NCIt definition : The fumarate salt form of vonoprazan, a pyrrole derivative and reversible potassium-competitive
acid blocker (P-CAB), with potential antacid activity. Upon administration, vonoprazan
specifically and competitively binds to the gastric hydrogen-potassium ATPase (H /K
ATPase) proton pump at or, more likely, near its potassium ion (K ) binding site and
sterically inhibits K binding. This blocks the activation of the H /K ATPase by
K , inhibits the proton pump and prevents gastric acid secretion, thereby lowering
gastric acid levels.;