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Comparison of 7-day and 14-day Bismuth Based Quadruple Therapy for Secondary Helicobacter Pylori Eradication

Phase 4
Completed
Conditions
Helicobacter Infection
Interventions
Registration Number
NCT00841854
Lead Sponsor
Asan Medical Center
Brief Summary

At present, triple therapy are recommended by various guidelines for the treatment of Helicobacter pylori (H. pylori) infection. Recent studies have shown worldwide high treatment failure rates with one week first line clarithromycin based triple therapy necessitating salvage strategy to eradicate H. pylori in primary treatment failure. However, the exact duration of bismuth based second line treatment is not determined. Therefore, the investigators performed this study to evaluate the eradication rate of 1 or 2-week quadruple regimen as a second-line therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
199
Inclusion Criteria
  • H. pylori infection
  • Aged between 18-80 years
  • Are willing to received eradication therapy for H. pylori
Exclusion Criteria
  • Children and teenagers aged less than 18 years or over 80 years
  • Previous eradication therapy for H. pylori
  • History of gastrectomy
  • Previous allergic reaction to antibiotics
  • Use of prompt pump inhibitors and antibiotics in the recent 4 weeks
  • Active upper GI bleeding in the recent 1 week
  • Contraindication to treatment drugs
  • Pregnant or lactating women
  • Severe concurrent disease or malignancy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PBMT14bismuthpantoprazole 40mg bid, bismuth 300mg qid, metronidazole 500mg tid,tetracycline 500mg qid for 14 days
PBMT7bismuthpantoprazole 40mg bid, bismuth 300mg qid, metronidazole 500mg tid,tetracycline 500mg qid for 7 days
PBMT7pantoprazolepantoprazole 40mg bid, bismuth 300mg qid, metronidazole 500mg tid,tetracycline 500mg qid for 7 days
PBMT7tetracyclinepantoprazole 40mg bid, bismuth 300mg qid, metronidazole 500mg tid,tetracycline 500mg qid for 7 days
PBMT7metronidazolepantoprazole 40mg bid, bismuth 300mg qid, metronidazole 500mg tid,tetracycline 500mg qid for 7 days
PBMT14pantoprazolepantoprazole 40mg bid, bismuth 300mg qid, metronidazole 500mg tid,tetracycline 500mg qid for 14 days
PBMT14metronidazolepantoprazole 40mg bid, bismuth 300mg qid, metronidazole 500mg tid,tetracycline 500mg qid for 14 days
PBMT14tetracyclinepantoprazole 40mg bid, bismuth 300mg qid, metronidazole 500mg tid,tetracycline 500mg qid for 14 days
Primary Outcome Measures
NameTimeMethod
Whether the two week group yield a higher eradication rate comparing to the one week group.At least four week after completion of treatment
Secondary Outcome Measures
NameTimeMethod
side effectfour weeks after completion of medication

Trial Locations

Locations (1)

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

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