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NCT Number: NCT06723197

Efficacy of Different Durations of Dual and Quadruple Regimens for Helicobacter Pylori Eradication

The study aimed to compare the efficacy and safety of dual and quadruple regimens with different durations (7-day, 10-day, 14-day) for the eradication of Helicobacter pylori. Subjects were randomized to receive the intervention and were reviewed by 13C-urea breath test after 6 weeks. The eradication rates, adverse reaction rates and patient adherence were calculated.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Qilu Hospital of Shandong University

Jinan, Shandong, 250012, China

Location status: Recruiting

Location contact

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients aged 18-70 years old
  • Patients with H.pylori infection (13C/14C-urea breath test)
  • Patients without previous treatment for H. pylori eradication

Exclusion criteria

  • Patients with serious underlying diseases, such as liver insufficiency (Aspartate aminotransferase or alanine aminotransferase greater than the normal value), renal insufficiency (Cr≥2.0mg/dL or glomerular filtration rate <50 ml/min), immunosuppression, malignant tumors, Coronary heart disease or coronary artery stenosis ≥75%
  • Patients with active gastrointestinal bleeding
  • Patients with a history of upper gastrointestinal surgery
  • Patients allergic to treatment drugs
  • Patients with medication history of bismuth, antibiotics within 4 weeks, or proton pump inhibitor within 2 weeks
  • Patients who are pregnant or lactating or unwilling to take contraceptive measures during the trial
  • Patients with other behaviors that may increase the risk of illness, such as alcohol and drug abuse
  • Patients who are unwilling or incapable to provide informed consents

Treatment and study plan

Vonoprazan+Amoxicillin

Drug

Drug combinations for dual regimens:vonoprazan+amoxicillin

Duration of eradication regimen: 7-day

Other

Duration of eradication regimen: 7-day

vonoprazan+amoxicillin+tetracycline+bismuth

Drug

Drug combinations for quadruple regimens: vonoprazan+amoxicillin+tetracycline+bismuth

Duration of eradication regimen: 10-day

Other

Duration of eradication regimen: 10-day

Duration of eradication regimen: 14-day

Other

Duration of eradication regimen: 14-day

Primary outcomes

  1. Eradication rate

    Time frame: Six weeks after treatment

    13C-urea breath test was used to determine whether eradication was successful. Both intention to treat (ITT) and per-protocol (PP) analyses will be used for the assessment of the eradication rates of Helicobacter pylori infections in the three groups. The ITT analysis includes all randomly assigned patients who take at least one dose of the study medications. The PP analysis is limited to patients who take over 90% of the study medications and complete follow-up.

Secondary outcomes

  1. Rate of adverse reactions

    Time frame: Immediately after treatment

    Drug-related adverse reactions needs to be recorded after treatment

  2. Patient compliance

    Time frame: Immediately after treatment

    The number of missed and overdosed doses of medication needs to be completed after treatment.

Study contacts

Contact information is provided by the study sponsor or research team.

Yanqing Li, Ph.D

CONTACT

[email protected]

+8653188369277

Sponsors and collaborators

Lead sponsor

Shandong University

Other

Collaborators

  • Dezhou Hospital Qilu Hospital of Shandong University
  • Feicheng Municipal People's Hospital
  • Shandong University of Traditional Chinese Medicine
  • The People's Hospital of Jimo.Qingdao
  • Zaozhuang Municipal Hospital
  • Zibo Maternal and Child Health Hospital

Registry information

Official study title

Efficacy of Different Durations of Dual and Quadruple Regimens for Helicobacter Pylori Eradication: a Multicentre, Randomised, Controlled Trial

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Dec 9, 2024
Registry last updated
Dec 11, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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