Vonoprazan a novel potassium competitive acid blocker; another leap forward

The eradication rate of ( ) has decreased due to antibiotics resistance and inadequate acid suppression. Vonoprazan is a novel potassium-competitive acid blocker (P-CAB), which has a rapid and sustained acid inhibitory effect and may be more effective than conventional proton pump inhibitors (PPIs) in eradication. to study the efficacy and safety of vonoprazan as a component of first-line eradication treatment compared with conventional PPI-based therapy. This randomised (one to one) non-blinded study was conducted on 400 consecutive proven infected patients, of whom 200 received vonoprazan-based triple therapy, while 200 patients received PPI-based triple therapy for 14 days. The study outcomes were evaluated as eradication rate and adverse events in both patient groups. The eradication rate was 86% in the vonoprazan group and 74.5% in the PPI group. The vonoprazan eradication rate was significantly higher than that of PPIs ( = 0.004). There was no significant difference regarding adverse events between both patient groups. Vonoprazan-based therapy was more effective than PPI-based therapy as a first-line eradication treatment. Vonoprazan was generally safe and well tolerated.