Comparison of 7-day PPI-based Standard Triple Therapy and 10-day Bismuth Quadruple Therapy for H. Pylori Eradication
Comparison of 7-day Proton Pump Inhibitor (PPI)-Clarithromycin Containing Triple Therapy and 10-day Bismuth Quadruple Therapy for Helicobacter Eradication as First-line Regimen: Randomized Controlled Trial
1 other identifier
interventional
352
1 country
1
Brief Summary
In this randomized controlled trial, we investigate the effect of 10-day bismuth quadruple therapy in comparison with that of 7-day PPI-based standard triple as 1st line treatment for H. pylori.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Sep 2015
Typical duration for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2015
CompletedFirst Submitted
Initial submission to the registry
September 21, 2015
CompletedFirst Posted
Study publicly available on registry
September 23, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
September 28, 2019
CompletedApril 8, 2020
April 1, 2020
3.3 years
September 21, 2015
April 7, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
H. pylori eradication rate
8 weeks after H. pylori treatment
Secondary Outcomes (5)
Complications of H. pylori treatment
1 month after H. pylori treatment
Compliance to H. pylori treatment
1 month
H. pylori infection status at 1 year after H. pylori treatment
1 year after H. pylori treatment
H. pylori reinfection rate
3 years after success of H. pylori eradication
Factors associated with H. pylori reinfection
3 years after success of H. pylori treatment
Study Arms (2)
Standard triple therapy
ACTIVE COMPARATOR7 day-PPI based standard triple therapy
Bismuth quadruple therapy
ACTIVE COMPARATOR10 day-bismuth quadruple therapy
Interventions
Lansoprazole 30mg, 2 times a day + Clarithromycin 500mg, 2 times a day + Amoxicillin 1000mg, 2 times a day for 7 days
Lansoprazole 30mg, 2 times a day + Bismuth 300mg, 4 times a day + Tetracycline 500mg, 4 times a day + Metronidazole 500mg, 3 times a day for 10 days
Eligibility Criteria
You may qualify if:
- Men and women aged 18 or more including following conditions
- Family history of gastric cancer
- Post endoscopic resection status for early gastric cancer or adenoma
- Peptic ulcer disease (benign gastric ulcer and duodenal ulcer)
- Chronic gastritis
- Non-ulcer dyspepsia
- Healthy adults who want to receive H. pylori treatment
- H. pylori positive by urea breath test, histology, or rapid urease test
You may not qualify if:
- History of H. pylori eradication therapy
- History of stomach operation
- Other organ cancer within 5 years
- Liver cirrhosis or Hepatic insufficiency
- Renal insufficiency
- Current treatment for serious medical condition which may hinder participation
- Contraindication or allergy history for H. pylori treatment regimens
- Mental incompetence to understand and sign informed consent
- Incompatible conditions to be included into the trial by investigators' decision
- Inability to provide an informed consent
- History of treatment for peptic ulcer disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
National Cancer Center
Goyang-si, Gyeonggi-do, 10408, South Korea
Related Publications (1)
Kim YI, Lee JY, Kim CG, Park B, Park JY, Choi IJ. Ten-day bismuth-containing quadruple therapy versus 7-day proton pump inhibitor-clarithromycin containing triple therapy as first-line empirical therapy for the Helicobacter pylori infection in Korea: a randomized open-label trial. BMC Gastroenterol. 2021 Mar 2;21(1):95. doi: 10.1186/s12876-021-01680-1.
PMID: 33653284DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Il Ju Choi, M.D., Ph.D.
National Cancer Center, Korea
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Department of gastroenterology, Center for Gastric Cancer
Study Record Dates
First Submitted
September 21, 2015
First Posted
September 23, 2015
Study Start
September 1, 2015
Primary Completion
December 1, 2018
Study Completion
September 28, 2019
Last Updated
April 8, 2020
Record last verified: 2020-04