Rescue Therapy for Helicobacter Pylori
Conditions
Keywords
Helicobacter pylori, rescue, quadruple therapy,dual therapy
Brief summary
The eradication rates of first-line treatment for Helicobacter pylori(Hp) infection are not satisfactory. The study aims to compare the efficacy and safety between quadruple therapy with furazolidone and dual therapy with high doses of amoxicillin as rescue regimens for Hp.
Interventions
The patients in Group RBLF will receive a 14-day quadruple therapy,including rabeprazole(10mg bid),bismuth citrate(220mg bid),levofloxacin(200mg qm) and furazolidone(100mg bid).
The patients in Group RA will be sent to a penicillin skin test before treatment except they were given penicillin before. They will receive a 14-day dual therapy with high doses of rabeprazole(20mg bid) and amoxicillin(1000mg tid).
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged from 18 to 80 years, who presented with upper gastrointestinal symptoms and endoscopically proven H. pylori-positive non-ulcer dyspepsia, were recruited into the study.
Exclusion criteria
* patients with peptic ulcer, * previous H. pylori eradication treatment, * previous gastric surgery, * pregnancy, * lactation, * major systemic diseases, * receipt of anti-secretory therapy, * antibiotics or bismuth in the preceding four weeks, or - allergy to any one of the medications in the regimen.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 13C-urea breath test | 4 weeks after treatment | When the outcome of 13C-urea breath test is more than 4%, the helicobacter pylori infection is still exist(positive). |
Secondary
| Measure | Time frame |
|---|---|
| scale analysis of drug safety | 4 weeks after treatment |
Other
| Measure | Time frame |
|---|---|
| 13C-urea breath test | baseline |
Countries
China