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Study on efficacy and tolerabilty of a 10 days adjunctive therapy with colloidal bismuth subcitrate to a standard triple therapy combining esomeprazole, , amoxicillin and metronidazole for eradicating Helicobacter Pylori in children

A prospective open-label study on efficacy and tolerability of colloidal bismuth sub-citrate as adjunctive therapy to a combination of esomeprazole, amoxicillin and metronidazole for 10 days for Helicobacter pylori elimination in children. - Bismuth based quadruple therapy 10 days in children

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2013-003931-30-BE
Enrollment
120
Registered
2014-01-20
Start date
Unknown
Completion date
Unknown
Last updated
2024-11-04

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

Conditions

Helicobacter pylory infection MedDRA version: 20.0 Level: LLT Classification code 10019377 Term: Helicobacter pylori infection System Organ Class: 100000004862

Interventions

Trade Name: De-Notlab Pharmaceutical Form: Film-coated tablet INN or Proposed INN: TRIPOTASSIUM DICITRATOBISMUTHATE CAS Number: 57644-54-9 Other descriptive name: TRIPOTASSIUM DICITRATOBISMUTHATE Conc

Sponsors

Hôpital Universitaire Des Enfants Reine Fabiola
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: • Paediatric subjects aged 6 to 17 years of either gender • Body weight = 20kg • H. pylori gastritis confirmed by positive histology and culture with antimicrobial susceptibility testing. • Subject able to swallow tablets • All girls of child-bearing potential must have a negative urine pregnancy test at Visit 1 • If sexually active, girls of child-bearing potential and boys whose partner is of child-bearing potential agree to use highly effective method of birth control during the trial. • In the Investigator’s opinion, patient is willing and able to comply with all trial requirements specified in this protocol. • Subjects (or their legally-acceptable representatives) must have signed an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study. Assent is also required of children capable of understanding the nature of the study (typically older than 11 years of age). Are the trial subjects under 18? yes Number of subjects for this age range: 120 F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: • Female participant who is pregnant, lactating or planning pregnancy during the course of the trial. • Have a history of significant renal or hepatic impairment. • Have an erosive esophagitis or peptic ulcer disease in the gastric or the duodenal mucosa. • Have received proton pump inhibitors within 2 weeks prior to first administration of study agent. • Have received any antimicrobial agent within 4 weeks prior to first administration of study agent. • Require routine use (= 2 times per week) of non steroidal anti-inflammatory drug (NSAID) • Are under any immunosuppressive agent • Are under oral or IV steroids • Scheduled elective surgery or any procedures requiring general anaesthesia during the trial. • Known allergies or a known hypersensitivity to any Study Drugs or their excipients. • Contraindication for any of the Study Drugs • Any condition that, in the opinion of the Investigator, would compromise the well-being of the subject or the study or prevent the subject fromm meeting or performing study requirements. • Participants who are participating or have participated in another study involving an investigational product in the past 12 weeks.

Design outcomes

Primary

MeasureTime frame
Main Objective: To assess the elimination rate of H. pylori infection in children aged 6 to 17 years using a combination of bismuth sub-citrate, esomeprazole, amoxicillin and metronidazole given for 10 days;Secondary Objective: 1) To assess the safety of a combination of bismuth sub-citrate, esomeprazole, amoxicillin and metronidazole given for 10 days in children aged 6 to 17 years. 2) To assess patient’s adherence to a combination of bismuth sub-citrate, esomeprazole, amoxicillin and metronidazole given for 10 days in children aged 6 to 17 years 3) To assess the effect of antimicrobial resistance on the success rate of a combination of bismuth sub-citrate, esomeprazole, amoxicillin and metronidazole given for 10 days in children aged 6 to 17 years 4) Microbiome analysis;Primary end point(s): 13C-urea breath test ;Timepoint(s) of evaluation of this end point: Week 10

Secondary

MeasureTime frame
Secondary end point(s): 1) Reporting of Adverse Event and Serious Adverse Event 2) Patient compliance based on patient diary card and study drug accountability 3) 13C-urea breath test & Antimicrobial susceptibility testing 4) Stool sampling;Timepoint(s) of evaluation of this end point: 1) Safety reporting throughout the study (Visit Week 0 to Visit Week 10) 2) Visit Week 2 3) Visit Week 10 4) Visit Week 0 & Visit Week 10

Countries

Belgium

Contacts

Public ContactClinical Research Unit

Hôpital Universitaire Des Enfants Reine Fabiola

bernard.wenderickx@huderf.be00322477.36.54

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026