Omeprazole (Prilosec, Losec, Zegerid)

Other Medications · Approved since 1989

US FDA Approved EU EMA Approved ES Funded by SNS other indication Oral 4 Clinical Trials
H+/K+-ATPase proton pump

Description

Omeprazole is a proton pump inhibitor (PPI) that reduces gastric acid production and is used as supportive care in colorectal cancer treatment. In the CRC setting, it serves primarily to prevent gastrointestinal toxicity from chemotherapy regimens, particularly oxaliplatin-induced complications, and to reduce gastric irritation when patients receive concurrent NSAIDs or aspirin for cancer prevention. Clinical applications include gastroprotection during aggressive chemotherapy protocols and as part of combination prevention strategies with low-dose aspirin.

Mechanism of Action

Omeprazole irreversibly binds to and inhibits the hydrogen-potassium ATPase enzyme (proton pump) located in gastric parietal cells. This action blocks the final step of gastric acid secretion, significantly reducing stomach acid production and creating a less acidic environment that protects the gastrointestinal tract from chemotherapy-related damage.

Molecular Targets

Side Effects

Headache Nausea Diarrhea Abdominal pain Constipation Flatulence Dizziness Hypomagnesemia with long-term use

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT06378398 Early Phase 1
Archived
A Trial of Omeprazole and Low Dose Aspirin to Identify Colorectal Biomarkers of Preventive Efficacy
United States
NCT05680870 Phase 3
Completed
The Possible Protective Role of Omeprazole Against Oxaliplatin Induced Neuropathy in Cancer Patients
Egypt
NCT02518373 Phase 2
Archived
Effect of G17DT in Patients With Stage II/III Colorectal Cancer
NCT00473980 Phase 4
Archived
Preoperative Non-steroidal Anti-inflammatory Drugs(NSAID) to Colorectal Cancer Patients
Sweden