Evidence map›Paper›PMID 39009075›Full record

Trial reportIndian heart journal

Fixed dose combination of aspirin and pantoprazole: Results of a multicenter, comparative, randomized, double-blind, double dummy, phase III study in Indian patients.

Rahul Choudhary, Mohd Aziz Khan, Rupal Dosi, Sachin Choudhari, Dattatray Pawar, Vinayak Shahavi, Akhilesh Sharma

Abstract readMulticenter StudyRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rahul ChoudharyCardiology OPD 4 C-Block, AIIMS, Jodhpur, 342005, Rajasthan, India. Electronic address: rahulanna@gmail.com.
Mohd Aziz KhanCrescent Hospital and Heart Centre, Near Lokmat Square, Dhantoli, Nagpur, 440012, Maharashtra, India. Electronic address: khandraziz@yahoo.com.
Rupal DosiDepartment of Medicine Sir Sayajirao General Hospital, Medical College-Baroda, Jail Road, Indira Avenue, Vadodara, 390001, Gujarat, India. Electronic address: ssghospital.ct@spearsmind.com.
Sachin ChoudhariMedical Affairs, Alkem Laboratories Ltd, ALKEM HOUSE, "Devashish", Adjacent to Matulya Centre, Senapati Bapat Marg, Lower Parel, Mumbai, 400 013, India. Electronic address: sachin.choudhari@alkem.com.
Dattatray PawarMedical Affairs, Alkem Laboratories Ltd, ALKEM HOUSE, "Devashish", Adjacent to Matulya Centre, Senapati Bapat Marg, Lower Parel, Mumbai, 400 013, India. Electronic address: dattaray.pawar@alkem.com.
Vinayak ShahaviMedical Affairs, Alkem Laboratories Ltd, ALKEM HOUSE, "Devashish", Adjacent to Matulya Centre, Senapati Bapat Marg, Lower Parel, Mumbai, 400 013, India. Electronic address: vinayak.shahavi@alkem.com.
Akhilesh SharmaMedical Affairs, Alkem Laboratories Ltd, ALKEM HOUSE, "Devashish", Adjacent to Matulya Centre, Senapati Bapat Marg, Lower Parel, Mumbai, 400 013, India. Electronic address: akhilesh.sharma@alkem.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the efficacy and safety of a fixed-dose combination of aspirin and pantoprazole with that of aspirin alone for the prevention of gastro duodenal mucosal damage in patients taking aspirin for secondary prevention of cardiovascular disease or cerebrovascular disease.

methodsThis was a comparative, double-blind, double-dummy, randomized, multicenter, phase III study conducted in patients taking aspirin ≤150 mg daily for ≥3 to ≤6 months and expected to require daily aspirin therapy for at least 6 months for the secondary prevention of cardiovascular disease or cerebrovascular disease.

resultsA total of 240 patients were randomized to receive either a fixed-dose combination of aspirin 150 mg and pantoprazole 20 mg or aspirin 150 mg alone in a 2:1 ratio. The proportion of non-responders (patients experiencing gastroduodenal events) was 9.7 % in the test group (fixed-dose combination of aspirin 150 mg and pantoprazole 20 mg) compared to 19.7 % in the comparator group (aspirin 150 mg) at week 12, while the proportions were 11.0 % in the test group and 22.4 % in the comparator group at the end of 24 weeks of treatment (p-value was <0.05 at week 12 and 24). GI injuries were significantly less in test group as compared to comparator group. Both drugs were well tolerated by all patients.

conclusionThe fixed-dose combination of aspirin 150 mg and pantoprazole 20 mg was found to be more efficacious and safer compared to aspirin 150 mg alone for the prevention of gastroduodenal mucosal damage in patients receiving aspirin.

Indexed as

AspirinPantoprazole2-PyridinylmethylsulfinylbenzimidazolesCardiovascular DiseasesDose-Response Relationship, DrugDouble-Blind MethodDrug CombinationsDrug Therapy, CombinationFemaleFollow-Up StudiesHumansIndiaMaleMiddle AgedPlatelet Aggregation InhibitorsProton Pump Inhibitors2-PyridinylmethylsulfinylbenzimidazolesAspirinDrug CombinationsPantoprazolePlatelet Aggregation InhibitorsProton Pump InhibitorsAspirinFixed dose combinationGastroduodenal ulcerPantoprazole

Identifiers

PMID39009075
PMCPMC11451355

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.