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Digestive Diseases and Sciences

, Volume 63, Issue 2, pp 302–311 | Cite as

Vonoprazan: A Novel and Potent Alternative in the Treatment of Acid-Related Diseases

  • Xiaoxiao Yang
  • Yueyue Li
  • Yiyuan Sun
  • Mingming Zhang
  • Chuanguo Guo
  • Iqtida Ahmed Mirza
  • Yan-Qing Li
Review

Abstract

Although proton pump inhibitors (PPIs) have been used widely, acid-related diseases are still associated with a huge burden on the health care system. Recently, the efficacy and safety of a new acid suppressant named vonoprazan in the treatment of acid-related diseases have been evaluated by a series of studies. As a novel potassium-competitive acid blocker, vonoprazan may provide reversible acid suppression by preventing K+ from binding to gastric H+/K+-ATPase. It has been clinically used for the short-term treatment of gastroesophageal reflux disease (GERD), peptic ulcer disease and Helicobacter pylori (H. pylori) infection in Japan. The healing rate of GERD and gastric ulcers by vonoprazan is more than 95 and 90%, respectively; also, it is effective in curing PPI-resistant GERD. It increases H. pylori eradication rate to more than 88% as part of both first-line and second-line therapy. It is also effective in the eradication of clarithromycin-resistant H. pylori strains. All of these short-term studies show vonoprazan is safe and well-tolerated. As a safe and effective acid inhibitor, vonoprazan might be a novel alternative in the treatment of acid-related diseases.

Keywords

Vonoprazan GERD Peptic ulcers H. pylori eradication Acid inhibitor 

Notes

Acknowledgments

No financial support was received for this work from any company. This study was supported by the National Nature Science Foundation of China (no. 81330012).

Compliance with ethical standards

Conflict of interest

No conflict of interest or financial ties to disclose.

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Authors and Affiliations

  1. 1.Department of Gastroenterology, Laboratory of Translational GastroenterologyQilu Hospital, Shandong UniversityJinanChina

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