Liang CM, Kuo MT, Hsu PI, Kuo CH, Tai WC, Yang SC, Wu KL, Wang HM, Yao CC, Tsai CE, Wang YK, Wang JW, Huang CF, Wu DC, Chuah SK, Taiwan Acid-Related Disease Study Group. First-week clinical responses to dexlansoprazole 60 mg and esomeprazole 40 mg for the treatment of grades A and B gastroesophageal reflux disease. World J Gastroenterol 2017; 23(47): 8395-8404 [PMID: 29307999 DOI: 10.3748/wjg.v23.i47.8395]
Corresponding Author of This Article
Seng-Kee Chuah, MD, Chief Doctor, Professor, Division of Hepatogastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123 Ta Pei Road, Niao-Sung District, Kaohsiung 833, Taiwan. chuahsk@cgmh.org.tw
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Clinical Trials Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Dec 21, 2017; 23(47): 8395-8404 Published online Dec 21, 2017. doi: 10.3748/wjg.v23.i47.8395
Table 1 Baseline characteristics of the patients [n = 81, n (%)]
Variables
Dexlansoprazole
Esomeprazole
P value
Age (mean ± SD, yr)
50.6 ± 13.3
49.9 ± 12.8
0.985
Male sex
34 (42.0)
43 (53.1)
0.137
Smoking
12 (14.8)
9 (11.1)
0.483
Alcohol use
22 (27.2)
22 (27.2)
1.000
Ingestion of coffee
44 (54.3)
36 (44.4)
0.209
Ingestion of tea
58 (71.6)
49 (60.5)
0.230
Betel nut
4 (4.9)
1 (1.2)
0.173
Spicy food
52 (64.2)
51 (63.0)
0.870
Sweet food
72 (88.9)
75 (92.6)
0.416
Body mass index
25.4 ± 4.8
24.9 ± 4.4
0.420
Waist girth
88.8 ± 12.2
88.7 ± 11.4
0.361
Metabolic syndrome
36 (44.4)
38 (46.9)
0.950
Atypical symptoms
Chest pain
38 (46.9)
39 (48.1)
0.588
Dysphagia
20 (24.7)
22 (27.2)
0.557
Regurgitation of food
29 (35.8)
31 (38.3)
0.561
Nausea
26 (32.1)
23 (28.4)
0.544
Hiccup
37 (45.7)
44 (54.3)
0.300
Foreign body sensation (throat)
48 (59.3)
40 (49.4)
0.301
Foreign body sensation (chest)
16 (19.8)
16 (19.8)
0.604
Hoarseness
28 (34.6)
28 (34.6)
0.604
Throat cleaning
44 (54.3)
44 (54.3)
0.602
Cough
38 (46.9)
34 (42.0)
0.516
Sore throat
20 (24.7)
20 (24.7)
0.604
Dry mouth
54 (66.7)
52 (64.2)
0.590
Bad breath
29 (35.8)
30 (37.0)
0.590
Epigastric pain
36 (44.4)
45 (55.6)
0.197
Epigastric fullness
65 (80.2)
54 (66.7)
0.111
Insomnia
36 (44.4)
28 (34.6)
0.199
Sinusitis
7 (8.6)
14 (17.3)
0.102
Otitis media
5 (6.2)
5 (6.2)
1.000
Sugar
97.4 ± 12.5
97.0 ± 12.8
0.604
Cholesterol
205.3 ± 36.7
207.7 ± 35.4
0.971
Triglyceride
121.9 ± 57.2
113.7 ± 64.7
0.284
HDL
54.7 ± 18.2
55.3 ± 14.4
0.866
LDL
127.0 ± 32.7
127.5 ± 32.8
0.942
H. pylori infection
Previous history - no
10 (12.3)
15 (18.5)
0.553
Current infection - no
10 (12.3)
12 (14.8)
0.703
Endoscopic findings
Hiatal hernia
10 (12.3)
15 (18.5)
0.347
GEFV (grade 3 or 4)
7 (8.6)
8 (9.9)
0.521
Esophagitis grade B
15 (18.5)
13 (16.0)
0.678
Table 2 Comparison of the complete symptom resolution rates and night-time breakthrough heartburn between dexlansoprazole and esomeprazole over one week [n = 81, n (%)]
Variables
Dexlansoprazole
Esomeprazole
P value
CSR Day 1
21 (25.9)
23 (28.4)
0.724
CSR Day 3
27 (33.3)
26 (32.1)
0.867
CSR Day 7
42 (51.9)
39 (48.1)
0.637
Night reflux
45 (76.3)
40 (74.1)
0.787
Night heart burn
20 (33.9)
18 (33.3)
0.949
Night acid reflux
20 (33.9)
19 (35.2)
0.886
Frequency of night symptoms
2.7 ± 2.0
2.7 ± 2.4
0.343
Table 3 Comparison of the complete symptom resolution rates between dexlansoprazole and esomeprazole over one week (Subgroup analysis by gender) n (%)
Time
Gender
Dexlansoprazole
Esomeprazole
P value
CSR Day 1
Female
13 (27.7)
6 (15.8)
0.192
Male
8 (23.5)
17 (39.5)
0.136
CSR Day 3
Female
18 (38.3)
7 (18.4)
0.046
Male
9 (26.5)
19 (44.2)
0.109
CSR Day 7
Female
26 (55.3)
14 (36.8)
0.090
Male
16 (47.1)
25 (58.1)
0.333
Table 4 Multivariate analysis of the clinical factors predictive of complete symptom resolution within one week based on dexlansoprazole and esomeprazole administration
Time
PPI
Clinical factors
CSR
Coefficient of variation
Odds ratio (95%CI)
P value
Day 1
Dexlansoprazole
Null
Esomeprazole
Female
15.80%
-1.249 ± 0.543
0.285 (0.103-0.789)
0.022
Day 3
Dexlansoprazole
Null
Esomeprazole
Female
18.40%
-1.254 ± 0.519
0.287 (0.099-0.832)
0.016
Day 7
Dexlansoprazole
Null
Esomeprazole
Null
Table 5 Multivariate analysis of the clinical factors predictive of complete symptom resolution within one week
Time
Clinical factor
CSR
Coefficient of variation
Odds ratio (95%CI)
P value
Day 1
Spicy food
No: 37.3%
-0.969 ± 0.438
0.380 (0.161-0.896)
0.027
Yes: 21.4%
Day 3
Null
Day 7
Null
Citation: Liang CM, Kuo MT, Hsu PI, Kuo CH, Tai WC, Yang SC, Wu KL, Wang HM, Yao CC, Tsai CE, Wang YK, Wang JW, Huang CF, Wu DC, Chuah SK, Taiwan Acid-Related Disease Study Group. First-week clinical responses to dexlansoprazole 60 mg and esomeprazole 40 mg for the treatment of grades A and B gastroesophageal reflux disease. World J Gastroenterol 2017; 23(47): 8395-8404