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High-dose Dual Therapy and Minocycline-cotaining Quadruple Therapy for Helicobacter Pylori Infection

Phase 4
Recruiting
Conditions
Helicobacter Pylori Infection
Interventions
Registration Number
NCT06561698
Lead Sponsor
Shanghai Jiao Tong University School of Medicine
Brief Summary

This study is a multicentra, prospective study. The enrolled patients are HP positive. They are diagnosed as HP positive by rapid urease test and/or 13C urea breath test. According to the declaration of Helsinki, 200 patients will be included in this study. After obtaining the written informed consent of the patients, HP culture and drug sensitivity test will be conducted on all the selected patients with the success rate, adverse reactions, compliance, antibiotic resistance of HP and its impact on HP eradication.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Ability and willingness to participate in the study and to sign and give informed consent
  • Confirmed H. pylori infection
Exclusion Criteria
  • Pregnant and lactating women;
  • History of gastrointestinal malignancies;
  • History of previous subtotal gastrectomy;
  • Serious dysfunction of heart, liver, kidney, lung and other important organs and congenital diseases; Such as grade IV cardiac insufficiency, liver failure, uremia, respiratory failure, hemophilia, Wilson disease, etc;
  • History of hematological diseases
  • People who are allergic to drugs;
  • The guardian or patient refused to join the group;
  • Alcohol and / or drug abuse (addiction or dependence) or poor compliance judged by doctors;
  • No legal capacity or poor self-knowledge
  • administration of antibiotics, bismuth, antisecretory drugs, or Chinese herb medicine in the preceding 8 weeks

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Minocycline bismush quadruple therapyBismuth Potassium Citrate-
Minocycline bismush quadruple therapyMinocycline,Metronidazole-
Dual therapyVonoprazan-
Dual therapyAmoxicillin-
Minocycline bismush quadruple therapyVonoprazan-
Primary Outcome Measures
NameTimeMethod
Helicobacter pylori eradication rateSix weeks after completion of therapy

Six weeks after completion of therapy, H. pylori eradication was assessed by ¹³C-urea breath test. Eradication was defined as negative result from urea breath test (\<4‰) (4‰ as the cutoff value).

Secondary Outcome Measures
NameTimeMethod
Rate of adverse effectsWithin 7 days after completion of therapy

The subjects were asked to grade the severity of adverse events according to their influence on daily activities, experienced as "mild" (transient and well tolerated), "moderate" (causing discomfort and partially interfering with daily activities), or "severe" (causing considerable interference with daily activities)

Compliance rateWithin 7 days after completion of therapy

Compliance was defined as poor when they had taken less than 80% of the total medication

Trial Locations

Locations (10)

Hebi People's Hospital

🇨🇳

Hebi, Henan, China

Jiaozuo People's Hospital

🇨🇳

Jiaozuo, Henan, China

Luoyang central Hospital

🇨🇳

Luoyang, Henan, China

The first people's hospital of ping ding shan

🇨🇳

Pingdingshan, Henan, China

Xuchang central Hospital

🇨🇳

Xuchang, Henan, China

The Second Affiliated Hospital of Henan University of science and technology

🇨🇳

Zhengzhou, Henan, China

Zhengzhou People's Hospital

🇨🇳

Zhengzhou, Henan, China

The Third People's Hospital of Zhengzhou

🇨🇳

Zhengzhou, Henan, China

Zhoukou Central Hospital

🇨🇳

Zhoukou, Henan, China

Renji Hospital, School of Medicine, Shanghai Jiao Tong University

🇨🇳

Shanghai, Shanghai, China

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