Efficacy and Safety of AlbisⓇ in Acute and Chronic Patients with Gastritis: A Double-blind, Placebo-controlled, Randomized Multi-center Study
Hae Won Han, M.D., Myung-Gyu Choi, M.D., Sang Young Seol, M.D.*, Dong Ho Lee, M.D.†, Hwoon-Yong Jung, M.D.‡, Tae Nyeun Kim, M.D.§, Suck Chei Choi, M.D.∥ and Hyen Soo Kim, M.D.¶
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, *Pusan Paik Hospital, Inje University College of Medicine, Busan, †Seoul National University College of Medicine, ‡University of Ulsan College of Medicine, Seoul, §Yeungnam University College of Medicine, Daegu, ∥Wonkwang University College of Medicine, Iksan, ¶Chonnam National University Medical School, Gwangju, Korea
Abstract
Background/Aims: AlbisⰒ is a newly developed drug comprised of ranitidine, bismuth and sucralfate. The aim of the study was to prove non-inferiority of AlbisⰒ compared to StillenⰒ for treating erosive gastritis.
Methods: This study was a randomized, double-blind, multi-center trial. The primary endpoint was 2 weeks of treatment.
Results: Of the 229 patients in the intention-to-treat (ITT) population, 87 from the AlbisⰒ, and 96 from the StillenⰒ group were included in the per protocol (PP) analysis. The endoscopic improvement rate was not different between the AlbisⰒ group and the control in both the PP (42.5%, 39.6%) and ITT (35.3%, 34.5%) populations. The endoscopic cure of erosion was also not different in the AlbisⰒ group than that in the control group in both the PP (32.3%, 31.3%) and ITT (27.6%, 27.4%) populations. The endoscopic improvement rate for hemorrhage, edema, and erythema were also not different between the two groups in both the PP and ITT populations. No statistically significant differences were observed for adverse events between the two groups.
Conclusions: Half of the approved dose of AlbisⰒ for peptic ulcers has non-inferiority compared to StillenⰒ for treating erosive gastritis. A low dosage of AlbisⰒ is cost efficient and safe. (Korean J Gastrointest Endosc 2011;42:215-221)