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Comparative efficacy of vonoprazan-doxycycline dual therapy versus bismuth quadruple therapy for treatment-naïve Helicobacter pylori infection: a 14-day, prospective, multicenter, open-label, randomized, non-inferiority study

Comparative efficacy of vonoprazan-doxycycline dual therapy versus bismuth quadruple therapy for treatment-naïve Helicobacter pylori infection: a 14-day, prospective, multicenter, open-label, randomized, non-inferiority study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600125833
Enrollment
Unknown
Registered
2026-06-01
Start date
2026-06-01
Completion date
Unknown
Last updated
2026-06-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Helicobacter pylori Infection

Interventions

Sponsors

Xiangya Hospital Central South University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 70 Years

Inclusion criteria

Inclusion criteria: To be eligible for inclusion in this study, participants must meet all of the following criteria: 1. Age >= 18 years, with confirmed Helicobacter pylori (H. pylori) infection and no history of prior eradication therapy. 2. Confirmed active H. pylori infection, defined as a positive result on any of the following tests: 13C or 14C urea breath test (UBT), rapid urease test (RUT), stool antigen test, or histological examination. 3. Conscious and mentally competent participants who are legally capable of independently understanding and signing the written informed consent form (ICF).

Exclusion criteria

Exclusion criteria: Participants meeting any of the following criteria will be excluded from the study: 1. History of prior H. pylori eradication therapy. 2. Known or documented hypersensitivity/allergy to any component of the study drug regimen. 3. Use of proton pump inhibitors (PPIs) or potassium-competitive acid blockers (P-CABs) within 2 weeks prior to screening. 4. Use of bismuth agents or any antibiotics (including traditional Chinese medicines with antibacterial properties) within 4 weeks prior to screening. 5. Acute upper gastrointestinal bleeding within 1 week prior to enrollment. 6. History of gastrectomy. 7. Concomitant malignant tumors, severe renal impairment (estimated glomerular filtration rate, eGFR< 30 mL/min/1.73m², severe hepatic impairment (Child-Pugh Class C), or other severe systemic diseases. 8. Pregnant or lactating women. 9. Current use of medications with established significant interactions with the study drugs that cannot be safely discontinued during the study period, including but not limited to: warfarin, phenytoin sodium, carbamazepine, allopurinol, and tacrolimus. 10. Any other conditions that, in the opinion of the investigator, render the participant unsuitable for the study, such as major medical illnesses or psychiatric disorders that would preclude compliance with the protocol or interfere with follow-up.

Design outcomes

Primary

MeasureTime frame
Helicobacter pylori eradication rate;

Secondary

MeasureTime frame
Medication adherence of study participants;

Countries

China

Contacts

Public ContactXiaowei Liu, Yu Peng

Xiangya Hospital, Central South University

pengyu918@csu.edu.cn+86 139 7489 9436

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Jun 11, 2026