Effectiveness of omeprazol, clarithromycin and amoxycillin therapy to eradicate Helicobacter pylori in patients with active peptic ulcer. Preliminaryresults of GEHPY study
F. Banos et al., Effectiveness of omeprazol, clarithromycin and amoxycillin therapy to eradicate Helicobacter pylori in patients with active peptic ulcer. Preliminaryresults of GEHPY study, MED CLIN, 114(12), 2000, pp. 441-443
BACKGROUND: TO compare the effectiveness of two length of the same therapy
to eradicate Helicobacter pylori in patients with non complicated active pe
ptic ulcer.
PATIENTS AND METHODS: 223 patients visited at primary health centres. A ran
domised controlled trial was carried out to compare the results of 6 or 7 d
ays of treatment with chlaritromicyn 500 mg, amoxicillin 1 g and omeprazole
20 mg, b.i.d. All patients received omeprazole for other 14 days.
RESULTS: 108 patients were randomised to the 6 days group and 115 to the 7
days one. Both groups were comparable with respect to basic characteristics
except for sex: the proportion of men was higher in the 6 days group (p =
0.04). 91.4% of the patients received all the treatment correctly. By inten
tion to treat analysis, eradication rates were 76.9% in the 6 days group an
d 77.4% in the seven days group (IC 95% of the difference from -10.5 to 11.
6). There were not statistically significant differences in eradication rat
es in relation to age, sex, ulcer location, recurrence or tobacco consumpti
on.
CONCLUSIONS: Although eradication rates are lower than expected, in this st
udy there are no differences between 6 or 7 days of therapy.