Clinical Study

First-Line Helicobacter pylori Eradication with Vonoprazan, Clarithromycin, and Metronidazole in Patients Allergic to Penicillin

Table 1

Patient backgrounds.

VCMPCM

Age69.0 ± 10.266.5 ± 8.5
Male, %20.053.3
CAM 200 bid, %80.096.7
Evaluation by UBT, %10093.3
Endoscopic findings, %
Gastroduodenal ulcer10.040.0
Gastric cancer5.03.3
Gastric adenoma03.3
MALT5.00
Gastritis only80.053.3
Diagnosis of infection
HpIgG30.043.3
RUT20.020.0
Culture25.03.3
Pathology5.030.0
UBT10.03.3
Urine, stool antigen10.00

VCM: vonoprazan/CAM/MNZ 1-week eradication therapy; PCM: PPI (LPZ or ESO)/CAM/MNZ 1-week eradication therapy; CAM 200 bid, %: percentage of CAM 200 mg twice per day (400 mg/day) against CAM 400 mg twice per day (800 mg/day); evaluation by UBT, %: percentage determined by 13C-urea breath test versus H. pylori stool antigen test; endoscopic findings: all participants underwent endoscopy before eradication therapy; RUT: rapid urease test; UBT: 13C-urea breath test.