Tailored Versus Empiric Therapy for Helicobacter Pylori Treatment

NCT ID: NCT02935010

Last Updated: 2018-08-15

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

PHASE4

Total Enrollment

382 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-05

Study Completion Date

2018-03-31

Brief Summary

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With markedly increased antibiotic resistance and unsatisfactory efficacies of common empiric eradication regimens in the mainland of China, tailored therapy may be the best choice to achieve good efficacy. This study compared the eradication rates, safety, and compliance of antibiotic sensitivity-based tailored therapy compared with empiric bismuth quadruple therapy in the naive patients with Helicobacter pylori infection.

Detailed Description

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Conditions

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Helicobacter Pylori Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Tailored therapy

After antimicrobial susceptibility testing of Helicobacter pylori from biopsy samples, according to antibiotic resistance pattern of each one, give esomeprazole 20mg bid and two sensitive ones of amoxicillin,clarithromycin, metronidazole,and levofloxacin. All regimens will be given for 14 days.

Group Type EXPERIMENTAL

Esomeprazole

Intervention Type DRUG

proton pump inhibitor

Bismuth Potassium Citrate

Intervention Type DRUG

Gastric mucosal protective drug with anti-H. pylori effect

Amoxicillin

Intervention Type DRUG

antibiotic for H. pylori eradication

Clarithromycin

Intervention Type DRUG

antibiotic for H. pylori eradication

Metronidazole

Intervention Type DRUG

antibiotic for H. pylori eradication

Levofloxacin

Intervention Type DRUG

antibiotic for H. pylori eradication

Empiric therapy

give esomeprazole 20mg bid, bismuth potassium citrate 600mg bid, amoxicillin 1000mg tid and metronidazole 400mg tid for 14 days

Group Type ACTIVE_COMPARATOR

Esomeprazole

Intervention Type DRUG

proton pump inhibitor

Bismuth Potassium Citrate

Intervention Type DRUG

Gastric mucosal protective drug with anti-H. pylori effect

Amoxicillin

Intervention Type DRUG

antibiotic for H. pylori eradication

Metronidazole

Intervention Type DRUG

antibiotic for H. pylori eradication

Interventions

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Esomeprazole

proton pump inhibitor

Intervention Type DRUG

Bismuth Potassium Citrate

Gastric mucosal protective drug with anti-H. pylori effect

Intervention Type DRUG

Amoxicillin

antibiotic for H. pylori eradication

Intervention Type DRUG

Clarithromycin

antibiotic for H. pylori eradication

Intervention Type DRUG

Metronidazole

antibiotic for H. pylori eradication

Intervention Type DRUG

Levofloxacin

antibiotic for H. pylori eradication

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants with non-ulcer functional dyspepsia or scarred peptic ulcer disease
* Ability and willingness to participate in the study and to sign and give informed consent
* confirmed H. pylori infection

Exclusion Criteria

* Previous H. pylori eradication therapy
* Less than 18 years old
* With history of H. pylori infection treatment
* With previous gastric surgery
* Major systemic diseases
* Pregnancy or lactation
* Allergy to any of the study drugs
* Administration of antibiotics, bismuth, antisecretory drugs in 8 weeks prior to inclusion
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Hong Lu, MD

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hong Lu, M.D.

Role: STUDY_CHAIR

Renji Hospital, School of Medicine, Shanghai Jiao Tong University

Yunwei Sun, M.D.

Role: PRINCIPAL_INVESTIGATOR

Ruijin Hospital

Hong Gao, M.D.

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Yan Zhao, M.D.

Role: PRINCIPAL_INVESTIGATOR

Shanghai Tenth People's Hospital, Tongji University

Gang Xu, M.D.

Role: PRINCIPAL_INVESTIGATOR

Shanghai General Hospital, Shanghai First People's Hospital, Shanghai Jiao Tong University

Locations

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Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University

Shanghai, Shanghai Municipality, China

Site Status

Shanghai General Hospital, Shanghai First People's Hospital, Shanghai Jiao Tong University

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Tenth People's Hospital, Tongji University

Shanghai, Shanghai Municipality, China

Site Status

Zhongshan Hospital,Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Renji Hospital, School of Medicine, Shanghai Jiao Tong University

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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rjkls2016110

Identifier Type: -

Identifier Source: org_study_id

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