Page last updated: 2024-11-01

omeprazole and Coronary Artery Disease

omeprazole has been researched along with Coronary Artery Disease in 20 studies

Omeprazole: A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS.
omeprazole : A racemate comprising equimolar amounts of (R)- and (S)-omeprazole.
5-methoxy-2-{[(4-methoxy-3,5-dimethylpyridin-2-yl)methyl]sulfinyl}-1H-benzimidazole : A member of the class of benzimidazoles that is 1H-benzimidazole which is substituted by a [4-methoxy-3,5-dimethylpyridin-2-yl)methyl]sulfinyl group at position 2 and a methoxy group at position 5.

Coronary Artery Disease: Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.

Research Excerpts

ExcerptRelevanceReference
"Aspirin is indicated for primary and secondary prevention of cardiovascular diseases (CVD) by major guidelines."8.95Efficacy of aspirin (325 mg) + omeprazole (40 mg) in treating coronary artery disease. ( Bliden, K; Chaudhary, R; Gurbel, PA; Sharma, T; Tantry, U, 2017)
" The aim of this study was to estimate the effects of gastric acid output suppression with rabeprazole on course of angina pectoris and results of the treadmill stress test in patients with CAD."5.11Suppression of gastric acid production may improve the course of angina pectoris and the results of treadmill stress test in patients with coronary artery disease. ( Budzyński, J; Fabisiak, J; Kłopocka, M; Majer, M; Morawski, W; Pulkowski, G; Suppan, K; Swiatkowski, M, 2004)
"Aspirin has been the mainstay for secondary prevention of coronary artery disease to decrease early recurrence and severity of recurrent cardiovascular events."4.95Usefulness of PA32540 in Protecting the Gastric Layer While Providing Secondary Prevention for Coronary Artery Disease. ( Haseeb, S; Kagolanu, D; Lam, P; Munnangi, S; Sayedy, N; Shah, S; Stephenson, K; Viswanathan, P, 2017)
"Aspirin is indicated for primary and secondary prevention of cardiovascular diseases (CVD) by major guidelines."4.95Efficacy of aspirin (325 mg) + omeprazole (40 mg) in treating coronary artery disease. ( Bliden, K; Chaudhary, R; Gurbel, PA; Sharma, T; Tantry, U, 2017)
" If both Clopidogrel and PPI need to be prescribed, a split dosage regimen of PPI in the morning and clopidogrel in the evening can be recommended."2.46[Dilemma between gastroprotection and cardiovascular prevention]. ( Kandulski, A; Malfertheiner, P; Venerito, M, 2010)
"Omeprazole, a PPI, has been reported to weaken the antiplatelet effects of clopidogrel."1.38Effects of PPIs and an H2 blocker on the antiplatelet function of clopidogrel in Japanese patients under dual antiplatelet therapy. ( Horiuchi, H; Ikeda, T; Imai, M; Jinnai, T; Kato, Y; Kimura, T; Makiyama, T; Shirakawa, R; Tada, T; Tazaki, J; Yamane, K, 2012)
"Gastro-esophageal reflux disease (GERD) may cause chest pain."1.33Does gastro-esophageal reflux provoke the myocardial ischemia in patients with CAD? ( Bachórzewska-Gajewska, H; Baniukiewicz, A; Dabrowski, A; Dobrzycki, S; Kamiński, KA; Korecki, J; Musial, WJ; Prokopczuk, P, 2005)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's4 (20.00)29.6817
2010's16 (80.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Kagolanu, D1
Sayedy, N1
Haseeb, S1
Shah, S1
Lam, P1
Munnangi, S1
Viswanathan, P1
Stephenson, K1
Simon, N1
Finzi, J1
Cayla, G1
Montalescot, G1
Collet, JP1
Hulot, JS1
Kruszelnicka, O1
Świerszcz, J1
Bednarek, J1
Chyrchel, B1
Surdacki, A1
Nessler, J1
Furtado, RHM1
Giugliano, RP1
Strunz, CMC1
Filho, CC1
Ramires, JAF1
Filho, RK1
Neto, PAL1
Pereira, AC1
Rocha, TR1
Freire, BT1
D'Amico, EA1
Nicolau, JC1
Sharma, T1
Bliden, K1
Chaudhary, R1
Tantry, U1
Gurbel, PA1
Serebruany, V1
Goto, S1
Sibbing, D1
Morath, T1
Stegherr, J1
Braun, S1
Vogt, W1
Hadamitzky, M1
Schömig, A1
Kastrati, A1
von Beckerath, N1
Neubauer, H1
Engelhardt, A1
Krüger, JC1
Lask, S1
Börgel, J1
Mügge, A1
Endres, HG1
Siriswangvat, S1
Sansanayudh, N1
Nathisuwan, S1
Panomvana, D1
Fan, H1
Zheng, Z1
Feng, W1
Wang, W1
Song, Y1
Lin, Y1
Hu, S1
Bhatt, DL1
Cryer, BL1
Contant, CF1
Cohen, M1
Lanas, A1
Schnitzer, TJ1
Shook, TL1
Lapuerta, P1
Goldsmith, MA1
Laine, L1
Scirica, BM1
Murphy, SA1
Cannon, CP1
Venerito, M1
Kandulski, A1
Malfertheiner, P1
Southworth, MR1
Temple, R1
Hudzik, B1
Szkodzinski, J1
Danikiewicz, A1
Wilczek, K1
Romanowski, W1
Lekston, A1
Polonski, L1
Zubelewicz-Szkodzinska, B1
Juurlink, DN1
Sadek, A1
Ford, AC1
Budzyński, J2
Pulkowski, G2
Suppan, K2
Fabisiak, J2
Majer, M2
Kłopocka, M2
Galus-Pulkowska, B1
Wasielewski, M1
Yamane, K1
Kato, Y1
Tazaki, J1
Tada, T1
Makiyama, T1
Imai, M1
Jinnai, T1
Ikeda, T1
Shirakawa, R1
Kimura, T1
Horiuchi, H1
Swiatkowski, M1
Morawski, W1
Dobrzycki, S1
Baniukiewicz, A1
Korecki, J1
Bachórzewska-Gajewska, H1
Prokopczuk, P1
Musial, WJ1
Kamiński, KA1
Dabrowski, A1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Possible Drug Interaction Between Clopidogrel and Ranitidin or Omeprazole in Patients With Stable Coronary Heart Disease: a Comparative Study[NCT01896557]Phase 492 participants (Actual)Interventional2011-10-31Completed
Clopidogrel and Proton Pump Inhibitors: A Propensity Score Adjusted Cohort Study to Examine a Possible Interaction: A CALIBER Study[NCT01231867]24,471 participants (Actual)Observational2010-12-31Completed
A Randomized, Double-Blind, Double-Dummy, Parallel Group, Phase 3 Efficacy and Safety Study of CGT-2168 Compared With Clopidogrel to Reduce Upper Gastrointestinal Events Including Bleeding and Symptomatic Ulcer Disease[NCT00557921]Phase 35,000 participants (Anticipated)Interventional2007-12-31Terminated (stopped due to Terminated by Sponsor)
The Efficacy and Safety of Proton Pump Inhibitor ( in Patients With Moderate Bleeding Risk and Coronary Artery Disease Undergoing Percutaneous Coronary: A Randomised, Open ,Compared With Control[NCT05820048]Phase 4300 participants (Anticipated)Interventional2023-05-01Not yet recruiting
Pantoprazole Versus Famotidine for the Prevention of Recurrent Peptic Ulcers in Thienopyridine Users - a Double-blind Randomized Controlled Trial[NCT02551744]101 participants (Actual)Interventional2012-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Comparing Platelet Function of Patients on Dual Antiplatelet Therapy With ASA + Clopidogrel, Between the Groups Ranitidin and Omeprazole, After One Week of Randomized Treatment

