Vonoprazan-amoxicillin dual therapy for Helicobacter pylori eradication in Chinese population: A prospective, multicenter, randomized, two-stage study.

BACKGROUND: The efficacy of Vonoprazan-amoxicillin dual therapy (VAT) in the treatment of Helicobacter pylori (H. pylori) is controversial. AIM: To evaluate the efficacy of VAT in the Chinese population. METHODS: This prospective, multicenter, randomized, open-label, and two-stage study was conducted at 23 centers in Fujian, China (May 2021-April 2022). H. pylori-infected patients were randomized to bismuth quadruple therapy (BQT), BQT-Vonoprazan (BQT-V), seven-day VAT (VAT-7), ten-day VAT (VAT-10), and fourteen-day VAT (VAT-14) groups. The primary endpoint was the H. pylori eradication rate. The secondary endpoint was the frequency of adverse events. This study was registered with the Chinese Clinical Trial Registry, ChiCTR2100045778. RESULTS: In the first stage, VAT-7 and BQT-V groups were selected for early termination because less than 23 among 28 cases were eradicated. In the second stage, the eradication rates for BQT, VAT-10, and VA-14 were 80.2% [95% confidence interval (95%CI): 71.4%-86.8%], 93.2% (86.6%-96.7%), 92.2% (85.3%-96.0%) in the intention-to-treat (ITT) analysis, and 80.9% (95%CI: 71.7%-87.5%), 94.0% (87.5%-97.2%), and 93.9% (87.4%-97.2%) in the per-protocol analysis. The ITT analysis showed a higher eradication rate in the VAT-10 and VAT-14 groups than in the BQT group (P = 0.022 and P = 0.046, respectively). The incidence of adverse events in the VAT-10 and VAT-14 groups was lower than in the BQT group (25.27% and 13.73% vs 37.62%, respectively; P < 0.001). CONCLUSION: VAT with a duration of 10 or 14 days achieves a higher eradication rate than the BQT, with a more tolerable safety profile in H. pylori-infected patients in Fujian.

A simple method to prepare g-C3N4-TiO2/waste zeolites as visible-light-responsive photocatalytic coatings for degradation of indoor formaldehyde.

The indoor air quality should be highly addressed because people spend more time staying in indoor environments. Photocatalytic degradation of indoor pollutants (e.g., formaldehyde) is one of the most promising and environmental friendly technologies. In this work, a heterostructured photocatalyst combining graphitic carbon nitride (g-C3N4), TiO2 and waste zeolites (g-C3N4-TiO2/waste zeolites) is developed by a facile calcination and sol-gel method. The prepared photocatalysts exhibit the superior visible-light-responsive activities toward formaldehyde degradation (k = 0.0127 min-1) which is higher than g-C3N4-TiO2 (k = 0.0123 min-1) and P25 (k = 0.0056 min-1). Over 90% of low-concentration formaldehyde can be oxidized by g-C3N4-TiO2/waste zeolites under a commercial LED light within 300 min. The electron spin resonance spectra indicate that the superoxide radical anions (O2-) photogenerated on the g-C3N4-TiO2/waste zeolites under visible light irradiation are responsible for the decomposition of formaldehyde. The enhancement in the photocatalytic decomposition of formaldehyde in the air is possibly due to the heterojunction between g-C3N4 (the enhanced absorption of visible light) and TiO2 (fast transfer of photogenerated electrons from g-C3N4) as well as assisted adsorption of gas-phase formaldehyde via waste zeolites. This work also exemplifies the valorization of industrial silicate wastes to efficient photocatalytic coatings for indoor air purification.