Helicobacter Pylori Infection, Immune Thrombocytopenic Purpura
Conditions
Keywords
immune thrombocytopenic purpura, chronic immune thrombocytopenic purpura, secondary immune thrombocytopenic purpura, Helicobacter pylori infection, Helicobacter pylori gastritis, children, adolescents
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.
Interventions
Children up to 5 years: clarithromycin 15mg/kg, amoxicillin 50mg/kg, and/or furazolidone 7mg/kg Children above 8 years: doxycycline 4,4mg/kg if necessary Children able to swallow tablets or capsules, above 30kg: clarithromycin 500mg, amoxicillin 500mg, furazolidone 200mg, and/ or doxycycline 100mg, all 2 times per day, for 14 days.
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| platelet response | 1 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. |
Countries
Brazil