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Aspirin + pantoprazole is a combination therapy investigated by the Chinese University of Hong Kong to manage patients with peptic ulcer bleeding who require ongoing antiplatelet therapy for cardiovascular or cerebrovascular diseases. Aspirin is a salicylate that acts as a non-selective inhibitor of cyclooxygenase (COX-1 and COX-2) enzymes, providing antiplatelet effects by inhibiting thromboxane A2 synthesis. Pantoprazole is a small molecule proton pump inhibitor (PPI) that covalently binds to the H+/K+-ATPase enzyme in gastric parietal cells, effectively reducing gastric acid secretion. This combination aims to provide the necessary cardioprotection of low-dose aspirin while minimizing the risk of recurrent gastrointestinal bleeding through acid suppression. The specific research context refers to a randomized, placebo-controlled trial (NCT00153725) conducted between 2003 and 2006.
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