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. 2026 Jul 3;16:1881347. doi: 10.3389/fcimb.2026.1881347

Table 4.

Subgroup analysis of eradication rates between the VA and VBQ groups in treatment-naïve and rescue therapy patients.

Analysis set Subgroup VBQ VA P-value for superiority P-value for non-inferiority Risk difference*
ITT Treatment-naïve 81.9% (145/177)
(95% CI: 76.3%, 87.6%)
83.2% (154/185)
(95% CI: 77.9%, 88.6%)
0.740 0.002 1.32%
(95% CI: -6.49%, 9.14%)
Rescue therapy 100.0% (16/16)
(95% CI: 79.4%, 100.0%)
62.5% (5/8)
(95% CI: 29.0%, 96.0%)
0.009 0.054 -37.50%
(95% CI: -71.05%, -3.95%)
mITT Treatment-naïve 89.5% (145/162)
(95% CI: 84.8%, 94.2%)
91.7% (154/168)
(95% CI: 87.5%, 95.8%)
0.501 <0.001 2.16%
(95% CI: -4.14%, 8.46%)
Rescue therapy 100.0% (16/16)
(95% CI: 79.4%, 100.0%)
62.5% (5/8)
(95% CI: 29.0%, 96.0%)
0.009 0.054 -37.50%
(95% CI: -71.05%, -3.95%)
PP Treatment-naïve 89.2% (140/157)
(95% CI: 84.3%, 94.0%)
91.9% (149/162)
(95% CI: 87.8%, 96.2%)
0.391 <0.001 2.80%
(95% CI: -3.61%, 9.22%)
Rescue therapy 100.0% (15/15)
(95% CI: 78.2%, 100.0%)
57.1% (4/7)
(95% CI: 20.5%, 93.8%)
0.006 0.040 -42.86%
(95% CI: -79.52%, -6.20%)

*Risk difference calculated as VA group minus VBQ group. The prespecified non-inferiority margin was -10%. Non-inferiority is concluded if the lower limit of the 95% confidence interval for the risk difference is above -10%.

H. pylori, Helicobacter pylori; VBQ, vonoprazan-bismuth-amoxicillin-doxycycline quadruple therapy; VA, vonoprazan-amoxicillin dual therapy; ITT, intention-to-treat; mITT, modified intention-to-treat; PP, per-protocol.