Bismuth for PCAB-based H. Pylori Eradication
Efficacy of Bismuth Added to Potassium-competitive Acid Blocker-based Triple Regimen for First-line Helicobacter Pylori Eradication
Efficacy of Bismuth Added to Potassium-competitive Acid Blocker-based Triple Regimen for First-line Helicobacter Pylori Eradication
Sponsor study identifier
observational
150
1 country
1
Study Start
March 1, 2020
Actual (reported)Primary Completion
August 31, 2023
Actual (reported)Study Completion
August 31, 2023
Actual (reported)Tegoprazan is a new potassium-competitive acid blocker (PCAB) that has been clinically available since 2018 in South Korea. P-CAB is highly active drugs targeting H+, K+ -ATPase in the gastric acid secretion of parietal cells. The mechanism of action is different from that of PPIs. Conventional PPIs require 3-5 days to achieve maximal and steady-state gastric acid inhibition, whereas P-CAB increases the intragastric pH to nearly 7 within four hours. In Japan, H. pylori eradication success rates has increased by therapies using P-CAB than those using proton pump inhibitors, owing to the stronger acid suppression capability of P-CAB. Bismuth has long been used to treat peptic ulcer disease, dyspepsia, parasite infections, and infectious diarrhea. The antibacterial effects of bismuth include inhibition of protein and cell wall synthesis in H. pylori. The main role of bismuth is to increase the eradication rate by 30%-40% in resistant H. pylori strains.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
August 31, 2023
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
March 1, 2020
Actual (reported)July 6, 2022
Actual (reported)July 12, 2022
Actual (reported)August 31, 2023
Actual (reported)August 31, 2023
Actual (reported)H. pylori infection status
Rate of successful H. pylori eradication
6 weeks
Tegoprazan 50 mg bid, amoxicillin 1000 mg bid, clarithromycin 500 mg bid for 14 days
Tegoprazan 50 mg bid, amoxicillin 1000 mg bid, clarithromycin 500 mg bid, tripotassium dicitrate bismuthate (DENOL) 300 mg bid for 14 days
PPIs-based Antimicrobial agents for H. pylori eradication
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
H. pylori-infected patients
Digestive Disease Center, Soonchunhyang University Hospital
Seoul, 04401, South Korea
Cho JH. Bismuth add-on improves the efficacy of 2-week tegoprazan-based triple therapy for first-line Helicobacter pylori eradication: a real-world evidence study. Expert Rev Anti Infect Ther. 2024 Sep;22(9):793-799. doi: 10.1080/14787210.2024.2329251. Epub 2024 Mar 13.
Jun-Hyung Cho, M.D.
Soonchunhyang University Hospital
150 participants (actual enrollment reported by the registry).
First Submitted
July 6, 2022
First Posted
July 12, 2022
Study Start
March 1, 2020
Actual (reported)Oral Helicobacter Pylori Eradication
Contact the study team to confirm eligibility.
Primary Completion
August 31, 2023
Actual (reported)Study Completion
August 31, 2023
Actual (reported)Last Updated
November 22, 2023
Record last verified: 2023-11
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Source: ClinicalTrials.gov.
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