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. 2018 Aug 12;2018:6417526. doi: 10.1155/2018/6417526

Table 1.

Characteristics of studies comparing on-demand PPI with daily PPI.

References Country Center
(multi, single)
Study design Inclusion criteria Exclusion criteria PPI regimen for continuous therapy PPI regimen for on-demand therapy Outcome studied Follow-up period Esophagitis class
[19] UK (92 general practices, 28 hospitals) Multicenter Single-blind (investigator), randomized, parallel group study NERD with resolution of heartburn after 2 to 4 weeks of esomeprazole 20 Patients with persistent heartburn and structural diseases Lansoprazole 15 mg PO once daily Esomeprazole 20 mg Time to discontinuation due to unwillingness to continue 6 months Not applicable

[20] Single university hospital Japan Single center Prospective parallel randomized open-label study Patients with modified LA class M after having 8-week treatment with PPIs Patients with cancer, serious liver disease, kidney disease, heart disease, a hematological disorder, gastric ulcers, and/or duodenal ulcers Omeprazole 20 mg Omeprazole 20 mg Symptom relief at 4, 8, 16, and 24 weeks in each study group with relief from symptoms as the primary endpoint 6 months Modified LA class M

[21] Austria, France, Germany, South Africa, and Spain (61 centers) Multicenter Open-label, randomized, parallel group NERD who were heartburn-free after 4-week treatment with esomeprazole 20 mg daily Reflux esophagitis Esomeprazole 20 mg Esomeprazole 20 mg Discontinuation due to unsatisfactory treatment 6 months Not applicable

[22] 58 active centers: 29 in Germany, 12 in France, 11 in Switzerland, and 6 in Hungary Multicenter Open-label, randomized, parallel group NERD + mild esophagitis treated with pantoprazole 20 mg PO daily for 4 weeks Patients with persistent symptoms and heartburn, erosive esophagitis Pantoprazole 20 mg Pantoprazole 20 mg The symptoms (as assessed in the patient's diary) were considered controlled until the time of failure, which was defined as the first point at which one of the following events occurred: (1) GERD symptoms of at least moderate severity were present for 3 or more consecutive days despite medication (event time = the first of these 3 days); (2) use of >1 tablet of study medication on >3 consecutive days (event time = the first of these 3 days); or (3) premature withdrawal from the study due to lack of efficacy (event time = the date of withdrawal) 6 months Savary-Miller grade 0 or 1