Levofloxacin and Bismuth-containing Therapy Versus Quadruple Therapy as Second-line Treatment of Resistant Helicobacter Pylori Infection
Phase 4
Completed
- Conditions
- Cure Rate of Helicobacter Pylori Infection
- Interventions
- Drug: Proton pump inhibitor
- Registration Number
- NCT01742429
- Lead Sponsor
- Shanghai Jiao Tong University School of Medicine
- Brief Summary
To test the efficacy of 14 day levofloxacin and bismuth-containing second-line therapy for resistant Helicobacter pylori infection, to compare with the classical quadruple therapy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 200
Inclusion Criteria
- all patients had failed H.pylori therapies including clarithromycin, metronidazole and/or amoxicillin (if not allergic) before.
Exclusion Criteria
- patients less than 18 years old,
- previous gastric surgery,
- pregnancy,
- lactation,
- major systemic diseases,
- administration of antibiotics,
- bismuth,
- antisecretory drugs in the preceding 8 weeks, or
- allergy to any one of the medication used in the quadruple regimens.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Levofloxacin-bismuth therapy Proton pump inhibitor 14 day levofloxacin and bismuth-containing therapy:PPI,bismuth, amoxicillin, levofloxacin Levofloxacin-bismuth therapy Bismuth subsalicylate 14 day levofloxacin and bismuth-containing therapy:PPI,bismuth, amoxicillin, levofloxacin Levofloxacin-bismuth therapy Amoxicillin 14 day levofloxacin and bismuth-containing therapy:PPI,bismuth, amoxicillin, levofloxacin Levofloxacin-bismuth therapy Levofloxacin 14 day levofloxacin and bismuth-containing therapy:PPI,bismuth, amoxicillin, levofloxacin classical quadruple therapy Proton pump inhibitor 14 day classical quadruple therapy:PPI,bismuth, metronidazole, tetracycline classical quadruple therapy Bismuth subsalicylate 14 day classical quadruple therapy:PPI,bismuth, metronidazole, tetracycline classical quadruple therapy Metronidazole 14 day classical quadruple therapy:PPI,bismuth, metronidazole, tetracycline classical quadruple therapy Tetracycline 14 day classical quadruple therapy:PPI,bismuth, metronidazole, tetracycline
- Primary Outcome Measures
Name Time Method eradication rate 2 months urease breath test
- Secondary Outcome Measures
Name Time Method
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie levofloxacin and bismuth subsalicylate synergy in H. pylori eradication?
How does 14-day levofloxacin-bismuth regimen compare to quadruple therapy in resistant H. pylori eradication rates?
Which biomarkers predict response to levofloxacin-based second-line H. pylori treatment in Phase 4 trials?
What are the adverse event profiles of levofloxacin and bismuth-containing therapies for H. pylori infections?
How do alternative H. pylori regimens like concomitant triple therapy compare to levofloxacin-bismuth approaches in clinical practice?
Trial Locations
- Locations (1)
Renji Hospital, Shanghai Jiao-Tong University School of Medicine
🇨🇳Shanghai, Shanghai, China
Renji Hospital, Shanghai Jiao-Tong University School of Medicine🇨🇳Shanghai, Shanghai, China