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High Dose of Amoxicillin and Metronidazole Plus Bismuth For Helicobacter Pylori Treatment

Efficacy of High Dose of Amoxicillin And Metronidazole Plus Bismuth For Helicobacter Pylori Treatment In Naive Patients : A Randomized Clinical Trial

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03557437
Enrollment
216
Registered
2018-06-15
Start date
2018-05-25
Completion date
2019-06-10
Last updated
2019-06-18

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

Conditions

Helicobacter Pylori Infection

Keywords

Helicobacter pylori Therapy

Brief summary

Amoxicillin and metronidazole (400mg Q.D.S) based quadruple therapy had achieved a high cure rate in the rescue treatment of helicobacter pylori infection. This study aims to evaluate the efficacy and safety of the amoxicillin and metronidazole (400mg thrice a day) based triple therapy and the addition of bismuth in the naive patients with helicobacter pylori infection.

Interventions

DRUGEsomeprazole

Proton pump inhibitor

Antibiotics for H. pylori eradication

DRUGBismuth Potassium Citrate

Gastric mucosal protective drug with anti-H. pylori effect

Sponsors

Shanghai Jiao Tong University School of Medicine
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Participants with non-ulcer functional dyspepsia or peptic ulcer disease * Ability and willingness to participate in the study and to sign and give informed consent * Confirmed H. pylori infection and with no previous treatment experience

Exclusion criteria

* Less than 18 years old * With previous gastric surgery * Major systemic diseases * Pregnancy or lactation * Allergy to any of the study drugs Administration of antibiotics, bismuth, antisecretory drugs in 8 weeks prior to inclusion

Design outcomes

Primary

MeasureTime frameDescription
Helicobacter pylori eradication rateSix weeks after completion of therapySix weeks after completion of therapy, H. pylori eradication was assessed by ¹³C-urea breath test. Eradication was defined as negative result from urea breath test (\<4‰) (4‰ as the cutoff value).

Secondary

MeasureTime frameDescription
Rate of adverse effectsWithin 7 days after completion of therapyThe subjects were asked to grade the severity of adverse events according to their influence on daily activities, experienced as mild (transient and well tolerated), moderate (causing discomfort and partially interfering with daily activities), or severe (causing considerable interference with daily activities)
Compliance rateWithin 7 days after completion of therapyCompliance was defined as poor when they had taken less than 80% of the total medication

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026