Personalized Treatment for Refractory H Pylori Infection

NCT ID: NCT02547025

Last Updated: 2023-10-26

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

NA

Total Enrollment

126 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-01

Study Completion Date

2021-10-31

Brief Summary

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In this study, the investigators develop a personalized treatment according to culture-guided antibiotics plus high-dose proton-pump inhibitor and bismuth to treat refractory H pylori infection.

Detailed Description

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They are categorized into three groups: (1) patients who have positive result of culture with equal to or more than three susceptible antibiotics are treated by non-bismuth quadruple therapy (rabeprazole 20 mg q.d.s. and three effective antibiotics), (2) patients who have positive result of culture with one or two susceptible antibiotics are treated by bismuth-containing therapy (rabeprazole 20 mg q.d.s., bismuth subcitrate 120 mg q.d.s. and all the effective antibiotics), and (3) patients who have negative result of culture or whose culture data are unavailable will be treated by (rabeprazole 20 mg q.d.s, amoxicillin 500 mg q.d.s., tetracycline 500 mg q.d.s. and levofloxacin 500 mg o.d.) for 14 days.

Conditions

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Helicobacter Pylori Infection

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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rabeprazole+3 antibiotics

patients who have positive result of culture with equal to or more than three susceptible antibiotics are treated by non-bismuth quadruple therapy (rabeprazole 20 mg q.d.s. and three effective antibiotics) for 14 days

Group Type EXPERIMENTAL

rabeprazole+3 antibiotics

Intervention Type DRUG

(rabeprazole 20 mg q.d.s. and three effective antibiotics) for 14 days.

rabeprazole+bismuth+2 antibiotics

patients who have positive result of culture with one or two susceptible antibiotics are treated by bismuth-containing therapy (rabeprazole 20 mg q.d.s., bismuth subcitrate 120 mg q.d.s. and all the effective antibiotics) for 14 days

Group Type EXPERIMENTAL

rabeprazole+bismuth+2 antibiotics

Intervention Type DRUG

(rabeprazole 20 mg q.d.s., bismuth subcitrate 120 mg q.d.s. and all the effective antibiotics) for 14 days.

rabeprazole+amox+tetr+levo

patients who have negative result of culture or whose culture data are unavailable will be treated by (rabeprazole 20 mg q.d.s, amoxicillin 500 mg q.d.s., tetracycline 500 mg q.d.s. and levofloxacin 500 mg o.d.) for 14 days

Group Type ACTIVE_COMPARATOR

rabeprazole+amox+tetr+levo

Intervention Type DRUG

(rabeprazole 20 mg q.d.s, amoxicillin 500 mg q.d.s., tetracycline 500 mg q.d.s. and levofloxacin 500 mg o.d.) for 14 days.

Interventions

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rabeprazole+3 antibiotics

(rabeprazole 20 mg q.d.s. and three effective antibiotics) for 14 days.

Intervention Type DRUG

rabeprazole+bismuth+2 antibiotics

(rabeprazole 20 mg q.d.s., bismuth subcitrate 120 mg q.d.s. and all the effective antibiotics) for 14 days.

Intervention Type DRUG

rabeprazole+amox+tetr+levo

(rabeprazole 20 mg q.d.s, amoxicillin 500 mg q.d.s., tetracycline 500 mg q.d.s. and levofloxacin 500 mg o.d.) for 14 days.

Intervention Type DRUG

Other Intervention Names

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rabeprazole 20 mg amoxicillin 1g clarithromycin 500mg metrondazole 250mg tetracycline 500mg levofloxacin 500mg rabeprazole 20 mg bismuth subcitrate 120 mg amoxicillin 1g clarithromycin 500mg metrondazole 250mg tetracycline 500mg levofloxacin 500mg rabeprazole 20 mg bismuth subcitrate 120 mg tetracycline 500mg levofloxacin 500mg

Eligibility Criteria

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Inclusion Criteria

H pylori-infected adult patients with at least two previous failed eradication attempts will be enrolled in this study after giving informed consent.

* positive results of both rapid urease test and histology,
* a positive result of Urea breath test,
* or a positive result of culture

Exclusion Criteria

* ingestion of antibiotics, bismuth, or proton-pump inhibitor within the prior 4 weeks,
* patients with allergic history to the medications used,
* patients with previous gastric surgery,
* the coexistence of serious concomitant illness (for example, decompensated liver cirrhosis, uremia),
* pregnant women.
Minimum Eligible Age

20 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kaohsiung Medical University Chung-Ho Memorial Hospital

OTHER

Sponsor Role collaborator

Kaohsiung Veterans General Hospital.

OTHER

Sponsor Role lead

Responsible Party

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Ping-I (William) Hsu, M.D.

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ping-I Hsu, Bachelor

Role: STUDY_CHAIR

Kaohsiung Veterans General Hospital.

Locations

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Kaohsiung Veterans General Hospital

Kaohsiung City, , Taiwan

Site Status

Countries

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Taiwan

References

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Other Identifiers

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VGHKS13-CT12-17

Identifier Type: -

Identifier Source: org_study_id

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