Tegoprazan for GERD: Efficacy, safety and acid control :- Medznat
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Tegoprazan offers rapid and sustained acid suppression in GERD

Gastroesophageal reflux disease Gastroesophageal reflux disease
Gastroesophageal reflux disease Gastroesophageal reflux disease

What's new?

Tegoprazan demonstrates rapid acid suppression and superior nocturnal symptom control, strengthening its potential as an effective alternative to proton pump inhibitors in GERD.

Persistent reflux symptoms continue to affect many patients with gastroesophageal reflux disease (GERD) despite standard proton pump inhibitor (PPI) therapy. Nocturnal acid breakthrough, non-erosive reflux disease (NERD), and variable treatment response remain important clinical challenges, highlighting the need for therapies that provide faster and more sustained acid control.

A systematic review and meta-analysis evaluated whether tegoprazan, a potassium-competitive acid blocker (PCAB), could improve clinical outcomes across GERD and related acid-mediated disorders. The review analysed evidence from 18 clinical studies, comparing tegoprazan with PPIs across efficacy, symptom control, Helicobacter pylori eradication, and safety outcomes.

The findings revealed several clinically relevant benefits:

  • Comparable mucosal healing: Healing rates of 91.1%–99.1% were achieved in erosive oesophagitis, demonstrating efficacy comparable with conventional PPIs.
  • Rapid acid control: A rapid onset of acid suppression was observed within 30–60 minutes, accompanied by sustained intragastric pH control during the night.
  • Improved nocturnal symptom relief: The first heartburn-free night was achieved earlier with tegoprazan (1.5 days) compared with esomeprazole (3 days).
  • Higher symptom-free nights: The treatment was associated with a greater proportion of heartburn-free nights (57.8% vs 43.1%).
  • Benefit in NERD: Symptom resolution ranged from 42.5% to 48.9% with tegoprazan, exceeding placebo outcomes (24.2%).
  • Enhanced H. pylori eradication: Across seven trials involving 2,492 patients, tegoprazan-based regimens improved eradication rates compared with comparator therapies.
  • Favourable safety profile: Treatment-related adverse events remained mild and were comparable with those observed with PPIs.

Overall, tegoprazan offered more than effective acid suppression. Its rapid onset of action, improved overnight symptom control, favourable tolerability, and additional benefits in H. pylori eradication positioned it as a clinically relevant PCAB option and supported its expanding role in the management of GERD and other acid-mediated gastrointestinal disorders.

Source:

JGH Open

Article:

Tegoprazan in Gastroesophageal Reflux Disease and Related Acid‐Mediated Conditions: A Systematic Review and Meta‐Analysis

Authors:

Sanjay Bandyopadhyay et al.

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