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NCT Number: NCT05014334

Study on The Efficacy and Safety of Berberine-containing Triple Therapy in Helicobacter Pylori First-Line Eradication

The purpose of this study is to assess the efficacy and safety of berberine, amoxicillin and vonoprazan containing triple therapy in Helicobacter Pylori first-line eradication. It is hypothesized that berberine hydrochloride, amoxicillin and vonoprazan triple therapy is non-inferior to bismuth-containing quadruple therapy or vonoprazan -containing quadruple therapy. Patients diagnosed with H. pylori infection will be randomly divided into one of the above treatments. At week 6 follow-up visits, a urea breath test,rapid urease test or helicobacter pylori stool antigen test will be performed to confirm eradication.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Xijing Hosipital of Digestive Disease

Xi'an, Shaanxi, 710032, China

About this study

The study will include three phases: screening, treatment and follow-up. Screening: this phase will last a maximum of 14 days and subjects eligibility will be evaluated after signing informed consent. One of urea breath test,rapid urease test or helicobacter pylori stool antigen test will be performed in addition to the baseline routine evaluations.

Treatment: Subjects are randomly assigned to treatment and will be treated for 14 days. A randomization visit will take place on Day 0 and an end-of-treatment visit will take place between day 13 and 17.

Follow-up: includes one visits. Approximately 28 days after the end of treatment. Eradication of H. Pylori will be confirmed by one of urea breath test,rapid urease test or helicobacter pylori stool antigen test.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Age between 18~70,both gender.
  • Patients with upper gastrointestinal symptoms and with documented H.pylori infection who did not receive Helicobacter pylori eradication treatment;
  • Patients are willing to receive eradication treatment.
  • Women of childbearing age were required to use medically acceptable contraceptive methods during and 30 days after the trial.

Exclusion criteria

  • Patients are excluded if they have previously used antibiotics to eradicate adequately recorded infection with H. pylori.
  • Patients with contraindications or allergies to the study drug.
  • Severe organ damage and complications (such as liver cirrhosis, uremia, etc.), severe or unstable cardiopulmonary or endocrine diseases.
  • Constant use of anti-ulcer drugs ( including taking proton-pump.inhibitors(PPI) within 2 weeks before the [13C] urea breath test),antibiotics or bismuth complexes (more than 3 times /1 month before screening).
  • Patients were diagnosed with gastroduodenal ulcer and MALTlymphoma.
  • Pregnant or lactating women.
  • Underwent upper gastrointestinal Surgery.
  • Patients with moderate to severe dysplasia or high degree of intraepithelial neoplasia.
  • Patients have symptom of dysphagia.
  • Evidence of bleeding or iron efficiency anemia.
  • A history of malignancy.
  • Drug or alcohol abuse history in the past 1 year.
  • Systemic use of corticosteroids, non steroidal anti-inflammatory drugs,anticoagulants, platelet aggregation inhibitors (except the use of aspirin for less than 100 mg/d).
  • Patients who has psychological problem or poor compliance.
  • Enrolled in other clinical trials in the past 3 months.
  • Refuse to sign informed consent.

Treatment and study plan

Berberine

Drug

berberine 500 mg, twice daily for 14 days

Vonoprazan

Drug

Vonoprazan 20 mg, twice daily for 14 days

Amoxicillin

Drug

amoxicillin 1000mg, twice daily for 14 days.

rabeprazole

Drug

Rabeprazole 10mg, twice daily for 14 days.

Bismuth

Drug

Bismuth 220mg, twice daily for 14 days.

Clarithromycin

Drug

clarithromy 500mg, twice daily for 14 days.

Primary outcomes

  1. H pylori eradication rates

    Time frame: 28 days after treatment

    The primary end point of this study is H.pylori eradication,established by negative urea breath test,rapid urease test or helicobacter pylori stool antigen test 28 days after the end of treatment.

Secondary outcomes

  1. symptoms effective rate

    Time frame: 14 days of treatment, and 28 days after treatment

    Evaluation effective rate of symptoms 2 weeks of treatment and 4 weeks after the end of treatment.

    Symptom effective rate =(total score before treatment - total score after treatment)/total score before treatment x 100%.

    Total score = frequency + severity.

    Frequency score is calculated by all the frequency of heartburn, reflux, abdominal pain, and flatulence.

    Severity is accumulated by the degree of symptoms described above, which is divided to 4 degree as 0 presenting none, and 3 presenting most severe

  2. adverse events

    Time frame: 14 days of treatment, and 28 days after treatment

    Participants with Adverse Events as a Measure of Safety and Tolerability.The common side effects of the study include headache, dizziness, skin rash, other gastrointestinal disorders, pyrexia, cough and back pain.

Sponsors and collaborators

Lead sponsor

Xijing Hospital of Digestive Diseases

Other

Registry information

Official study title

Study on The Efficacy and Safety of Berberine,Amoxicillin and Vonoprazan Containing Triple Therapy in Helicobacter Pylori First-Line Eradication

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Aug 20, 2021
Registry last updated
Jan 31, 2023

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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