Ulcer bleeding Digestive System
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male and female patients aged 45 years of age or older 2. Patients who have given written informed consent 3. Patients taking aspirin (less than or equal to 300 mg daily) NB: Patients who have previously been tested for H. pylori and/or had previous eradication therapy will not be excluded.
Exclusion criteria
Exclusion criteria: 1. Patients currently taking anti-ulcer therapy (H2-receptor antagonists i.e. cimetidine, famotidine, nizatidine or ranitidine and Proton Pump Inhibitors [PPIs] i.e. esomeprazole, lansoprazole, omeprazole, pantoprazole or rabeprazole sodium) 2. Patients currently taking non-selective Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) (aceclofenac, acemetacin, azapropazone, dexibuprofen, dexketoprofen, diclofenac sodium, diflunisal, fenbufen, fenoprofen, flurbiprofen, ibuprofen, indometacin, ketoprofen, mefenamic acid, meloxicam, nabumetone, naproxen, piroxicam, sulindac, tenoxicam, or tiaprofenic acid) 3. Patients who are terminally ill 4. Patients who are allergic to any of the eradication treatment drugs 5. Patients who are currently being treated with an antibacterial or have had antibacterial treatment within the last 4 weeks 6. Patients who have had treatment with a PPI (listed above) within the last 2 weeks. 7. Women who are pregnant or breast feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Rate of aspirin use (results of Part 2 Observational study) 2. Rate of ulcer bleeding in patients using aspirin (results of Part 2 Observational study) 3. Level of H. pylori infection and subsequent eradication rates in aspirin patients at 6-8 weeks after the eradication therapy 4. Level of interest from GPs and patients for a randomised study and their preferred enrolment site | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures | — |
Countries
United Kingdom