Vonoprazan/amoxicillin/clarithromycin

{{Short description|Medication}}

{{Use American English|date=May 2022}}

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{{Infobox drug

| drug_name =

| type = combo

| image = VONOSAP Pack 400.jpg

| component1 = Vonoprazan

| class1 = Potassium-competitive acid blocker

| component2 = Amoxicillin

| class2 = Beta-lactam antibiotic

| component3 = Clarithromycin

| class3 = Macrolide antibiotic

| pronounce =

| tradename = Vonosap, Voquezna Triple Pak

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| DailyMedID = Voquezna

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| ATC_prefix = A02

| ATC_suffix = BD14

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| legal_US = Rx-only

| legal_US_comment = {{cite web | title=Voquezna Dual Pak- vonoprazan fumarate and amoxicillin kit Voquezna Triple Pak- vonoprazan fumarate, amoxicillin and clarithromycin kit | work = DailyMed | publisher = U.S. National Library of Medicine | date=21 June 2022 | url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=0cb2ee04-8581-46c8-a781-7be170ab5c86 | access-date=3 July 2022 | archive-date=3 July 2022 | archive-url=https://web.archive.org/web/20220703054730/https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=0cb2ee04-8581-46c8-a781-7be170ab5c86 | url-status=live }}

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| legal_status = Rx-only

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| KEGG = D10775

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Vonoprazan/amoxicillin/clarithromycin, sold under the brand name Vonosap among others, is a co-packaged medication used for the treatment of Helicobacter pylori (H. pylori) infection.{{cite journal | vauthors = Deguchi H, Yamazaki H, Kamitani T, Yamamoto Y, Fukuhara S | title = Impact of Vonoprazan Triple-Drug Blister Packs on H. pylori Eradication Rates in Japan: Interrupted Time Series Analysis | journal = Advances in Therapy | volume = 38 | issue = 7 | pages = 3937–3947 | date = July 2021 | pmid = 34091865 | pmc = 8280045 | doi = 10.1007/s12325-021-01784-w }} It contains vonoprazan (as the fumarate), a potassium-competitive acid blocker; amoxicillin, a beta-lactam antibiotic; and clarithromycin, a macrolide antibiotic.

