Tailored Therapy for Clarithromycin-Resistant H. Pylori
Efficacy Comparison of Metronidazole-based Triple and Bismuth-based Quadruple Therapy for Clarithromycin Resistant-Helicobacter Pylori Infection: Randomized Controlled Trial
1 other identifier
interventional
782
1 country
1
Brief Summary
Clarithromycin-resistant H. pylori is the main cause of H. pylori eradication failure. Tailored therapy on the basis of detection of a clarithromycin resistance mutation by PCR has been studied recently, however, there have been few studies comparing treatment regimen in patient with clarithromycin-resistant H. pylori. We used sequencing-based clarithromycin resistance mutation and aimed to compare PAM (proton pump inhibitor, amoxicilline, metronidazole) regimen and PBMT (proton pump inhibitor, bismuth, metronidazole, tetracyclin) regimen in patient with clarithromycin-resistant H. pylori.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2018
Typical duration for not_applicable
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
First Submitted
Initial submission to the registry
January 31, 2018
CompletedFirst Posted
Study publicly available on registry
February 13, 2018
CompletedStudy Start
First participant enrolled
October 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 30, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2020
CompletedSeptember 22, 2025
April 1, 2022
2.1 years
January 31, 2018
September 17, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
H. pylori eradication rate
H. pylori eradication rate
14 days
Study Arms (2)
PAM
ACTIVE COMPARATORtreatment with PPI, metonidazole, amoxicillin
PBMT
ACTIVE COMPARATORtreatment with PPI, metonidazole, bismuth, tetracyclin
Interventions
Eligibility Criteria
You may qualify if:
- peptic ulcer disease
- H. pylori gastritis
- low grade MALT lymphoma
You may not qualify if:
- history of gastric cancer surgery
- severe comorbidity (ESRD, LC)
- hypersensitivity to drug
- pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Kangdong Sacred Heart Hospital
Seoul, 134-701, South Korea
Study Officials
- PRINCIPAL INVESTIGATOR
Woon Geon Shin
Kangdong Sacred Heart Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Woon Geon Shin
Study Record Dates
First Submitted
January 31, 2018
First Posted
February 13, 2018
Study Start
October 1, 2018
Primary Completion
October 30, 2020
Study Completion
December 30, 2020
Last Updated
September 22, 2025
Record last verified: 2022-04
Data Sharing
- IPD Sharing
- Will not share