Abstract | BACKGROUND: AIM: METHODS: Patients (n = 1262) with a clinical diagnosis of functional dyspepsia (persistent or recurrent epigastric pain or discomfort for at least 1 month and a normal upper gastrointestinal endoscopy) were randomized to receive omeprazole 20 mg, 10 mg or identical placebo, for 4 weeks. Symptoms were assessed using validated measures. Helicobacter pylori status was determined pre-entry by a 13C-urea breath test. RESULTS: On an intention-to-treat analysis (n=1248), complete symptom relief was observed in 38% on omeprazole 20 mg, compared with 36% on omeprazole 10 mg and 28% on placebo (P = 0.002 and 0.02, respectively). Among those with ulcer-like and reflux-like dyspepsia, complete symptom relief was achieved in 40% and 54% on omeprazole 20 mg, and 35% and 45% on omeprazole 10 mg, respectively, compared with 27% and 23% on placebo (all P < 0.05, except omeprazole 10 mg in ulcer-like dyspepsia, P = 0.08). There was no significant benefit of omeprazole over placebo in dysmotility-like dyspepsia. Symptom relief was similar in H. pylori-positive and negative cases. CONCLUSIONS:
Omeprazole is modestly superior to placebo in functional dyspepsia at standard (20 mg) and low doses (10 mg) but not in patients with dysmotility-like dyspepsia.
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Authors | N J Talley, V Meineche-Schmidt, P Paré, M Duckworth, P Räisänen, A Pap, H Kordecki, V Schmid |
Journal | Alimentary pharmacology & therapeutics
(Aliment Pharmacol Ther)
Vol. 12
Issue 11
Pg. 1055-65
(Nov 1998)
ISSN: 0269-2813 [Print] England |
PMID | 9845395
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Anti-Ulcer Agents
- Adenosine Triphosphatases
- Omeprazole
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Topics |
- Adenosine Triphosphatases
(antagonists & inhibitors)
- Adult
- Anti-Ulcer Agents
(therapeutic use)
- Chi-Square Distribution
- Confidence Intervals
- Double-Blind Method
- Dyspepsia
(complications, drug therapy, etiology)
- Female
- Helicobacter Infections
(complications, diagnosis)
- Humans
- Male
- Omeprazole
(therapeutic use)
- Quality of Life
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