Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Pantoprazole not needed for most patients on anticoagulant/antiplatelet therapies

Key clinical point: For most patients taking antiplatelet drugs and/or anticoagulants, pantoprazole is unnecessary.

Major finding: Patients in the pantoprazole group were 48% less likely to bleed from gastroduodenal lesions than those who took placebo (hazard ratio, 0.52; P = .03).

Study details: COMPASS was a placebo-controlled, double-blind, randomized trial involving 17,598 patients with stable peripheral artery disease and cardiovascular disease.

Disclosures: The COMPASS trial was funded by Bayer AG. The investigators disclosed additional relationships with Allergan, Takeda, Janssen, and others.

Citation:

Moayyedi P et al. Gastro. 2019 May 2. doi: 10.1053/j.gastro.2019.04.041.