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Low Dose Bismuth Versus Lactobacillus Reuteri for H. Pylori Eradication

Twice-a-day PPI, Tetracycline, Metronidazolequadruple Therapy With Pylera® or Lactobacillus Reuteri for Treatment naïve or for Retreatment of H. Pylori: Two Randomized Pilot Studies

Status
Terminated
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03925818
Acronym
LactoBismu
Enrollment
99
Registered
2019-04-24
Start date
2017-08-29
Completion date
2018-12-23
Last updated
2019-04-26

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

Conditions

Helicobacter Pylori Infection

Keywords

Lactobacillus reuteri; Bismuth; Helicobacter pylori;

Brief summary

This study investigates the efficacy of a b.i.d. quadruple therapy containing Pylera® or L. reuteri for H. pylori infection.

Detailed description

Bismuth, metronidazole and tetracycline yielded high cure rates for H. pylori infection. Earlier studies suggested that the bismuth quadruple therapy may be effective when given twice-a-day rather than q.i.d. and that b.i.d. therapy was associated with fewer side effects. The addition of the probiotic Lactobacillus reuteri (Gastrus®) to Lactobacillus reuteri (Gastrus®) that has been shown to increase the cure rates by 10-14%. In another study bismuth supplementation with L. reuteri DSM 17938, in a modified low dose quadruple therapy provided good eradication rates (93.3%; 95% CI : 85-99%) in clinical practice.

Interventions

DRUGBismuth Subcitrate Potassium

Pylera capsules

DIETARY_SUPPLEMENTGastrus

Gastrus 1 tablet

Sponsors

Università degli Studi di Sassari
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

\- Positive for H. pylori infection

Exclusion criteria

* Presence of malignancy * Pregnancy or lactation * Clinically significant diseases * History of drug or alcohol abuse * Allergy to pantoprazole or to any component of regimens used in the study * Use of anti-secretory drugs, antibiotics or probiotics 4 weeks preceding the enrollment.

Design outcomes

Primary

MeasureTime frameDescription
Helicobacter pylori eradication rate30-40 days after the end of treatmenta negative 13C-urea breath test and/or a negative stool antigen test

Secondary

MeasureTime frameDescription
Compliance and side effects evaluation30-40 daysPatient interview at the end of treatment

Countries

Italy

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026