Tegoprazan: Optimal GI Protection and CV Safety Profile
Retrospective Analysis of Outcomes in Patients on Antiplatelet Therapy After PCI (N=604)
MECHANISMP-CAB (Potassium-Competitive Acid Blocker) — faster and more sustained acid suppression.
SAMPLEPatients after PCI (CAD), taking antiplatelets >6 months.
COMPARISONTegoprazan 50 mg (n=265) vs. Heterogeneous PPI group (n=339).
SAFETYMetabolism via CYP3A4 minimizes drug interactions.
COMPARATIVE CHARACTERISTICS AND TREATMENT OUTCOMES
| Parameter | Tegoprazan (n=265) | PPI (n=339) | p-value |
|---|---|---|---|
| Aspirin Use | 98.1% | 94.7% | 0.028 |
| NSAID Use | 9.8% | 5.3% | 0.034 |
| History of Peptic Ulcer | 4.5% | 1.8% | 0.048 |
| Male Sex / Mean Age | 81.9% / 63.0 | 78.8% / 64.0 | 0.339 / 0.168 |
| GI Events (ulcers / bleeding) | 0.4% | 1.8% | 0.112 |
| MACE (Cardiac Risks) | 1.1% | 2.7% | 0.183 |
| Death from CV Causes | 0.4% | 0% | 0.258 |
RISK MATRIX: ADVANTAGE IN TWO DIMENSIONS
*Tegoprazan demonstrates a shift toward the "Low GI risk / Low CV risk" zone, despite an initially more severe patient profile.
0.34
Hazard Ratio (GI Risk)
0.57
Hazard Ratio (CV Risk)
0%
Overt GI Bleeding
"Tegoprazan is a safe and effective alternative to PPIs, providing reliable GI protection without increasing cardiovascular risks in patients after PCI."
ABBREVIATIONS: PCI — Percutaneous Coronary Intervention; PPI — Proton Pump Inhibitors; MACE — Major Adverse Cardiovascular Events; GI — Gastrointestinal; CV — Cardiovascular; P-CAB — Potassium-Competitive Acid Blocker.
SOURCE: Lee J, et al. Korean J Helicobacter Up Gastrointest Res 2026.
DOI: 10.7704/kjhugr.2025.0065
DOI: 10.7704/kjhugr.2025.0065
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