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  1. 川崎医学会機関誌
  2. Kawasaki Medical Journal
  3. Vol.45(2019)

Comparison of Efficacy and Safety between Mosapride and Acotiamide for Japanese patients with Functional Dyspepsia

https://kwmed.repo.nii.ac.jp/records/2187
https://kwmed.repo.nii.ac.jp/records/2187
c8e81a43-e4b9-46c2-9a18-3982dd0dfe54
名前 / ファイル ライセンス アクション
KMJ-E201945015.pdf PDF (939.1 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2020-04-01
タイトル
タイトル Comparison of Efficacy and Safety between Mosapride and Acotiamide for Japanese patients with Functional Dyspepsia
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 KATSUMATA, Ryo

× KATSUMATA, Ryo

en KATSUMATA, Ryo

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HANDA, Yukiko

× HANDA, Yukiko

en HANDA, Yukiko

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GOUDA, Kyousuke

× GOUDA, Kyousuke

en GOUDA, Kyousuke

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FUKUSHIMA, Shinya

× FUKUSHIMA, Shinya

en FUKUSHIMA, Shinya

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ISHII, Manabu

× ISHII, Manabu

en ISHII, Manabu

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MURAO, Takahisa

× MURAO, Takahisa

en MURAO, Takahisa

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MATSUMOTO, Hiroshi

× MATSUMOTO, Hiroshi

en MATSUMOTO, Hiroshi

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SHIOTANI, Akiko

× SHIOTANI, Akiko

en SHIOTANI, Akiko

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著者所属(英)
言語 en
値 Division of Gastroenterology, Kawasaki Medical School
著者所属(英)
言語 en
値 Division of Gastroenterology, Kawasaki Medical School
著者所属(英)
言語 en
値 Division of Gastroenterology, Kawasaki Medical School
著者所属(英)
言語 en
値 Division of Gastroenterology, Kawasaki Medical School
著者所属(英)
言語 en
値 Department of Gastroenterology, Kawasaki Medical School
著者所属(英)
言語 en
値 Department of Gastroenterology, Kawasaki Medical School
著者所属(英)
言語 en
値 Department of Gastroenterology, Kawasaki Medical School
著者所属(英)
言語 en
値 Department of Gastroenterology, Kawasaki Medical School
キーワード
言語 en
主題Scheme Other
主題 Functional Dyspepsia
キーワード
言語 en
主題Scheme Other
主題 Mosapride
キーワード
言語 en
主題Scheme Other
主題 Acotiami
抄録(英)
言語 en
値 Background: 5-HT4 agonists (mosapride) and acetylcholine esterase inhibitor (acotiamide) are prokinetics used to treat functional dyspepsia (FD). However, to date, there has been no direct comparative study between them. The aim of this study was to compare the drugs’ efficacy and safety and to determine their predictive biomarkers.
 Methods: The present study was a prospective, randomized, open-labeled, and crossover trial in Japanese FD patients. FD was diagnosed using Rome IV. We performed upper gastrointestinal (GI) endoscopy, GI symptom rating scale, and 8-item Short-Form Health Survey to evaluate the presence of GI disorders, GI symptoms, and quality of life (QOL), respectively. Responders were defined when reporting at least a 40% improvement of the GSRS scores from their baseline.
 Results: In total, 60 Japanese FD patients were randomly assigned to the acotiamide preceding group (n = 30) or mosapride preceding group (n = 30), and 51 patients were finally analyzed. Following treatment with both mosapride and acotiamide, GI symptoms and QOL scores improved significantly. The responder rates of mosapride and acotiamide were 37% and 33%, respectively. No severe adverse clinical event developed. The prevalence of H. pylori eradication history was significantly lower in the mosapride responder group than in the nonresponder group (45.9% vs. 14.2%, p = 0.03).
 Discussion: Mosapride and acotiamide had similar effects on GI symptoms in FD patients in the absence of severe adverse events. H. pylori infection might impact in the pathogenesis of functional dyspepsia. Further investigation is needed to clarify the difference between mosapride and acotiamide.
書誌情報 en : Kawasaki medical journal

巻 45, p. 15-25, 発行日 2019
出版者
出版者 Kawasaki Medical Society
ISSN
収録物識別子タイプ PISSN
収録物識別子 03850234
ISSN
収録物識別子タイプ EISSN
収録物識別子 24343404
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12685295
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12029005
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.11482/KMJ-E201945015
記事種別(英)
内容記述 Regular Article
言語 en
医中誌ID
関連タイプ isIdenticalTo
識別子タイプ ICHUSHI
関連識別子 2020354374
関連サイト
識別子タイプ URI
関連識別子 http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2019en/KMJ-E201945015.pdf
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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