Efficacy of TAK-438, Amoxicillin and Clarithromycin in the First Line Eradication of H. Pylori

NCT ID: NCT01505127

Last Updated: 2013-11-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

650 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-31

Study Completion Date

2013-06-30

Brief Summary

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The purpose of this study is to confirm the efficacy of triple therapy with TAK-438, Amoxicillin and Clarithromycin, twice daily (BID) by demonstrating its non-inferiority to triple therapy with Lansoprazole, Amoxicillin and Clarithromycin in H. pylori-positive patients with scarred gastric or duodenal ulcers.

Detailed Description

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Conditions

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H. Pylori Infection

Keywords

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Drug Therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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TAK-438 20 mg BID

TAK-438 20 mg, tablets, orally, twice daily for 1 week

Lansoprazole placebo-matching capsules, orally, twice daily for 1 week

Amoxicillin 750 mg, capsules, orally, twice daily for 1 week

Clarithromycin 200 or 400 mg, tablets, orally, twice daily for 1 week

Group Type EXPERIMENTAL

TAK-438

Intervention Type DRUG

Amoxicillin

Intervention Type DRUG

Clarithromycin

Intervention Type DRUG

Lansoprazole 30 mg BID

TAK-438 placebo-matching tablets, orally, twice daily for 1 week

Lansoprazole 30 mg, capsules, orally, twice daily for 1 week

Amoxicillin 750 mg, capsules, orally, twice daily for 1 week

Clarithromycin 200 or 400 mg, tablets, orally, twice daily for 1 week

Group Type EXPERIMENTAL

Lansoprazole

Intervention Type DRUG

Amoxicillin

Intervention Type DRUG

Clarithromycin

Intervention Type DRUG

Interventions

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TAK-438

Intervention Type DRUG

Lansoprazole

Intervention Type DRUG

Amoxicillin

Intervention Type DRUG

Clarithromycin

Intervention Type DRUG

Other Intervention Names

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AG-1749

Eligibility Criteria

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Inclusion Criteria

1. Participants must be H. pylori-positive patients at baseline (Visit 1)
2. Participants must be endoscopically confirmed to have scarred gastric ulcer or duodenal ulcer at baseline (Visit 1).

However, if a history of ulcers is confirmed by the medical interview or previous medical record, Participants whose gastric ulcer scar or duodenal ulcer scar has disappeared may be included in the study.
3. Outpatient (including inpatient for examination)

Exclusion Criteria

1. Participants who have received H.pylori eradication treatment
2. Participants who have either acute upper gastrointestinal bleeding, gastric ulcer \[mucosal defect (with white coating including clot adherence) of 3 mm or larger in size\], duodenal ulcer \[mucosal defect (with white coating including clot adherence) of 3 mm or larger in size\], acute gastric mucosal lesion (AGML), or acute duodenal mucosal lesion (ADML) on endoscopic examination at baseline (Visit 1).

However, participants with gastric erosion or duodenal erosion may be included in the study.
3. Participants who have received or who are scheduled to undergo surgery which affects gastric acid secretion (ex, resection of upper gastrointestinal tract, vagotomy, etc)
4. Participants who cannot be treated with medicinal treatment (ex, perforation, pyloric stenosis or large hemorrhage, etc)
5. Participants with a previous or current history of Zollinger-Ellison syndrome, or other gastric acid hypersecretion disorders
6. Participants with hepatic or renal impairment receiving treatment with colchicines
7. Participants who have a history of hypersensitivity or allergy to TAK-438 (including its excipients), PPIs, penicillin antibiotics, macrolide antibiotics, or antitrichomonal agents
8. Participants with infectious mononucleosis
9. Participants with an organic disease of the brain or spinal cord
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Senior Manager

Role: STUDY_DIRECTOR

Takeda

Locations

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Abiko-shi, Chiba, Japan

Site Status

Kashiwa-shi, Chiba, Japan

Site Status

Fukui-shi, Fukui, Japan

Site Status

Fukuoka, Fukuoka, Japan

Site Status

Ishikari-shi, Hokkaido, Japan

Site Status

Sapporo, Hokkaido, Japan

Site Status

Kobe, Hyōgo, Japan

Site Status

Nishinomiya-shi, Hyōgo, Japan

Site Status

Marugame-shi, Kagawa-ken, Japan

Site Status

Takamatsu, Kagawa-ken, Japan

Site Status

Kagoshima, Kagoshima-ken, Japan

Site Status

Ebina-shi, Kanagawa, Japan

Site Status

Yokohama, Kanagawa, Japan

Site Status

Yatsushiro-shi, Kumamoto, Japan

Site Status

Kyoto, Kyoto, Japan

Site Status

Ōita, Oita Prefecture, Japan

Site Status

Hirakata-shi, Osaka, Japan

Site Status

Osaka, Osaka, Japan

Site Status

Sakai-shi, Osaka, Japan

Site Status

Suita-shi, Osaka, Japan

Site Status

Takatsuki-shi, Osaka, Japan

Site Status

Toyonaka-shi, Osaka, Japan

Site Status

Saga, Saga-ken, Japan

Site Status

Kumagaya-shi, Saitama, Japan

Site Status

Tokorozawa-shi, Saitama, Japan

Site Status

Shizuoka, Shizuoka, Japan

Site Status

Adachi-ku, Tokyo, Japan

Site Status

Chiyoda-ku, Tokyo, Japan

Site Status

Hachioji-shi, Tokyo, Japan

Site Status

Kokubunji-shi, Tokyo, Japan

Site Status

Nishi-Tokyo-shi, Tokyo, Japan

Site Status

Oota-ku, Tokyo, Japan

Site Status

Ōta-ku, Tokyo, Japan

Site Status

Setagaya-ku, Tokyo, Japan

Site Status

Shibuya-ku, Tokyo, Japan

Site Status

Countries

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Japan

References

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Murakami K, Sakurai Y, Shiino M, Funao N, Nishimura A, Asaka M. Vonoprazan, a novel potassium-competitive acid blocker, as a component of first-line and second-line triple therapy for Helicobacter pylori eradication: a phase III, randomised, double-blind study. Gut. 2016 Sep;65(9):1439-46. doi: 10.1136/gutjnl-2015-311304. Epub 2016 Mar 2.

Reference Type DERIVED
PMID: 26935876 (View on PubMed)

Other Identifiers

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U1111-1126-5073

Identifier Type: REGISTRY

Identifier Source: secondary_id

JapicCTI-111722

Identifier Type: REGISTRY

Identifier Source: secondary_id

TAK-438/CCT-401

Identifier Type: -

Identifier Source: org_study_id