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Development of Treatment Algorithm for Eradication of Helicobacter Pylori Based on Antibiotic Susceptibility Test

Not Applicable
Conditions
Helicobacter Pylori Infection
Interventions
Drug: eradication of Helicobacter pylori
Registration Number
NCT02759029
Lead Sponsor
Gangnam Severance Hospital
Brief Summary

Helicobacter pylori eradication (H. pylori) rates with clarithromycin-based triple therapy are declining, and an alternative strategy is needed urgently. The investigators sought to compare the efficacy of pretreatment antimicrobial susceptibility-guided vs. clarithromycin-based triple therapy vs. concomitant therapy for H. pylori eradication in a region with high rates of multiple drug resistance.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
123
Inclusion Criteria
  1. positive results of rapid urease test
Exclusion Criteria
  1. liver cirrhosis,
  2. chronic kidney disease,
  3. bleeding tendency,
  4. pregnant,
  5. allergy to antibiotics

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Susceptibility-guided grouperadication of Helicobacter pyloriDrugs according to antimicrobial susceptibility-guided treatment
triple therapy grouperadication of Helicobacter pyloriDrugs - Pantoloc 40mg, PO, BID, 1wk Amoxacillin 1g, PO, BID, 1wk Clarithromycin 500mg, PO, BID, 1wk
concomitant therapy grouperadication of Helicobacter pyloriDrugs - Pantoloc 40mg, PO, BID, 1wk Amoxacillin 1g, PO, BID, 1wk Clarithromycin 500mg, PO, BID, 1wk Metronidazole 500mg, PO, BID, 1wk
Primary Outcome Measures
NameTimeMethod
eradication rate of Helicobacter pylorithe H. pylori status was checked 4 weeks aft er the end of treatment using the 13 C-urea breath test.
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Gangnam Severance Hospital

🇰🇷

Seoul, Korea, Republic of

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