One week after starting double-blind, double-dummy, randomized therapy with ranitidin or omeprazole on patients treated with DAPT, platelet function will be compared with the method VerifyNow, in P2Y12 Reactivity Units. (NCT01896557)
Timeframe: One week after randomized treatment exposure (omeprazole or ranitidine)

InterventionP2Y12 Reactivity Units (Mean)
Omeprazole173.54
Ranitidine153.61

Comparing Platelet Function of Patients on Dual Antiplatelet Therapy With ASA + Clopidogrel, Between the Groups Ranitidin and Omeprazole, Using VerifyNow Method.

One week after starting double-blind, double-dummy, randomized therapy with ranitidin or omeprazole on patients treated with DAPT, platelet function will be compared with the method VerifyNow, in percent Inhibition of Platelet Aggregation (IPA) from baseline. IPA was calculated as the percent change in aggregability from baseline, with the formula IPA = (on-treatment aggregability minus baseline aggregability)/baseline aggregability. Since baseline aggregation is always, per definition, equal or more than on-treatment aggregation, there is no possibility that this number might be negative. (NCT01896557)
Timeframe: One week after drug exposure (omeprazole/ranitidine); 2 weeks after baseline

InterventionPercentage (Mean)
Omeprazole17.4
Ranitidine30.1

Comparison of the Primary Outcome With Bioimpedance Aggregometry

After 1 week of randomization to ranitidin or omeprazole, the platelet function will also be analysed by other method: bioimpedance aggregometry with ADP 10 mcM as reagent (NCT01896557)
Timeframe: 1 week after drug exposure

InterventionOhms (Mean)
Omeprazole2
Ranitidine2.77

Comparison of the Primary Outcome With PFA-100 (Collagen/ADP Cartridge)

