PPI-Refractory GERD: A Growing Concern

H2 tag- SEO Purpose

GERD: Gastroesophageal reflux disease; PCAB: Potassium competitive acid blockers; PPI: Proton pump inhibitor. pump inhibitor; RH: Reflux hypersensitivity; RSA: Reflux symptom association, VONOPrazan.

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Despite PPIs being the most effective treatment for GERD, up to 30% of GERD patients experience refractory GERD.

Despite PPIs being the most effective treatment for GERD, up to 30% of GERD patients experience refractory GERD.1

Several factors contribute to refractory GERD that vary in incidence, clinical importance, and symptom severity and frequency.1

PPI timing: Only 46% of patients dosed PPIs at appropriate times.

PPI timing: Only 46% of patients dosed PPIs at appropriate times.2

Only ~54% of patients filled their monthly PPI prescription >80% of the time.

PPI compliance: Only ~54% of patients filled their monthly PPI prescription >80% of the time.2

PPI use can reduce the size of acid pocket and increase gastric pH.

Acid pocket: PPI use can reduce the size of acid pocket and increase gastric pH.2

PPIs require an acidic environment for activation but are unstable in acidic conditions, necessitating enteric coating.

Cytochrome P450 2C19 polymorphism: PPI response varies by genotype; extensive metabolizers are more likely to have refractory symptoms on standard-dose.2

With PCABs offering potent acid suppression from the first dose, they may soon replace PPIs as the preferred initial therapy.3 A single dose of VONOprazan can raise intragastric pH to nearly 7 within 4 hours.4

time intragastric pH above

As shown in the figure, VONOprazan’s ability to maintain a 24-hour intragastric pH above 4 ensures rapid and sustained relief, making it suitable for treating breakthrough GERD symptoms and for on-demand therapy.

Vono 20-Always on Duty

Vono, containing Vonoprazan molecule, is a Potassium Competitive Acid Blocker which helps in treatment of Refractory GERD, Erosive Esophagitis, H.Pylori, Gastric & Duodenal Ulcers