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Efficacy and Safety of Polaprezinc-Based Therapy versus the Standard Triple Therapy for Helicobacter pylori Eradication: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Mahmoud A, Abuelazm M, Ahmed AAS, et al.. Nutrients, 2022; 14(19):4126.

Meta-analysisHumansWith zinc (as polaprezinc / zinc-L-carnosine) added to triple therapy

This study tested carnosine together with zinc (as polaprezinc / zinc-L-carnosine) added to triple therapy. Its results cannot be assigned to carnosine alone. More combination studies.

Design
Meta-analysis
Subjects
3 randomised trials, 396 participants (199 polaprezinc plus triple therapy, 197 triple therapy alone)
Dose used in the study
Varied across included trials
Duration
Varied across included trials
What was measured
H. pylori eradication (intention to treat and per protocol) and total adverse events. Searches to 25 July 2022.

What the authors reported

Adding polaprezinc to triple therapy improved eradication in intention-to-treat analysis (OR 2.01, 95% CI 1.27 to 3.21, p = 0.003) and per protocol (OR 2.65, 95% CI 1.55 to 4.54, p = 0.0004). Total adverse events did not differ (OR 1.06, 95% CI 0.55 to 2.06, p = 0.85). The authors said the evidence is still scarce and larger trials are needed.

Limits of this study

Only 3 trials. Registered PROSPERO CRD42022349231. The authors state the evidence is scarce and larger trials are needed. Risk of bias and heterogeneity not stated in abstract. Full text not read.

Source

PubMed 36235778 · doi:10.3390/nu14194126

Entry checked against PubMed abstract (E-utilities) on 2026-10-19. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.