Clinical Edge

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

Large Prospective Trial Offers Reassurance for Long-term PPI Use

Key clinical point: Aside from a possible increased risk of enteric infections, long-term use of pantoprazole is safe in patients with stable peripheral artery and cardiovascular disease.

Major finding: Enteric infections were 33% more common in the pantoprazole group than in the placebo group.

Study details: 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 relationships with Bayer, Allergan, Takeda, Janssen, and others.


Moayyedi P et al. Gastroenterology. 2019 May 29. doi: 10.1053/j.gastro.2019.05.056.