high-dose dual therapy to treat H. pylori

10-day vs. 14-day high-dose dual therapy to treat H. pylori 10-day vs. 14-day high-dose dual therapy to treat H. pylori
10-day vs. 14-day high-dose dual therapy to treat H. pylori 10-day vs. 14-day high-dose dual therapy to treat H. pylori

A retrospective propensity score matching analysis was carried out to determine the safety and efficacy of HDDT 10-day vs 14-day and explore the factors that may influence the helicobacter pylori (H. pylori) elimination rates.

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Key take away

Compared to a 10-day high-dose dual therapy (HDDT), the 14-day HDDT affords a greater H. pylori elimination rate. 

Background

A retrospective propensity score matching analysis was carried out to determine the safety and efficacy of HDDT 10-day vs 14-day and explore the factors that may influence the helicobacter pylori (H. pylori) elimination rates.

Method

In this analysis ascertaining if HDDT with distinct regimens leads to different elimination rates, the participants were allocated to either a 10-day HDDT group or a 14-day HDDT group (20 mg esomeprazole and 750 mg amoxicillin, given 4 times daily). Comparison of the elimination rates, CYP2C19 gene polymorphisms, patient compliance, antibiotic resistance rates, and adverse events were done.

Result

The elimination rate as per intention to treat (ITT) and per-protocol (PP) analysis, and  drug-related adverse events is shown in Table 1:

No profound differences were witnessed between the compliance rates of the groups. The CYP2C19 gene polymorphism did not influence the elimination rates of the groups.

Conclusion

The 14-day HDDT can be preferred over the 10-day HDDT in patients with H. pylori infection.

Source:

Helicobacter

Article:

10-Day and 14-day high-dose dual therapy for the treatment of Helicobacter pylori: A propensity score matching analysis

Authors:

Pei-Ying Zou et al.

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