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Helicobacter Pylori Treatment in Immune Thrombocytopenic Purpura (ITP) Patients

Phase 2
Completed
Conditions
Immune Thrombocytopenic Purpura
Helicobacter Pylori Infection
Interventions
Drug: H. pylori triple therapy
Registration Number
NCT01730352
Lead Sponsor
Federal University of São Paulo
Brief Summary

The purpose of this study is to determine whether eradication of Helicobacter pylori infection is effective in the improvement of platelet counts in children and adolescents with chronic ITP.

Detailed Description

Helicobacter pylori infection has been associated with Immune Thrombocytopenic Purpura (ITP), and there is scientific evidence for the investigation and treatment of this bacterium for adult patients with ITP. However, in children this causal association is not clear, with few published studies.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  • clinical diagnosis of chronic immune thrombocytopenic purpura
  • children and adolescents up to 20 years
Exclusion Criteria
  • known hypersensitivity to any of the drugs
  • recent treatment for H. pylori eradication

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
H. pylori triple therapyH. pylori triple therapyTriple therapy for H. pylori eradication: clarithromycin 15mg/kg, amoxicillin 50mg/kg, furazolidone 7mg/kg and/ or doxycycline 4,4mg/kg (all 2 times per day), with a proton pump inhibitor for 14 days.
Primary Outcome Measures
NameTimeMethod
platelet response1 year

Responders: Complete Response (CR), persistent elevation of platelet count to \>150×109/L; Partial Response (PR), elevation between 20 and 30×109/L above the baseline values, but between 50 and 149×109/L; No Responders: any of the above categories.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (4)

Federal University of Sao Paulo

🇧🇷

Sao Paulo, Brazil

Centro de Hematologia de Sao Paulo

🇧🇷

Sao Paulo, Brazil

Irmandade da Santa Casa de Misericordia se Sao Paulo

🇧🇷

Sao Paulo, Brazil

Hospital Estadual Infantil Darcy Vargas

🇧🇷

Sao Paulo, Brazil

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