PMID- 28960033 OWN - NLM STAT- MEDLINE DCOM- 20180129 LR - 20181113 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 32 IP - 11 DP - 2017 Nov TI - Evaluation of the Efficacy and Safety of DA-9601 versus Its New Formulation, DA-5204, in Patients with Gastritis: Phase III, Randomized, Double-Blind, Non-Inferiority Study. PG - 1807-1813 LID - 10.3346/jkms.2017.32.11.1807 [doi] AB - This study compared the efficacy of DA-9601 (Dong-A ST Co., Seoul, Korea) and its new formulation, DA-5204 (Dong-A ST Co.), for treating erosive gastritis. This phase III, randomized, multicenter, double-blind, non-inferiority trial randomly assigned 434 patients with endoscopically proven gastric mucosal erosions into two groups: DA-9601 3 times daily or DA-5,204 twice daily for 2 weeks. The final analysis included 421 patients (DA-5204, 209; DA-9601, 212). The primary endpoint (rate of effective gastric erosion healing) and secondary endpoints (cure rate of endoscopic erosion and gastrointestinal [GI] symptom relief) were assessed using endoscopy after the treatment. Drug-related adverse events (AEs), including GI symptoms, were also compared. At week 2, gastric healing rates with DA-5204 and DA-9601 were 42.1% (88/209) and 42.5% (90/212), respectively. The difference between the groups was -0.4% (95% confidence interval, -9.8% to 9.1%), which was above the non-inferiority margin of -14%. The cure rate of gastric erosion in both groups was 37.3%. The improvement rates of GI symptoms with DA-5204 and DA-9601 were 40.4% and 40.8%, respectively. There were no statistically significant differences between the two groups in both secondary endpoints. AEs were reported in 18 (8.4%) patients in the DA-5204 group and 19 (8.8%) in the DA-9601 group. Rates of AE were not different between the two groups. No serious AE or adverse drug reaction (ADR) occurred. These results demonstrate the non-inferiority of DA-5204 compared to DA-9601. DA-5204 is as effective as DA-9601 in the treatment of erosive gastritis. Registered randomized clinical trial at ClinicalTrials.gov (NCT02282670). CI - (c) 2017 The Korean Academy of Medical Sciences. FAU - Choi, Yoon Jin AU - Choi YJ AUID- ORCID: 0000-0002-1922-9388 AD - Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. FAU - Lee, Dong Ho AU - Lee DH AUID- ORCID: 0000-0002-6376-410X AD - Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. dhljohn@yahoo.com. FAU - Choi, Myung Gyu AU - Choi MG AUID- ORCID: 0000-0003-4083-5187 AD - Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. FAU - Lee, Sung Joon AU - Lee SJ AUID- ORCID: 0000-0002-6451-0400 AD - Department of Internal Medicine, Kangwon National University Hospital, Chuncheon, Korea. FAU - Kim, Sung Kook AU - Kim SK AUID- ORCID: 0000-0002-2861-8123 AD - Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. FAU - Song, Geun Am AU - Song GA AUID- ORCID: 0000-0003-2100-8522 AD - Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. FAU - Rhee, Poong Lyul AU - Rhee PL AUID- ORCID: 0000-0003-0495-5296 AD - Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Jung, Hwoon Yong AU - Jung HY AUID- ORCID: 0000-0003-1281-5859 AD - Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. FAU - Kang, Dae Hwan AU - Kang DH AD - Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea. FAU - Lee, Yong Chan AU - Lee YC AUID- ORCID: 0000-0001-8800-6906 AD - Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. FAU - Lee, Si Hyung AU - Lee SH AUID- ORCID: 0000-0001-7221-7506 AD - Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. FAU - Choi, Suck Chei AU - Choi SC AUID- ORCID: 0000-0003-1338-3306 AD - Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. FAU - Shim, Ki Nam AU - Shim KN AUID- ORCID: 0000-0003-4004-6292 AD - Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea. FAU - Seol, Sang Yong AU - Seol SY AD - Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. FAU - Moon, Jeong Seop AU - Moon JS AUID- ORCID: 0000-0002-5909-8159 AD - Department of Internal Medicine, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. FAU - Shin, Yong Woon AU - Shin YW AUID- ORCID: 0000-0001-7876-6178 AD - Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. FAU - Kim, Hyun Soo AU - Kim HS AUID- ORCID: 0000-0003-4834-0496 AD - Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. FAU - Lee, Soo Teik AU - Lee ST AUID- ORCID: 0000-0002-2975-053X AD - Department of Internal Medicine, Chonbuk University Medical School, Jeonju, Korea. FAU - Cho, Jin Woong AU - Cho JW AUID- ORCID: 0000-0002-0296-8045 AD - Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea. FAU - Choi, Eun Kwang AU - Choi EK AUID- ORCID: 0000-0002-6376-1849 AD - Department of Internal Medicine, Jeju National University Hospital, Jeju, Korea. FAU - Lee, Oh Young AU - Lee OY AUID- ORCID: 0000-0002-6025-530X AD - Department of Internal Medicine, Hanyang University College Medicine, Seoul, Korea. FAU - Jang, Jin Seok AU - Jang JS AD - Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. LA - eng SI - ClinicalTrials.gov/NCT02282670 PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 RN - 0 (DA 9601) RN - 0 (Plant Extracts) SB - IM MH - Adult MH - Double-Blind Method MH - Drug Administration Schedule MH - Female MH - Gastric Mucosa/pathology MH - Gastritis/*drug therapy MH - Gastrointestinal Diseases/etiology MH - Gastroscopy MH - Humans MH - Male MH - Middle Aged MH - Plant Extracts/adverse effects/*therapeutic use MH - Treatment Outcome PMC - PMC5639061 OTO - NOTNLM OT - Adverse Drug Event OT - Artemisia OT - Double-blind Study OT - Endoscopy OT - Gastritis COIS- Min-hee Oh is a biostatistician of Dong-A ST Co., but she made no influence on this work in relation with the company or its products. Other authors declare that they have no potential conflicts of interest. EDAT- 2017/09/30 06:00 MHDA- 2018/01/30 06:00 PMCR- 2017/11/01 CRDT- 2017/09/30 06:00 PHST- 2017/02/14 00:00 [received] PHST- 2017/08/14 00:00 [accepted] PHST- 2017/09/30 06:00 [entrez] PHST- 2017/09/30 06:00 [pubmed] PHST- 2018/01/30 06:00 [medline] PHST- 2017/11/01 00:00 [pmc-release] AID - 32.1807 [pii] AID - 10.3346/jkms.2017.32.11.1807 [doi] PST - ppublish SO - J Korean Med Sci. 2017 Nov;32(11):1807-1813. doi: 10.3346/jkms.2017.32.11.1807.