Clinical trial

Efficacy of Quadruple Therapy Based on Fecal Molecular Antimicrobial Susceptibility Tests as First-line Treatment for Helicobacter Pylori Infection

Name
2022-1108
Description
This study aims to evaluate the efficacy and safety of 14-day quadruple therapy based on fecal molecular antimicrobial susceptibility tests for the first-line eradication of H. pylori infection, thus, providing more evidence to inform the value of fecal antimicrobial susceptibility tests in the first-line treatment of H. pylori infection.
Trial arms
Trial start
2023-03-01
Estimated PCD
2024-03-01
Trial end
2024-06-30
Status
Recruiting
Phase
Early phase I
Treatment
Rabeprazole
proton-pump inhibitor (PPI)
Arms:
Amoxicillin- and Clarithromycin-based BQT, Antimicrobial susceptibility tests-based BQT, Clarithromycin medication history-based BQT
Colloidal Bismuth Pectin Granules
Gastric mucosal protective drug with anti-H. pylori effect
Arms:
Amoxicillin- and Clarithromycin-based BQT, Antimicrobial susceptibility tests-based BQT, Clarithromycin medication history-based BQT
Amoxicillin
Antibiotic for H. pylori eradication
Arms:
Amoxicillin- and Clarithromycin-based BQT, Antimicrobial susceptibility tests-based BQT, Clarithromycin medication history-based BQT
Furazolidone
Antibiotic for H. pylori eradication
Arms:
Antimicrobial susceptibility tests-based BQT, Clarithromycin medication history-based BQT
Clarithromycin
Antibiotic for H. pylori eradication
Arms:
Amoxicillin- and Clarithromycin-based BQT, Antimicrobial susceptibility tests-based BQT, Clarithromycin medication history-based BQT
Size
855
Primary endpoint
Helicobacter pylori Eradication Rate
Six to eight weeks after completion of the medication
Eligibility criteria
Inclusion Criteria: Participants enrolled should meet the following criteria: (1) Participants aged 18-65 with no history of eradication treatment; (2) diagnosed as H. pylori infection by one or more of the following methodologies: gastric biopsy using histochemical staining, tissue culture, the 14C-urea breath test (UBT), the 13C-UBT, and/or fecal antigen; (3) were requested to undergo an endoscopy before the eradication treatment if they have alarm symptoms, a family history of gastric cancer or age over 40 years old without undergoing an endoscopy before; and (4) voluntarily participated in the clinical trial and have signed the informed consent. Exclusion Criteria: Potential participants will be screened on the following exclusion criteria: (1) Participants had a history of using antibiotics or bismuth within four weeks or acid inhibitor (including H2 receptor antagonist (H2RA), proton-pump inhibitor (PPI) or potassium-competitive acid blocker (P-CAB)) within two weeks before inclusion; (2) had an active peptic ulcer with complications such as hemorrhage, perforation, or obstruction; (3) had a history of esophagectomy or gastrectomy; (4) had an allergy to any study drug; (5) were pregnant or breastfeeding; (6) had a history of alcohol abuse or drug addiction; (7) existence of mental illness; or (8) without self-judgment ability.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE4'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 855, 'type': 'ESTIMATED'}}
Updated at
2023-05-15

1 organization

5 products

1 indication