Proton Pump Inhibitors Decrease Phlebotomy Need in HFE Hemochromatosis: Double-Blind Randomized Placebo-Controlled Trial.

Abstract:

:Phlebotomy constitutes the established treatment for HFE-related hemochromatosis. Retrospective studies have suggested proton pump inhibitors (PPIs) reduce the need for phlebotomy in this population. We conducted a randomized controlled trial to prove this. Thirty p.C282Y homozygous patients were randomly allocated to PPI (pantoprazole 40 mg/day) or placebo for 12 months. Phlebotomies were performed when serum ferritin was > 100 μg/L. Phlebotomy need turned out to be significantly lower in patients taking PPI (P = .0052). PPI treatment significantly reduces the need for phlebotomies in p.C282Y homozygous patients. In view of the known long-term safety profile of PPI, they can be a valuable addition to standard therapy. Clinicaltrials.gov: NCT01524757.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Vanclooster A,van Deursen C,Jaspers R,Cassiman D,Koek G

doi

10.1053/j.gastro.2017.06.006

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

678-680.e2

issue

3

eissn

0016-5085

issn

1528-0012

pii

S0016-5085(17)35740-2

journal_volume

153

pub_type

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