tests from CLOtest®, histology and/or culture, at 4 weeks post-therapy were significantly higher in the NEXIUM plus amoxicillin and clarithromycin group than in the NEXIUM plus clarithromycin or NEXIUM alone group. The results are shown in the following table:
Table 13
H. pylori Eradication Rates at 4 Weeks after 10 Day Treatment Regimen % of Patients Cured [95% Confidence Interval] (Number of Patients) *
Patients were included in the analysis if they had H. pylori infection documented at baseline, had at least one endoscopically verified duodenal ulcer ≥ 0.5 cm in diameter at baseline or had a documented history of duodenal ulcer disease within the past 5 years, and were not protocol violators. Patients who dropped out of the study due to an adverse reaction related to the study drug were included in the analysis as not H. pylori eradicated.
†
Patients were included in the analysis if they had documented H. pylori infection at baseline, had at least one documented duodenal ulcer at baseline, or had a documented history of duodenal ulcer disease, and took at least one dose of study medication. All dropouts were included as not H. pylori eradicated.
‡
p < 0.05 compared to NEXIUM plus clarithromycin
§
p < 0.05 compared to NEXIUM alone
Study
Treatment Group
Per-Protocol *
Intent-to-Treat †
191
NEXIUM plus amoxicillin and clarithromycin
84%‡
[78, 89]
(n=196)
77%‡
191
NEXIUM plus amoxicillin and clarithromycin
84%‡
[78, 89]
(n=196)
77%‡
[71, 82]
(n=233)
NEXIUM plus clarithromycin
55%
[48, 62]
(n=187)
52%
[45, 59]
(n=215)
193
NEXIUM plus amoxicillin and clarithromycin
85%§
[74, 93]
(n=67)
78%§
[67, 87]
(n=74)
NEXIUM
5%
[0, 23]
(n=22)
4%
[0, 21]
(n=24)
Patients were included in the analysis if they had H. pylori infection documented at baseline, had at least one endoscopically verified duodenal ulcer ≥ 0.5 cm in diameter at baseline or had a documented history of duodenal ulcer disease within the past 5 years, and were not protocol violators. Patients who dropped out of the study due to an adverse reaction related to the study drug were included in the analysis as not H. pylori eradicated.
†
Patients were included in the analysis if they had documented H. pylori infection at baseline, had at least one documented duodenal ulcer at baseline, or had a documented history of duodenal ulcer disease, and took at least one dose of study medication. All dropouts were included as not H. pylori eradicated.
‡
p < 0.05 compared to NEXIUM plus clarithromycin
§
p < 0.05 compared to NEXIUM alone
The percentage of patients with a healed baseline duodenal ulcer by 4 weeks after the 10 day treatment regimen in the NEXIUM plus amoxicillin and clarithromycin group was 75% (n=156) and 57% (n=60) respectively, in the 191 and 193 studies (per-protocol analysis).
14.6 Pathological Hypersecretory Conditions Including Zollinger-Ellison Syndrome
In a multicenter, open-label dose-escalation study of 21 patients (15 males and 6 females, 18 Caucasian and 3 Black, mean age of 55.5 years) with pathological hyp