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Zastaprazan (JP-1366) is a novel, orally administered small molecule drug classified as a potassium-competitive acid blocker (P-CAB). It acts by selectively and potently inhibiting the gastric H+/K+-ATPase enzyme in parietal cells of the stomach, thereby suppressing gastric acid secretion. This mechanism is distinct from traditional proton pump inhibitors and results in rapid and sustained acid suppression. Zastaprazan has demonstrated superior efficacy compared to other P-CABs such as TAK-438 in preclinical models of gastroesophageal reflux disease (GERD), erosive esophagitis, and gastric/peptic ulcers. The drug was developed by Onconic Therapeutics and is approved for erosive esophagitis in South Korea as of 2024. It has also reached phase III clinical trials for indications including gastric ulcer and peptic ulcer[1][2][5][6][8].
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