After 1 week of randomization to ranitidin or omeprazole, the platelet function will also be analysed by other method: PFA-100(Collagen/ADP cartridge). (NCT01896557)
Timeframe: 1 week after drug exposure

Interventionseconds (Mean)
Omeprazole95.1
Ranitidine97.2

Number of Participants With Ulcer Recurrence

Follow-up endoscopy was performed at the end of the 6th month (NCT02551744)
Timeframe: six month

Interventionparticipants (Number)
Proton Pump Inhibitor Group1
Histamine-2 Receptor Antagonist Group7

Reviews

3 reviews available for omeprazole and Coronary Artery Disease

ArticleYear
Usefulness of PA32540 in Protecting the Gastric Layer While Providing Secondary Prevention for Coronary Artery Disease.
    The American journal of cardiology, 2017, Oct-01, Volume: 120, Issue:7

    Topics: Administration, Oral; Aspirin; Coronary Artery Disease; Double-Blind Method; Drug Combinations; Gast

2017
Efficacy of aspirin (325 mg) + omeprazole (40 mg) in treating coronary artery disease.
    Expert opinion on pharmacotherapy, 2017, Volume: 18, Issue:1

    Topics: Aspirin; Cardiovascular Diseases; Coronary Artery Disease; Gastrointestinal Diseases; Gastrointestin

2017
[Dilemma between gastroprotection and cardiovascular prevention].
    Deutsche medizinische Wochenschrift (1946), 2010, Volume: 135, Issue:44

    Topics: Alleles; Anti-Inflammatory Agents, Non-Steroidal; Anti-Ulcer Agents; Aryl Hydrocarbon Hydroxylases;

2010

Trials

8 trials available for omeprazole and Coronary Artery Disease

ArticleYear
Omeprazole, pantoprazole, and CYP2C19 effects on clopidogrel pharmacokinetic-pharmacodynamic relationships in stable coronary artery disease patients.
    European journal of clinical pharmacology, 2015, Volume: 71, Issue:9

    Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Adult; Alleles; Clopidogrel; Coronary Artery Disease; Cytoc

2015
Drug Interaction Between Clopidogrel and Ranitidine or Omeprazole in Stable Coronary Artery Disease: A Double-Blind, Double Dummy, Randomized Study.
    American journal of cardiovascular drugs : drugs, devices, and other interventions, 2016, Volume: 16, Issue:4

    Topics: Aged; Blood Platelets; Clopidogrel; Coronary Artery Disease; Double-Blind Method; Drug Interactions;

2016
Pantoprazole does not influence the antiplatelet effect of clopidogrel-a whole blood aggregometry study after coronary stenting.
    Journal of cardiovascular pharmacology, 2010, Volume: 56, Issue:1

    Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Aged; Angioplasty, Balloon, Coronary; Aspirin; Clopidogrel;

2010
Comparison between the effect of omeprazole and rabeprazole on the antiplatelet action of clopidogrel.
    Circulation journal : official journal of the Japanese Circulation Society, 2010, Volume: 74, Issue:10

    Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Adenosine Diphosphate; Aged; Aspirin; Clopidogrel; Coronary

2010
Clopidogrel with or without omeprazole in coronary artery disease.
    The New England journal of medicine, 2010, Nov-11, Volume: 363, Issue:20

    Topics: Aged; Aspirin; Cardiovascular Diseases; Clopidogrel; Coronary Artery Disease; Drug Interactions; Dru

2010
Clopidogrel with or without omeprazole in coronary artery disease.
    The New England journal of medicine, 2010, Nov-11, Volume: 363, Issue:20

    Topics: Aged; Aspirin; Cardiovascular Diseases; Clopidogrel; Coronary Artery Disease; Drug Interactions; Dru

2010
Clopidogrel with or without omeprazole in coronary artery disease.
    The New England journal of medicine, 2010, Nov-11, Volume: 363, Issue:20

    Topics: Aged; Aspirin; Cardiovascular Diseases; Clopidogrel; Coronary Artery Disease; Drug Interactions; Dru

2010
Clopidogrel with or without omeprazole in coronary artery disease.
    The New England journal of medicine, 2010, Nov-11, Volume: 363, Issue:20

    Topics: Aged; Aspirin; Cardiovascular Diseases; Clopidogrel; Coronary Artery Disease; Drug Interactions; Dru

2010
Clopidogrel with or without omeprazole in coronary artery disease.
    The New England journal of medicine, 2010, Nov-11, Volume: 363, Issue:20

    Topics: Aged; Aspirin; Cardiovascular Diseases; Clopidogrel; Coronary Artery Disease; Drug Interactions; Dru

2010
Clopidogrel with or without omeprazole in coronary artery disease.
    The New England journal of medicine, 2010, Nov-11, Volume: 363, Issue:20

