Tegoprazan matches lansoprazole for NSAID ulcer prevention

Theme


Tegoprazan matched lansoprazole for preventing NSAID-related peptic ulcers over 24 weeks

Source
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Phase III evidence supports tegoprazan as an effective gastroprotective option for patients continuing long-term NSAID therapy.

Why it matters

Long-term NSAID use increases the risk of gastric and duodenal ulcers, creating a need for reliable prevention.

Study snapshot

Randomized, double-blind, active-controlled, multicenter Phase III trial conducted over up to 24 weeks.

Treatments

Tegoprazan 25 mg was compared with lansoprazole 15 mg in patients continuing NSAIDs.

392

Patients randomized

269

Included in the per-protocol analysis

Hero fact

Tegoprazan was non-inferior to lansoprazole for preventing gastroduodenal ulcers at week 24.

Non-inferiority p = 0.0004

Efficacy and symptoms

Endpoint Finding Direction
Peptic ulcer prevention at week 24 Tegoprazan 25 mg was as effective as lansoprazole 15 mg Non-inferior; p = 0.0004
Heartburn-free rate at week 12 Higher with tegoprazan Favored tegoprazan
Other NSAID-related GI symptom-free rates No significant difference between groups Comparable

Safety profile

Safety measure Comparison Interpretation
Adverse drug reactions Tegoprazan vs lansoprazole Comparable tolerability
Serious adverse events Assessed across both groups No safety disadvantage highlighted

Takeaway

Tegoprazan is a clinically effective alternative for gastroprotection in patients requiring long-term NSAID therapy, with safety and tolerability comparable to lansoprazole.

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