Korean Journal of Gastrointestinal Endoscopy 2007;35(3): 125-132.
위염 환자에서 글립타이드ⓡ정(Sulglycotide 200 mg)의 치료 효과를 평가하기 위한 단일맹검, 무작위 배정, 비교약 대조, 다기관 임상시험
정정조·최명규·최 황·박재명·오정환·전은정·이보인·이인석·김상우·최상욱·최규용·정인식
가톨릭대학교 의과대학 내과학교실
Single Blinded, Randomized, Active Drug Comparative, Multi-center Study to Evaluate the Therapeutic Efficacy of GliptideⓡTab (Sulglycotide 200 mg) in Gastritis Patients; Phase IV Study
Jeong Jo Jeong, M.D., Myung-Gyu Choi, M.D., Hwang Choi, M.D., Jae Myung Park, M.D.,
Jung Hwan Oh, M.D., Eun Jeong Jeon, M.D., Bo In Lee, M.D., In Seok Lee, M.D., Sang Woo Kim, M.D., Sang Wook Choi, M.D., Gyu Yong Choi, M.D. and In Sik Chung, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Background/Aims: Sulglycotide is a sulphoglycopeptide with antiulcer and cytoprotective activity that is derived from the porcine duodenal mucosa. This study carried out a 3-week single blinded, randomized, multicenter, noninferiority trial to compare the efficacy of oral sulglycotide in treating symptomatic erosive gastritis with that of rebamipide. Methods: Seventy-three patients with symptomatic erosive gastritis were randomized to receive 3 weeks of treatment with either sulglycotide or rebamipide. The primary efficacy parameter was the endoscopic cure rate and the endoscopic improvement rate, and the secondary parameter was the improvement rate in the dyspepsia symptom scores. Results: Of the 73 patients recruited, 36 received sulglycotide and 37 received rebamipide. The endoscopic cure rate in the sulgycotide and rebamipide group was 29.6% and 25.0% according to per protocol (PP) analysis, respectively (p=0.69). The endoscopic improvement rate in the sulglycotide and rebamipide group was 63.0% and 62.5% according to PP analysis, respectively (p=0.97). The symptomatic improvement rate in the sulgycotide and rebamipide group was 51.9% and 53.1% according to PP analysis, respectively (p=0.74). The result of 90% CIs for the difference in endoscopic cure rate, endoscopic improvement rate and symptom improvement rate between the two groups met the criteria for the non-inferiority of sulglycotide to rebamipide. Conclusions: Sulglycotide was not inferior to rebamipide in both erosion healing and symptom relief in patients with acute and chronic gastritis. (Korean J Gastrointest Endosc 2007;35:125-132)
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