Theme
Tegoprazan matched lansoprazole for preventing NSAID-related peptic ulcers over 24 weeks, with comparable safety.
Hero fact: Tegoprazan was non-inferior to lansoprazole for preventing NSAID-induced gastroduodenal ulcers at week 24.
392
Patients randomized 1:1
24 weeks
Gastroprotection follow-up
p=0.0004
Non-inferiority met
Why it matters
Effective gastroprotection can help patients remain on necessary NSAID therapy while reducing ulcer-related complications.
Study snapshot
Phase III, randomized, double-blind, active-controlled, multicenter trial comparing tegoprazan with lansoprazole for up to 24 weeks.
25 mg once daily
15 mg once daily
Efficacy and symptoms
| Endpoint | Finding | Clinical readout |
|---|---|---|
| Gastroduodenal ulcer prevention at week 24 | Non-inferior to lansoprazole | Primary endpoint met |
| Heartburn-free rate at week 12 | Higher with tegoprazan | Symptom signal favored tegoprazan |
| Other GI symptom-free rates | No significant difference | Broad symptom control comparable |
Safety and clinical meaning
Similar between groups
Similar between groups
In the per-protocol population of 269 patients, tegoprazan maintained ulcer-prevention efficacy without a safety penalty versus lansoprazole.
Takeaway
For patients needing continuous long-term NSAID therapy, tegoprazan 25 mg appears to be a clinically effective and well-tolerated gastroprotective alternative to lansoprazole 15 mg.