Clinical Trials Study
Copyright ©The Author(s) 2017.
World J Gastroenterol. Dec 21, 2017; 23(47): 8395-8404
Published online Dec 21, 2017. doi: 10.3748/wjg.v23.i47.8395
Table 1 Baseline characteristics of the patients [n = 81, n (%)]
VariablesDexlansoprazoleEsomeprazoleP value
Age (mean ± SD, yr)50.6 ± 13.349.9 ± 12.80.985
Male sex34 (42.0)43 (53.1)0.137
Smoking12 (14.8)9 (11.1)0.483
Alcohol use22 (27.2)22 (27.2)1.000
Ingestion of coffee44 (54.3)36 (44.4)0.209
Ingestion of tea58 (71.6)49 (60.5)0.230
Betel nut4 (4.9)1 (1.2)0.173
Spicy food52 (64.2)51 (63.0)0.870
Sweet food72 (88.9)75 (92.6)0.416
Body mass index25.4 ± 4.824.9 ± 4.40.420
Waist girth88.8 ± 12.288.7 ± 11.40.361
Metabolic syndrome36 (44.4)38 (46.9)0.950
Atypical symptoms
Chest pain38 (46.9)39 (48.1)0.588
Dysphagia20 (24.7)22 (27.2)0.557
Regurgitation of food29 (35.8)31 (38.3)0.561
Nausea26 (32.1)23 (28.4)0.544
Hiccup37 (45.7)44 (54.3)0.300
Foreign body sensation (throat)48 (59.3)40 (49.4)0.301
Foreign body sensation (chest)16 (19.8)16 (19.8)0.604
Hoarseness28 (34.6)28 (34.6)0.604
Throat cleaning44 (54.3)44 (54.3)0.602
Cough38 (46.9)34 (42.0)0.516
Sore throat20 (24.7)20 (24.7)0.604
Dry mouth54 (66.7)52 (64.2)0.590
Bad breath29 (35.8)30 (37.0)0.590
Epigastric pain36 (44.4)45 (55.6)0.197
Epigastric fullness65 (80.2)54 (66.7)0.111
Insomnia36 (44.4)28 (34.6)0.199
Sinusitis7 (8.6)14 (17.3)0.102
Otitis media5 (6.2)5 (6.2)1.000
Sugar97.4 ± 12.597.0 ± 12.80.604
Cholesterol205.3 ± 36.7207.7 ± 35.40.971
Triglyceride121.9 ± 57.2113.7 ± 64.70.284
HDL54.7 ± 18.255.3 ± 14.40.866
LDL127.0 ± 32.7127.5 ± 32.80.942
H. pylori infection
Previous history - no10 (12.3)15 (18.5)0.553
Current infection - no10 (12.3)12 (14.8)0.703
Endoscopic findings
Hiatal hernia10 (12.3)15 (18.5)0.347
GEFV (grade 3 or 4)7 (8.6)8 (9.9)0.521
Esophagitis grade B15 (18.5)13 (16.0)0.678
Table 2 Comparison of the complete symptom resolution rates and night-time breakthrough heartburn between dexlansoprazole and esomeprazole over one week [n = 81, n (%)]
VariablesDexlansoprazoleEsomeprazoleP value
CSR Day 121 (25.9)23 (28.4)0.724
CSR Day 327 (33.3)26 (32.1)0.867
CSR Day 742 (51.9)39 (48.1)0.637
Night reflux45 (76.3)40 (74.1)0.787
Night heart burn20 (33.9)18 (33.3)0.949
Night acid reflux20 (33.9)19 (35.2)0.886
Frequency of night symptoms2.7 ± 2.02.7 ± 2.40.343
Table 3 Comparison of the complete symptom resolution rates between dexlansoprazole and esomeprazole over one week (Subgroup analysis by gender) n (%)
TimeGenderDexlansoprazoleEsomeprazoleP value
CSR Day 1Female13 (27.7)6 (15.8)0.192
Male8 (23.5)17 (39.5)0.136
CSR Day 3Female18 (38.3)7 (18.4)0.046
Male9 (26.5)19 (44.2)0.109
CSR Day 7Female26 (55.3)14 (36.8)0.090
Male16 (47.1)25 (58.1)0.333
Table 4 Multivariate analysis of the clinical factors predictive of complete symptom resolution within one week based on dexlansoprazole and esomeprazole administration
TimePPIClinical factorsCSRCoefficient of variationOdds ratio (95%CI)P value
Day 1DexlansoprazoleNull
EsomeprazoleFemale15.80%-1.249 ± 0.5430.285 (0.103-0.789)0.022
Day 3DexlansoprazoleNull
EsomeprazoleFemale18.40%-1.254 ± 0.5190.287 (0.099-0.832)0.016
Day 7DexlansoprazoleNull
EsomeprazoleNull
Table 5 Multivariate analysis of the clinical factors predictive of complete symptom resolution within one week
TimeClinical factorCSRCoefficient of variationOdds ratio (95%CI)P value
Day 1Spicy foodNo: 37.3%-0.969 ± 0.4380.380 (0.161-0.896)0.027
Yes: 21.4%
Day 3Null
Day 7Null

  • Citation: Liang CM, Kuo MT, Hsu PI, Kuo CH, Tai WC, Yang SC, Wu KL, Wang HM, Yao CC, Tsai CE, Wang YK, Wang JW, Huang CF, Wu DC, Chuah SK, Taiwan Acid-Related Disease Study Group. First-week clinical responses to dexlansoprazole 60 mg and esomeprazole 40 mg for the treatment of grades A and B gastroesophageal reflux disease. World J Gastroenterol 2017; 23(47): 8395-8404
  • URL: https://www.wjgnet.com/1007-9327/full/v23/i47/8395.htm
  • DOI: https://dx.doi.org/10.3748/wjg.v23.i47.8395