TY - JOUR
T1 - Bovine lactoferrin for Helicobacter pylori eradication
T2 - An open, randomized, multicentre study
AU - Di Mario, F.
AU - Aragona, G.
AU - Dal Bó, N.
AU - Cavallaro, L.
AU - Marcon, V.
AU - Olivieri, P.
AU - Benedetti, E.
AU - Orzès, N.
AU - Marin, R.
AU - Tafner, G.
AU - Chilovi, F.
AU - De Bastiani, R.
AU - Fedrizzi, F.
AU - Franceschi, M.
AU - Salvat, M. H.
AU - Monica, F.
AU - Piazzi, L.
AU - Valiante, F.
AU - Vecchiati, U.
AU - Cavestro, G. M.
AU - Comparato, G.
AU - Iori, V.
AU - Maino, M.
AU - Leandro, G.
AU - Pilotto, A.
AU - Rugge, M.
AU - Franzè, A.
PY - 2006/4
Y1 - 2006/4
N2 - Background: Cure rates for eradication of Helicobacter pylori appear to be decreasing, thus more effective therapies must be identified. Aim: To evaluate the efficacy of bovine lactoferrin in the treatment of H. pylori infection. Methods: In a multicentred prospective study, 402 (mean age 52.4, range 19-84 years) H. pylori-positive patients were assigned to one of three regimens: group A - esomeprazole 20 mg b.d., clarithromycin 500 mg b.d. and tinidazole 500 mg b.d. for 7 days; group B - lactoferrin 200 mg b.d. for 7 days followed by the same schedule of group A; group C - esomeprazole 20 mg b.d., clarithromycin 500 mg b.d. and tinidazole 500 mg b.d. plus lactoferrin 200 mg b.d. for 7 days. Results: Of the 402 patients, 389 completed the study. Six patients were discontinued due to side effects, one patient in group B died and six patients were lost to follow up. The eradication rate (intention-to-treat analysis) was 77% in group A (105/136), 73% in group B (97/132) and 90% in group C (120/134) (χ2-test P <0.01). The incidence of side effects was 9.5% in group A, 9% in group B and 8.2% in group C (χ2-test P = 0.1). Conclusion: This study demonstrates that bovine lactoferrin is an effective adjuvant to 7-day triple therapy for eradication of H. pylori infection.
AB - Background: Cure rates for eradication of Helicobacter pylori appear to be decreasing, thus more effective therapies must be identified. Aim: To evaluate the efficacy of bovine lactoferrin in the treatment of H. pylori infection. Methods: In a multicentred prospective study, 402 (mean age 52.4, range 19-84 years) H. pylori-positive patients were assigned to one of three regimens: group A - esomeprazole 20 mg b.d., clarithromycin 500 mg b.d. and tinidazole 500 mg b.d. for 7 days; group B - lactoferrin 200 mg b.d. for 7 days followed by the same schedule of group A; group C - esomeprazole 20 mg b.d., clarithromycin 500 mg b.d. and tinidazole 500 mg b.d. plus lactoferrin 200 mg b.d. for 7 days. Results: Of the 402 patients, 389 completed the study. Six patients were discontinued due to side effects, one patient in group B died and six patients were lost to follow up. The eradication rate (intention-to-treat analysis) was 77% in group A (105/136), 73% in group B (97/132) and 90% in group C (120/134) (χ2-test P <0.01). The incidence of side effects was 9.5% in group A, 9% in group B and 8.2% in group C (χ2-test P = 0.1). Conclusion: This study demonstrates that bovine lactoferrin is an effective adjuvant to 7-day triple therapy for eradication of H. pylori infection.
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U2 - 10.1111/j.1365-2036.2006.02851.x
DO - 10.1111/j.1365-2036.2006.02851.x
M3 - Article
C2 - 16611285
AN - SCOPUS:33646875068
VL - 23
SP - 1235
EP - 1240
JO - Alimentary Pharmacology and Therapeutics
JF - Alimentary Pharmacology and Therapeutics
SN - 0269-2813
IS - 8
ER -