Efficacy and Safety of Omeprazole for the Treatment of Acid Peptic Disorders: A Systematic Review and Meta-Analysis
Table 1
Study population characteristics of 31 included trials (41 treatment arms) for the treatment of acid peptic disease (APD).
Study arm
Reference
Type APD
Nos.
Setting
Age (yrs)
Country
1° outcome
Ome dose
Duration (wks)
Control
Control dose
Attrition (%)
1a
Armstrong 2004−20 mgE
NERD
2645
Out
18–83
10 mixed
No heartburn
20
4
ESO20
20
Nr
1b
Armstrong 2004−40 mgE
—
—
—
20
4
ESO40
40
—
2
Bardhan 2001
EO
327
Out
≥18
UK, Ir, SA
Symp relief
20
4a
PAN20
20
19
3
Bate 1996
NERD
209
Nr
18–80
UK, Ir
No heartburn
20
4
Placebo
0
20
4a
Carlsson 1998−10 mgO
NERD
261
Nr
18–80
Au, H, N, UK
Symp relief
10
4
Placebo
0
6
4b
Carlsson 1998−20 mgO
—
—
—
20
4
Placebo
0
—
5a
Catalano 1999−40 mgP
DU
243
Nr
18–75
Italy
Ulcer healed
40
1.5
PAN40
40
8
5b
Catalano 1999−80 mgP
—
—
—
40
1.5
PAN80
80
—
6
Catalano 2000
DU
172
Nr
19-20
Italy
Ulcer healed
40
4
PAN80
80
21
7
Chang 1995
DU
111
Out
21–75
Taiwan
Ulcer healed
20
4
LAN30
30
4
8
Chen C 2017
DU
80
Nr
20–60
China
Ulcer healed
20
4
ILA10
10
Nr
9
Chen S 2017
DU
60
Nr
18–71
China
Ulcer healed
20
8
PAN40
40
Nr
10
Dekkers C 1999
EO
202
Nr
≥18
10 Euro
Erosion healed
20
4a
RAB20
20
5
11
Ekstrom 1995
DU
279
Nr
18–80
Sweden
Ulcer healed
20
4
LAN30
30
16
12a
Ho K 2009-5 mgI
DU/GU
518
Nr
18–80
5 Asian
Ulcer healed
20
4
ILA5
5
32
12b
Ho 2009−10 mgI
—
—
—
20
4
ILA10
10
—
13
Huang 2010
DU
120
Mixed
20–65
Mongolia
Ulcer healed
20
4
PAN40
40
Nr
14a
Kahrilas 2000−20 mgE
EO
1960
Nr
Adults
USA
Erosion healed
20
4a
ESO20
20
8
14b
Kahrilas 2000−40 mgE
—
—
—
20
4
ESO40
40
—
15
Li 2010
DU/PU
100
Nr
16–70
China
Ulcer healed
20
4
PAN40
40
0
16
Liao 2015
DU
80
Out
22–76
China
Ulcer healed
20
4
ILA10
10
Nr
17a
Lind 1997−10 mgO
NERD
509
Nr
≥18
Sw, Den
No heartburn
10
4
Placebo
0
5
17b
Lind 1997−20 mgO
—
—
—
20
4
Placebo
0
—
18
Mossner 1995
EO
286
Nr
≥18
Germany
Erosion healed
20
4a
PAN40
40
1
19
Pei 1995
DU
72
Nr
21–70
China
Ulcer healed
20
4
LAN30
30
Nr
20
Petite 1993
DU
144
Mixed
≥18
France
Ulcer healed
20
2a
LAN30
30
6
21
Rehner 1995
DU
286
Nr
≥18
Germany
Ulcer healed
20
2a
PAN40
40
3
22a
Richter 2000−10 mgO
NERD
359
Nr
≥18
USA
No heartburn
10
4
Placebo
0
1
22b
Richter 2000−20 mgO
—
—
20
4
Placebo
0
—
23a
Uemura 2008−10 mgO
NERD
284
Nr
≥20
Japan
No heartburn
10
4
Placebo
0
5
23b
Uemura 2008−20 mgO
—
—
20
4
Placebo
0
—
24
Wang L 2012
DU
494
Nr
18–65
China
Ulcer healed
20
4
ILA10
10
5
25
Watson 1997
NERD
19
Out
22–79
Ir
Symp better
40
4
Placebo
0
16
26
Xiao 1997
GU/DU
188
Nr
16–68
China
Ulcer healed
20
4–6b
LAN30
30
Nr
27
Xu 2006
DU
68
Out
15–78
China
Ulcer healed
20
4
RAB20
20
Nr
28
You QX 2006
DU
72
Out
18–75
China
Ulcer healed
20
4
RAB20
20
Nr
29
Zhao 2013
DU
76
Nr
29–69
China
Ulcer healed
20
4
PAN40
40
Nr
30a
Zheng 2009−30 mgL
EO
275
Nr
36–85
China
Erosion healed
20
8
LAN30
30
4
30b
Zheng 2009−40 mgP
—
—
20
8
PAN40
40
—
30c
Zheng 2009−40 mgE
—
—
20
8
ESO40
40
—
31
Zou 2012
DU
40
Nr
19–62
China
Ulcer healed
20
4
PAN40
40
Nr
Notes. aDuration, patients unresponsive to initial duration of treatment had extended 2–4 weeks of treatment (outcome was determined at original time of treatment not extended time); b4 weeks if DU and 6 weeks if GU. dy, days; DU, duodenal ulcer; EO, erosive oesophagitis; ESO, esomeprazole; GU, gastric ulcer; ILA, ilaprazole; LAN, lansoprazole; NERD, nonerosive reflux disease; Nr, not reported in paper; mixed, inpatients and outpatients; OME, omeprazole; out, outpatients; PAN, pantoprazole; PU, peptic ulcer; RAB, rabeprazole; symp, symptoms; wks, weeks; yrs, years. Countries: Asian, varied Asian countries; Au, Australia; Den, Denmark; Euro, varied European countries; H, Holland; Ir, Ireland; SA, South Africa; Sw, Sweden; UK, United Kingdom, US, United States of America; mixed, mixed geographic areas.