PMID- 26811504 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160401 LR - 20201001 IS - 2093-0879 (Print) IS - 2093-0887 (Electronic) IS - 2093-0879 (Linking) VI - 22 IP - 2 DP - 2016 Apr 30 TI - Efficacy of DA-9701 (Motilitone) in Functional Dyspepsia Compared to Pantoprazole: A Multicenter, Randomized, Double-blind, Non-inferiority Study. PG - 254-63 LID - 10.5056/jnm15178 [doi] AB - BACKGROUND/AIMS: The effect of proton pump inhibitors (PPI) in Asian functional dyspepsia (FD) patients has not been well established as in Westerncountries. DA-9701, a novel prokinetic agent, stimulates gastric emptying and modulates visceral hypersensitivity in vivo and in human studies. This study was conducted to compare the efficacy of DA-9701 with a conventional PPI in mono or combination therapy in patients with FD. METHODS: In this double-blind, randomized, non-inferiority trial, 389 patients diagnosed with FD using Rome III criteria were allocated among3 groups: 30-mg DA-9701 t.i.d (means 3 times a day), 40-mg pantoprazole, and 30-mg DA-9701 t.i.d + 40-mg pantoprazole. Theprimary efficacy end-point was a global assessment of the patient binary response or response on a 5-Likert scale after 4 weeks. RESULTS: The global symptomatic improvement was 60.5% in the DA-9701 group, 65.6% in the pantoprazole group, and 63.5% in the DA-9701 + pantoprazole group using a 5-Likert scale at week 4 with no significant difference among 3 groups (P = 0.685). Symptomimprovement measured by binary outcome was significantly achieved in each of the 3 groups, but not different among groups.Patients in all treatment groups reported significant improvement in the response rate and symptoms according to FD subtypes anddyspepsia-related quality of life (P < 0.001), but there were no significant differences among the 3 groups. CONCLUSIONS: DA-9701 improves global and individual symptoms and increases dyspepsia-specific quality of life in patients with FD. The efficacyof DA-9701 monotherapy is comparable with pantoprazole and there is no additive effect with combination of DA-9701 andpantoprazole in patients with FD. FAU - Jung, Hye-Kyung AU - Jung HK AD - Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea. FAU - Lee, Kwang Jae AU - Lee KJ AD - Department of Gastroenterology, Ajou University School of Medicine, Suwon, Gyeonggi-do, Korea. FAU - Choi, Myung-Gyu AU - Choi MG AD - Department of Internal Medicine, Catholic University College of Medicine, Seoul, Korea. FAU - Park, Hyojin AU - Park H AD - Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. FAU - Lee, Joon Seong AU - Lee JS AD - Department of Internal Medicine, Soonchunhyang University College, Seoul, Korea. FAU - Rhee, Poong-Lyul AU - Rhee PL AD - Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kim, Nayoung AU - Kim N AD - Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, Korea. FAU - Park, KyungSik AU - Park K AD - Department of Internal Medicine, Keimyung University College of Medicine, Daegu, Korea. FAU - Choi, Suck Chei AU - Choi SC AD - Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Jeollabuk-do, Korea. FAU - Lee, Oh Young AU - Lee OY AD - Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. FAU - Huh, Kyu Chan AU - Huh KC AD - Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea. FAU - Song, Geun Am AU - Song GA AD - Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea. FAU - Hong, Su Jin AU - Hong SJ AD - Department of Internal Medicine, Soonchunhyang University College, Seoul, Korea. FAU - Sohn, Chong Il AU - Sohn CI AD - Department of Internal Medicine, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Jung, Hwoon-Yong AU - Jung HY AD - Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. FAU - Lee, Yong Chan AU - Lee YC AD - Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. FAU - Rew, Jong Sun AU - Rew JS AD - Chonnam National University Medical School, Gwangju, Korea. FAU - Jee, Sam Ryong AU - Jee SR AD - Department of Internal Medicine, Inje University College of Medicine, Busan, Korea. FAU - Kwon, Joong Goo AU - Kwon JG AD - Department of Internal Medicine, Catholic University of Daegu, School of Medicine, Daegu, Korea. LA - eng PT - Journal Article PL - Korea (South) TA - J Neurogastroenterol Motil JT - Journal of neurogastroenterology and motility JID - 101530189 PMC - PMC4819864 OTO - NOTNLM OT - DA-9701 (Motilitone) OT - Dyspepsia OT - Proton pump inhibitor EDAT- 2016/01/27 06:00 MHDA- 2016/01/27 06:01 PMCR- 2016/04/01 CRDT- 2016/01/27 06:00 PHST- 2015/10/13 00:00 [received] PHST- 2015/12/28 00:00 [revised] PHST- 2016/01/17 00:00 [accepted] PHST- 2016/01/27 06:00 [entrez] PHST- 2016/01/27 06:00 [pubmed] PHST- 2016/01/27 06:01 [medline] PHST- 2016/04/01 00:00 [pmc-release] AID - jnm15178 [pii] AID - jnm-22-254 [pii] AID - 10.5056/jnm15178 [doi] PST - ppublish SO - J Neurogastroenterol Motil. 2016 Apr 30;22(2):254-63. doi: 10.5056/jnm15178.