NCT05419674

Brief Summary

This study aims to evaluate the efficacy of dual therapy compared with bismuth-containing quadruple therapy as first-line treatment for Helicobacter Pylori eradication, as well as the safety and economic benefits.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
393

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Aug 2022

Shorter than P25 for phase_4

Geographic Reach
1 country

1 active site

Status
unknown

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

First Submitted

Initial submission to the registry

June 10, 2022

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 15, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

August 1, 2022

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2023

Completed
Last Updated

February 16, 2023

Status Verified

June 1, 2022

Enrollment Period

1 year

First QC Date

June 10, 2022

Last Update Submit

February 14, 2023

Conditions

Keywords

dual therapybismuth-containing quadruple therapyHelicobacter Pylori

Outcome Measures

Primary Outcomes (1)

  • Helicobacter pylori Eradication Rate

    Helicobacter pylori Eradication will be determined by ¹³C-urea breath test six to eight weeks after completion of the medication. The eradication rates will be evaluated by intention-to-treat (ITT) and per-protocol (PP) analysis.

    Six to eight weeks after completion of the medication

Secondary Outcomes (2)

  • Rate of Adverse Drug Reaction(ADR)

    Within 7 days after completion of therapy

  • Compliance Rate

    Within 7 days after completion of therapy

Study Arms (3)

groupA: dual therapy (vonoprazan+amoxicillin)

EXPERIMENTAL

vonoprazan 20mg bid and amoxicillin 1000mg tid for 10 days

Drug: VonoprazanDrug: Amoxicillin

group B: dual therapy (rabeprazole+amoxicillin)

EXPERIMENTAL

rabeprazole 10mg tid and amoxicillin 1000mg tid for 10 days

Drug: RabeprazoleDrug: Amoxicillin

group C: bismuth-containing quadruple therapy

ACTIVE COMPARATOR

rabeprazole 10 mg bid, colloidal bismuth pectin 200mg bid, amoxicillin 1000mg bid and clarithromycin 500mg bid for 10 days

Drug: RabeprazoleDrug: AmoxicillinDrug: ClarithromycinDrug: Colloidal bismuth pectin

Interventions

Potassium-competitive acid blocker

groupA: dual therapy (vonoprazan+amoxicillin)

Proton pump inhibitor

group B: dual therapy (rabeprazole+amoxicillin)group C: bismuth-containing quadruple therapy

Antibiotic for H. pylori eradication

group B: dual therapy (rabeprazole+amoxicillin)group C: bismuth-containing quadruple therapygroupA: dual therapy (vonoprazan+amoxicillin)

Antibiotic for H. pylori eradication

group C: bismuth-containing quadruple therapy

Gastric mucosal protective drug with anti-H. pylori effect

group C: bismuth-containing quadruple therapy

Eligibility Criteria

Age60 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • having H. pylori related chronic gastritis confirmed by ¹³C-urea breath test, ¹⁴C-urea breath test and/or biopsy;
  • underwent gastroscopy within 1 year before treatment, liver and renal function tests and electrocardiogram within 3 months before treatment;
  • with no historical treatment for helicobacter pylori infection.

You may not qualify if:

  • with previous esophageal or gastric surgery
  • with severe systemic diseases, major organ like heart, lung, brain diseases, liver or kidney insufficiency, malignant tumor or other diseases
  • allergy to any of the study drugs
  • participated in other research within 3 months,cannot express his/her own ideas correctly or cannot cooperate with the researcher

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Second Affiliated Hospital of Zhejiang University, School of Medicine

Hangzhou, Zhejiang, 310009, China

RECRUITING

MeSH Terms

Interventions

1-(5-(2-fluorophenyl)-1-(pyridin-3-ylsulfonyl)-1H-pyrrol-3-yl)-N-methylmethanamineRabeprazoleAmoxicillinClarithromycin

Intervention Hierarchy (Ancestors)

2-PyridinylmethylsulfinylbenzimidazolesSulfoxidesSulfur CompoundsOrganic ChemicalsPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsBenzimidazolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingAmpicillinPenicillin GPenicillinsbeta-LactamsLactamsAmidesErythromycinMacrolidesPolyketidesLactones

Central Study Contacts

Qin Du, Master

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 10, 2022

First Posted

June 15, 2022

Study Start

August 1, 2022

Primary Completion

August 1, 2023

Study Completion

August 1, 2023

Last Updated

February 16, 2023

Record last verified: 2022-06

Locations