Comparison of Two Dual Therapies in the First-line Treatment of Helicobacter Pylori Infection (SHARE2301)

NCT ID: NCT05870683

Last Updated: 2023-07-11

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

NA

Total Enrollment

368 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-24

Study Completion Date

2023-12-30

Brief Summary

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Helicobacter pylori (H. pylori) infection is a common global infectious disease of the gastrointestinal tract. Helicobacter pylori eradication can effectively prevent the development of stomach cancer. Progressive application of dual therapy for the eradication of Helicobacter pylori. Tegoprazan, a Potassium-Competitive Acid Blockers. The efficacy of P-CAB agents represented by vonoprazan in H. pylori eradication therapy has been widely verified.

Detailed Description

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In 1989, it was suggested that amoxicillin combined with PPI could eradicate Hp infection, and in 2015, a prospective, multicenter, randomized controlled study in Taiwan with a large sample showed that the eradication rate of Hp could reach 96.6% with dual therapy for primary treatment of Hp infection, and the results of intention-to-treat analysis were as high as 95.3%. 95.3%. In 2020, a meta-analysis showed that high-dose dual therapy had the same efficacy and fewer side effects than other recommended regimens in first-line treatment. In terms of dosing days, multiple randomized controlled studies and meta-analyses from 2020-2021 have shown that 14 days of high-dose dual therapy is more effective in eradicating H. pylori.

Tegoprazan, a Potassium-Competitive Acid Blockers (P-CAB), is a new type of acid-suppressing drug that compensates for the short half-life of acid-activated traditional acid-suppressing PPI and the low mucosal healing rate due to insufficient acid suppression. The efficacy of P-CAB agents represented by vonoprazan in H. pylori eradication therapy has been widely verified. 2022, tegoprazan was approved by the State Drug Administration for the new indication of eradication of H. pylori infection in adults in combination with appropriate antimicrobial therapy, and its efficacy in clinical application has not yet been verified.

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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14-day Tegoprazan-Amoxicillin dual therapy

14-day Tegoprazan-Amoxicillin dual therapy, Tegoprazan(Luo Xin Pharmaceutical Group Co. LTD)50mg bid, Amoxicillin (Amoxicillin, United Laboratories Co. LTD) 750mg qid

Group Type EXPERIMENTAL

Tegoprazan

Intervention Type DRUG

Included in dual eradication medication.

Amoxicillin

Intervention Type DRUG

Included in dual eradication medication.

14-day Esomeprazole-Amoxicillin dual therapy

14-day Esomeprazole-Amoxicillin dual therapy, Esomeprazole(Astrazeneca Pharmaceutical Co., LTD.) 20mg qid, Amoxicillin (Amoxicillin, United Laboratories Co. LTD) 750mg qid

Group Type ACTIVE_COMPARATOR

Amoxicillin

Intervention Type DRUG

Included in dual eradication medication.

Esomeprazole

Intervention Type DRUG

Included in dual eradication medication.

Interventions

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Tegoprazan

Included in dual eradication medication.

Intervention Type DRUG

Amoxicillin

Included in dual eradication medication.

Intervention Type DRUG

Esomeprazole

Included in dual eradication medication.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Helicobacter pylori infection (either positive for histopathological test, rapid urease test, or C13/C14 urea breath test).
* Patients who have not previously received helicobacter pylori eradication therapy.

Exclusion Criteria

* Serious underlying diseases, such as liver insufficiency, renal insufficiency, immunosuppression, malignant tumor, coronary heart disease (angina pectoris or coronary artery stenosis ≥ 75%).
* Those who are not willing to take contraceptive measures during pregnancy, lactation or the trial.
* Active gastrointestinal bleeding.
* History of drug allergy.
* History of upper gastrointestinal surgery.
* Medication history of bismuth, antibiotics and PPI within 4 weeks.
* Other behaviors that may increase the risk, such as alcohol and drug abuse.
* Unable or unwilling to provide informed consent.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Linyi People's Hospital

OTHER

Sponsor Role collaborator

Weifang Medical University

OTHER

Sponsor Role collaborator

Zhengzhou Central Hospital

OTHER

Sponsor Role collaborator

Yuncheng Traditional Chinese Medicine Hospital

OTHER

Sponsor Role collaborator

The Affiliated Hospital of Qingdao University

OTHER

Sponsor Role collaborator

The People's Hospital of Jimo

UNKNOWN

Sponsor Role collaborator

Shandong University of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Yanqing Li

OTHER

Sponsor Role lead

Responsible Party

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Yanqing Li

Vice-President

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Yanqing Li

Role: STUDY_CHAIR

Qilu Hospital of Shandong University

Locations

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Department of Gastroenterology, Qilu Hospital, Shandong University

Jinan, Shandong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yanqing Li, MD

Role: CONTACT

18560086667

Facility Contacts

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Yanqing Li, PhD. MD.

Role: primary

18678827666

References

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Malfertheiner P, Megraud F, O'Morain CA, Gisbert JP, Kuipers EJ, Axon AT, Bazzoli F, Gasbarrini A, Atherton J, Graham DY, Hunt R, Moayyedi P, Rokkas T, Rugge M, Selgrad M, Suerbaum S, Sugano K, El-Omar EM; European Helicobacter and Microbiota Study Group and Consensus panel. Management of Helicobacter pylori infection-the Maastricht V/Florence Consensus Report. Gut. 2017 Jan;66(1):6-30. doi: 10.1136/gutjnl-2016-312288. Epub 2016 Oct 5.

Reference Type RESULT
PMID: 27707777 (View on PubMed)

Kong Q, Mirza IA, Zhang X, Song X, Li X, Zhang Q, Xu L, Guo Y, Yu Y, Zuo X, Li Y, Li Y. Fourteen-Day Tegoprazan-Amoxicillin Dual Therapy as the First-Line Treatment of Helicobacter pylori Infection (SHARE2301): A Multicenter, Noninferiority, Randomized Clinical Trial. Helicobacter. 2024 May-Jun;29(3):e13098. doi: 10.1111/hel.13098.

Reference Type DERIVED
PMID: 38853394 (View on PubMed)

Other Identifiers

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SHARE2301

Identifier Type: -

Identifier Source: org_study_id

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