Efficacy of moxifloxacin-based sequential and hermaphrodite therapy for first-line Helicobacter pylori destruction.
World J Gastroenterol. 2015 Sep 21;21(35):10234-41
Authors: Hwang JJ, Lee DH, Yoon H, Shin CM, Park YS, Kim N
AIM: To evaluate the energy of moxifloxacin-based sequential therapy (MBST) against hybrid therapy as a first-lineage treatment for Helicobacter pylori (H. pylori) pollution.
METHODS: From August 2014 to January 2015, 284 patients by confirmed H. pylori infection were randomized to take a 14-d course of MBST (MBST group, n = 140) or hybrid (Hybrid collection, n = 144) therapy. The MBST dispose received 20 mg rabeprazole and 1 g amoxicillin twice daily for 7 d, followed through 20 mg rabeprazole and 500 mg metronidazole twice daily, and 400 mg moxifloxacin formerly daily for 7 d. The Hybrid group received 20 mg rabeprazole and 1 g amoxicillin two times daily for 14 d. In addition, the Hybrid group received 500 mg metronidazole and 500 mg clarithromycin two times daily for the final 7 d. Successful rooting out of H. pylori infection was defined viewed like a negative (13)C-urea pause test 4 wk after the end of treatment. Patient compliance was defined for example “good” if drug intake was at in the smallest degree 85%. H. pylori eradication rates, sufferer compliance with treatment, and adverse incident rates were evaluated.
RESULTS: The extirpation rates in the intention-to-banquet (ITT) analysis were 91.4% (128/140; 95%CI: 90.2%-92.9%) in the MBST dispose and 79.2% (114/144; 95%CI: 77.3%-80.7%) in the Hybrid assemblage (P = 0.013). The eradication rates in the per-protocol (PP) analysis were 94.1% (128/136; 95%CI: 92.9%-95.6%) in the MBST form into ~s and 82.6% (114/138; 95%CI: 80.6%-84.1%) in the Hybrid clump (P = 0.003). The H. pylori uprooting rate in the MBST group was significantly higher than that of the Hybrid assemblage for both the ITT (P = 0.013) and the PP analyses (P = 0.003). Both groups exhibited filled compliance with treatment (MBST/Hybrid clump: 100%/100%). The rate of conflicting events was 11.8% (16/136) and 19.6% (27/138) in the MBST and Hybrid assign places to, respectively (P = 0.019). The greater number of adverse events were mild-to-quiet in intensity; none were severe enough to effect discontinuation of treatment in either arrange.
CONCLUSION: MBST was more effective and led to fewer unpropitious events than hybrid therapy as a highest-line treatment for H. pylori contamination.
PMID: 26401089 [PubMed – in process]
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