It was approved for medical use in Japan in 2016,{{cite web | title=Vonosap pack 400, Vonosap pack 800 and Vonopion pack (triple-drug blister packs containing Takecab tablet) Now Available for Helicobacter pylori[*] Eradication in Japan | website=Takeda | date=7 June 2016 | url=https://www.takeda.com/newsroom/newsreleases/2016/vonosap-pack-400-vonosap-pack-800-and-vonopion-pack-triple-drug-blister-packs-containing-takecab-tablet-now-available-for-helicobacter-pylori-eradication-in-japan/ | access-date=9 May 2022 | archive-date=10 May 2022 | archive-url=https://web.archive.org/web/20220510031615/https://www.takeda.com/newsroom/newsreleases/2016/vonosap-pack-400-vonosap-pack-800-and-vonopion-pack-triple-drug-blister-packs-containing-takecab-tablet-now-available-for-helicobacter-pylori-eradication-in-japan/ | url-status=live }} and in the United States in May 2022.{{cite press release | title=Phathom Pharmaceuticals Announces FDA Approval of Voquezna Triple Pak (vonoprazan, amoxicillin, clarithromycin) and Voquezna Dual Pak (vonoprazan, amoxicillin) for the Treatment of H. pylori Infection in Adults | publisher=Phathom Pharmaceuticals | via=GlobeNewswire | date=3 May 2022 | url=https://www.globenewswire.com/en/news-release/2022/05/03/2435147/0/en/Phathom-Pharmaceuticals-Announces-FDA-Approval-of-VOQUEZNA-TRIPLE-PAK-vonoprazan-amoxicillin-clarithromycin-and-VOQUEZNA-DUAL-PAK-vonoprazan-amoxicillin-for-the-Treatment-of-H-pylo.html | access-date=9 May 2022 | archive-date=10 May 2022 | archive-url=https://web.archive.org/web/20220510034341/https://www.globenewswire.com/en/news-release/2022/05/03/2435147/0/en/Phathom-Pharmaceuticals-Announces-FDA-Approval-of-VOQUEZNA-TRIPLE-PAK-vonoprazan-amoxicillin-clarithromycin-and-VOQUEZNA-DUAL-PAK-vonoprazan-amoxicillin-for-the-Treatment-of-H-pylo.html | url-status=live }}{{Cite web |url=https://www.accessdata.fda.gov/drugsatfda_docs/appletter/2022/215152Orig1s000,%20215153Orig1s000ltr.pdf |title=FDA NDA approval |website=U.S. Food and Drug Administration (FDA) |access-date=12 May 2022 |archive-date=12 May 2022 |archive-url=https://web.archive.org/web/20220512000404/https://www.accessdata.fda.gov/drugsatfda_docs/appletter/2022/215152Orig1s000,%20215153Orig1s000ltr.pdf |url-status=dead }}{{Cite web|url=https://www.drugs.com/history/voquezna-triple-pak.html|title=Voquezna Triple Pak (amoxicillin, clarithromycin, and vonoprazan) FDA Approval History|website=Drugs.com}} The US Food and Drug Administration (FDA) considers it to be a first-in-class medication.{{cite web | title=Advancing Health Through Innovation: New Drug Therapy Approvals 2022 | website=U.S. Food and Drug Administration (FDA) | date=10 January 2023 | url=https://www.fda.gov/drugs/new-drugs-fda-cders-new-molecular-entities-and-new-therapeutic-biological-products/new-drug-therapy-approvals-2022 | archive-url=https://web.archive.org/web/20230110192023/https://www.fda.gov/drugs/new-drugs-fda-cders-new-molecular-entities-and-new-therapeutic-biological-products/new-drug-therapy-approvals-2022 | url-status=dead | archive-date=10 January 2023 | access-date=22 January 2023}} {{PD-notice}}{{cite report | title=New Drug Therapy Approvals 2022 | website=U.S. Food and Drug Administration (FDA) | date=January 2024 | url=https://www.fda.gov/media/164429/download | format=PDF | access-date=14 January 2024 | archive-url=https://web.archive.org/web/20240114065648/https://www.fda.gov/media/164429/download | archive-date=14 January 2024 | url-status=dead }} {{PD-notice}}

References

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Further reading

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  • {{cite journal | vauthors = Kajihara Y, Shimoyama T, Mizuki I | title = Analysis of the cost-effectiveness of using vonoprazan-amoxicillin-clarithromycin triple therapy for first-line Helicobacter pylori eradication | journal = Scandinavian Journal of Gastroenterology | volume = 52 | issue = 2 | pages = 238–241 | date = February 2017 | pmid = 27806639 | doi = 10.1080/00365521.2016.1250157 | s2cid = 25801431 }}
  • {{cite journal | vauthors = Nishida T, Tsujii Y, Okamoto A, Tomita R, Higaki Y, Osugi N, Sugimoto A, Takahashi K, Mukai K, Nakamatsu D, Matsubara T, Hayashi S, Yamamoto M, Nakajima S, Fukui K, Inada M | display-authors = 6 | title = A Triple-Drug Blister-Packaged Drug with Vonoprazan Improves First-Line Eradication of Helicobacter pylori in Elderly Patients: A Retrospective Propensity Score-Matched Cohort Study | journal = Digestion | volume = 101 | issue = 5 | pages = 608–614 | date = 9 July 2019 | pmid = 31288235 | doi = 10.1159/000501608 | name-list-style = vanc | s2cid = 195871882 }}
  • {{cite journal | vauthors = Okubo H, Akiyama J, Kobayakawa M, Kawazoe M, Mishima S, Takasaki Y, Nagata N, Shimada T, Yokoi C, Komori S, Kimura K, Hisada Y, Iwata E, Watanabe K, Yanagisawa N, Shiroma S, Shimomura A, Okahara K, Cho H, Uemura N | display-authors = 6 | title = Vonoprazan-based triple therapy is effective for Helicobacter pylori eradication irrespective of clarithromycin susceptibility | journal = Journal of Gastroenterology | volume = 55 | issue = 11 | pages = 1054–1061 | date = November 2020 | pmid = 32930864 | doi = 10.1007/s00535-020-01723-6 | s2cid = 221674785 }}

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