Efficacy and Safety of Vonoprazan as First-line Treatment for Helicobacter Pylori Eradication

NCT ID: NCT04907747

Last Updated: 2021-06-01

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

234 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-18

Study Completion Date

2022-04-13

Brief Summary

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This study aims to evaluate the efficacy of vonoprazan compared with esomeprazole as first-line treatment for Helicobacter Pylori(Hp) eradication, as well as the safety and economic benefits.

Detailed Description

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Vonoprazan, a novel potassium-competitive acid blocker, is proved to be superior to proton pump inhibitor in gastric acid-related diseases such as reflux esophagitis, as the increase of intragastric pH maintains for a longer period. Vonoprazan, therefore, is a promising candidate in helicobacter pylori eradication as the antibiotic resistance is rising.

This study will enroll 234 patients, and randomly assigned by computer to one of the three treatment groups.

Group A: Vonoprazan taken with bismuth, amoxicillin, furazolidone for 10 days Group B: Vonoprazan taken with bismuth, amoxicillin, furazolidone for 14 days Group C: Esomeprazole taken with bismuth, amoxicillin, furazolidone for 14 days Participants will visit the clinic for a follow-up assessment 6-8 weeks after the course of treatments.

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

NONE

Study Groups

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Group A: Vonoprazan taken with bismuth, amoxicillin, furazolidone for 10 days

Vonoprazan 20mg qd, Colloidal bismuth pectin 200mg bid, Amoxicillin 1.0g bid, Furazolidone 0.1g bid for 10days

Group Type EXPERIMENTAL

Vonoprazan

Intervention Type DRUG

Potassium-competitive acid blocker

Colloidal bismuth pectin

Intervention Type DRUG

Gastric mucosal protective drug with anti-H. pylori effect

Amoxicillin

Intervention Type DRUG

Antibiotic for H. pylori eradication

Furazolidone

Intervention Type DRUG

Antibiotic for H. pylori eradication

Group B: Vonoprazan taken with bismuth, amoxicillin, furazolidone for 14 days

Vonoprazan 20mg qd, Colloidal bismuth pectin 200mg bid, Amoxicillin 1.0g bid, Furazolidone 0.1g bid for 14days

Group Type EXPERIMENTAL

Vonoprazan

Intervention Type DRUG

Potassium-competitive acid blocker

Colloidal bismuth pectin

Intervention Type DRUG

Gastric mucosal protective drug with anti-H. pylori effect

Amoxicillin

Intervention Type DRUG

Antibiotic for H. pylori eradication

Furazolidone

Intervention Type DRUG

Antibiotic for H. pylori eradication

Group C: Esomeprazole taken with bismuth, amoxicillin, furazolidone for 14 days

Esomeprazole 20 mg bid, Colloidal bismuth pectin 200mg bid, Amoxicillin 1.0g bid, Furazolidone 0.1g bid for 14days

Group Type ACTIVE_COMPARATOR

Esomeprazole

Intervention Type DRUG

Proton pump inhibitor

Colloidal bismuth pectin

Intervention Type DRUG

Gastric mucosal protective drug with anti-H. pylori effect

Amoxicillin

Intervention Type DRUG

Antibiotic for H. pylori eradication

Furazolidone

Intervention Type DRUG

Antibiotic for H. pylori eradication

Interventions

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Vonoprazan

Potassium-competitive acid blocker

Intervention Type DRUG

Esomeprazole

Proton pump inhibitor

Intervention Type DRUG

Colloidal bismuth pectin

Gastric mucosal protective drug with anti-H. pylori effect

Intervention Type DRUG

Amoxicillin

Antibiotic for H. pylori eradication

Intervention Type DRUG

Furazolidone

Antibiotic for H. pylori eradication

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Helicobacter pylori-positive participants determined by ¹³C-urea breath test, ¹⁴C-urea breath test, HE stain or bacterium culture
2. With no historical treatment for helicobacter pylori infection.

Exclusion Criteria

1. Administration of antibiotics, bismuth in 4 weeks prior to inclusion or antacids including H2 receptor antagonist, proton pump inhibitor and potassium-competitive acid blocker in 2 weeks prior to inclusion
2. Active peptic ulcer with complications such as hemorrhage, perforation, obstruction, cancerization, etc.
3. With previous esophageal or gastric surgery
4. With severe systemic diseases, major organ like heart, lung, brain diseases, liver or kidney insufficiency, malignant tumor or other diseases
5. Allergy to any of the study drugs
6. Pregnancy or in lactation
7. Participated in other research within 3 months,cannot express his/her own ideas correctly or cannot cooperate with the researcher
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Second Affiliated Hospital, School of Medicine, Zhejiang University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Second Affiliated Hospital of Zhejiang University, School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Qin Du, Master

Role: CONTACT

+86 0571-89713734

Facility Contacts

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Qin Du, Master

Role: primary

+86 0571-89713734

References

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Lu L, Wang Y, Ye J, Han Y, Lou G, Li Y, Yan H, Du Q. Quadruple therapy with vonoprazan 20 mg daily as a first-line treatment for Helicobacter pylori infection: A single-center, open-label, noninferiority, randomized controlled trial. Helicobacter. 2023 Feb;28(1):e12940. doi: 10.1111/hel.12940. Epub 2022 Dec 1.

Reference Type DERIVED
PMID: 36458325 (View on PubMed)

Other Identifiers

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2021-0446

Identifier Type: -

Identifier Source: org_study_id

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