    Topics: Aged; Aspirin; Cardiovascular Diseases; Clopidogrel; Coronary Artery Disease; Drug Interactions; Dru

2010
Clopidogrel with or without omeprazole in coronary artery disease.
    The New England journal of medicine, 2010, Nov-11, Volume: 363, Issue:20

    Topics: Aged; Aspirin; Cardiovascular Diseases; Clopidogrel; Coronary Artery Disease; Drug Interactions; Dru

2010
Clopidogrel with or without omeprazole in coronary artery disease.
    The New England journal of medicine, 2010, Nov-11, Volume: 363, Issue:20

    Topics: Aged; Aspirin; Cardiovascular Diseases; Clopidogrel; Coronary Artery Disease; Drug Interactions; Dru

2010
Clopidogrel with or without omeprazole in coronary artery disease.
    The New England journal of medicine, 2010, Nov-11, Volume: 363, Issue:20

    Topics: Aged; Aspirin; Cardiovascular Diseases; Clopidogrel; Coronary Artery Disease; Drug Interactions; Dru

2010
Effect of omeprazole on the concentration of interleukin-6 and transforming growth factor-β1 in patients receiving dual antiplatelet therapy after percutaneous coronary intervention.
    European cytokine network, 2010, Volume: 21, Issue:4

    Topics: Aged; Anti-Ulcer Agents; Aspirin; Biomarkers; Clopidogrel; Coronary Angiography; Coronary Artery Dis

2010
Improvement in health-related quality of life after therapy with omeprazole in patients with coronary artery disease and recurrent angina-like chest pain. A double-blind, placebo-controlled trial of the SF-36 survey.
    Health and quality of life outcomes, 2011, Sep-22, Volume: 9

    Topics: Adult; Aged; Angina Pectoris; Anti-Ulcer Agents; Coronary Angiography; Coronary Artery Disease; Cros

2011
Suppression of gastric acid production may improve the course of angina pectoris and the results of treadmill stress test in patients with coronary artery disease.
    Medical science monitor : international medical journal of experimental and clinical research, 2004, Volume: 10, Issue:9

    Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Angina Pectoris; Anti-Ulcer Agents; Benzimidazoles; Comorbi

2004

Other Studies

9 other studies available for omeprazole and Coronary Artery Disease

ArticleYear
Asymmetric Dimethylarginine versus Proton Pump Inhibitors Usage in Patients with Stable Coronary Artery Disease: A Cross-Sectional Study.
    International journal of molecular sciences, 2016, Apr-15, Volume: 17, Issue:4

    Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Aged; Arginine; Coronary Artery Disease; Cross-Sectional St

2016
Clopidogrel and proton pump inhibitors: gastric protection at expense of vascular benefit?
    Thrombosis and haemostasis, 2009, Volume: 101, Issue:4

    Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Adenosine Diphosphate; Angioplasty, Balloon, Coronary; Aspi

2009
Impact of proton pump inhibitors on the antiplatelet effects of clopidogrel.
    Thrombosis and haemostasis, 2009, Volume: 101, Issue:4

    Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Adenosine Diphosphate; Aged; Angioplasty, Balloon, Coronary

2009
Risk factors and prevention of upper gastrointestinal hemorrhage after a coronary artery bypass grafting operation.
    Surgery today, 2010, Volume: 40, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Confidence Intervals; Coronary Artery Bypass; Coronary Artery Diseas

2010
Interaction of clopidogrel and omeprazole.
    The New England journal of medicine, 2010, Nov-11, Volume: 363, Issue:20

    Topics: Cardiovascular Diseases; Clopidogrel; Coronary Artery Disease; Drug Interactions; Drug Therapy, Comb

2010
Clopidogrel with or without omeprazole in coronary disease.
    The New England journal of medicine, 2011, 02-17, Volume: 364, Issue:7

    Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Cardiovascular Diseases; Chemistry, Pharmaceutical; Clopido

2011
Clopidogrel with or without omeprazole in coronary disease.
    The New England journal of medicine, 2011, 02-17, Volume: 364, Issue:7

    Topics: Clopidogrel; Coronary Artery Disease; Cost-Benefit Analysis; Drug Therapy, Combination; Gastrointest

2011
Effects of PPIs and an H2 blocker on the antiplatelet function of clopidogrel in Japanese patients under dual antiplatelet therapy.
    Journal of atherosclerosis and thrombosis, 2012, Volume: 19, Issue:6

    Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Aged; Asian People; Aspirin; Case-Control Studies; Clopidog

2012
Does gastro-esophageal reflux provoke the myocardial ischemia in patients with CAD?
    International journal of cardiology, 2005, Sep-15, Volume: 104, Issue:1

    Topics: Adult; Aged; Anti-Ulcer Agents; Circadian Rhythm; Coronary Artery Disease; Electrocardiography, Ambu

2005