13-C Urea Breath Test Using BreathID System and PPIs (Proton Pump Inhibitors)
The Effect of High Dose Citric on PPI (Proton Pump Inhibitors)Induced False Negative H. Pylori UBT Rates
1 other identifier
interventional
123
1 country
1
Brief Summary
Approximately 200 patients with suspected H.pylori will be tested with a 13C-Urea Breath Test (UBT) to ascertain H.pylori positive. 100 H.Pylori positive patients will tested before and after prescribed with one of the four selected Proton Pump Inhibitors (PPIs); 25 patients in each arm. This will provide information on the influence of PPIs on the UBT (Urea Breath Test). The aim of the trial is to observe the effect of different PPIs on the breath test and choose the optimal protocol of when to stop PPI. The hypothesis is that there will be a minimal effect on the UBT while using selected PPIs.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Nov 2008
Shorter than P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2008
CompletedFirst Submitted
Initial submission to the registry
January 19, 2009
CompletedFirst Posted
Study publicly available on registry
January 21, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2009
CompletedResults Posted
Study results publicly available
October 7, 2011
CompletedDecember 20, 2022
December 1, 2022
1 year
January 19, 2009
June 19, 2011
December 19, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Urea Breath Test Result (DOB > 5 is Positive)After Different Time Periods From When PPI (Proton Pump Inhibitor) Was Stopped.
Negative value is defined as delta over baseline (DOB) less than 5. The subjects who were positive (DOB\>=5) for H.Pylori and after PPI for 10 days repeated a breath with a negative (DOB\<5) were considered false negatives. The breath test has been cleared by the FDA in a 510(k) and has \> 96% accuracy.
17 days
Study Arms (4)
Lansoprazole (Lanton)
ACTIVE COMPARATORPatients with H.pylori infection will take one tablet a day of 20 mg Lansoprazole for 14 days orally in the morning
Omeprazole (Losec)
ACTIVE COMPARATORPatients with H.pylori infection will take one tablet of 30 mg a day of Omeprazole for 14 days orally in the morning
Pantoprazole (Controloc)
ACTIVE COMPARATORPatients with H.pylori infection will take one tablet a day of 40 mg of Pantoprazole for 14 days orally in the morning
Esomeprazole(Nexium)
ACTIVE COMPARATORPatients with H.pylori infection will take one tablet a day of 20 mg Esomeprazole for 14 days orally on the morning
Interventions
Oral administration of Lanzoprazole for 14 days in 25 patients with H.pylori infection
Oral administration of Omeprazole for 14 days in 25 patients with H.pylori infection
Oral administration of Pantoprazole for 14 days in 25 patients with H.pylori infection
Oral administration of Esomeprazole for 14 days in 25 patients with H.pylori infection
Eligibility Criteria
You may qualify if:
- Adults with H.pylori infection.
You may not qualify if:
- Pregnancy,
- Nursing,
- Antibiotic, bismuth or PPI treatment 2 weeks prior to trial,
- Known sensitivity to Urea or citrica.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Meridian Bioscience, Inc.lead
- Rabin Medical Centercollaborator
Study Sites (1)
Rabin Medical Center
Petah Tikva, 49100, Israel
Related Publications (1)
Shirin H, Frenkel D, Shevah O, Levine A, Bruck R, Moss SF, Niv Y, Avni Y. Effect of proton pump inhibitors on the continuous real time (13)C-urea breath test. Am J Gastroenterol. 2003 Jan;98(1):46-50. doi: 10.1111/j.1572-0241.2003.07187.x.
PMID: 12526935RESULT
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Limitations and Caveats
It was hard to get people to agree to return for multiple tests within a few days, so the enrollment was difficult
Results Point of Contact
- Title
- Dr. Haim Shirin
- Organization
- Sharon Hospital
Study Officials
- PRINCIPAL INVESTIGATOR
Haim Shirin, MD
Sharon Hospital
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 19, 2009
First Posted
January 21, 2009
Study Start
November 1, 2008
Primary Completion
November 1, 2009
Study Completion
November 1, 2009
Last Updated
December 20, 2022
Results First Posted
October 7, 2011
Record last verified: 2022-12