Helicobacter Pylori Infection
Conditions
Keywords
Allergic, Penicillin, Rescue Therapy, Tetracycline, Furazolidone
Brief summary
The purpose of this study is to assess and compare the effectiveness of furazolidone-tetracycline-containing and tinidazole-tetracycline-containing quadruple regimens for the rescue treatment of Helicobacter pylori infection in patients allergic to penicillin.
Detailed description
Helicobacter pylori(H.pylori), which infects about 50% of the global population, has been recognized as a main risk factor of multiple gastric pathologies, especially non-cardiac gastric cancer. Strongly evidence supports that H.pylori eradication is an effective approach to reduce the incidence of those pathologies.However,Helicobacter pylori eradication is a challenge in patients allergic to penicillin. Therefore, the investigators aim to assess and compare the effectiveness of furazolidone-tetracycline-containing and tinidazole-tetracycline-containing quadruple regimens for the rescue treatment of Helicobacter pylori infection in patients allergic to penicillin.
Interventions
Furazolidone-tetracycline-containing quadruple regimens
tinidazole-tetracycline-containing quadruple regimens
Sponsors
Study design
Intervention model description
Parallel Assignment
Eligibility
Inclusion criteria
* Patients aged 18-70 with H. pylori infection. * Patients with previous Helicobacter pylori eradication. * Patients Allergic to Penicillin.
Exclusion criteria
* Patients treated with H2-receptor antagonist, PPI, bismuth and antibiotics in the previous 4 weeks. * Patients with gastrectomy, acute GI bleeding and advanced gastric cancer. * Patients with known or suspected allergy to study medications. * Currently pregnant or lactating. * Inability to provide informed consent and other situations that could interfere with the examination or therapeutic protocol.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Eradication rates in 2 groups | 12months | Both intention to treat(ITT) and per-protocol(PP) analyses will be used for the assessment of the eradication rates of Helicobacter pylori infections in two groups. The ITT analysis includes all randomly assigned patients who take at least one dose of the study medications. The PP analysis is limited to patients who take over 90% of the study medications and complete follow-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The rate of improving dyspepsia symptoms after Helicobacter pylori eradication | 12months | The rate of improving dyspepsia symptoms after Helicobacter pylori eradication |
| The rate of adverse events happening | 12months | Similarly, adverse events will also be measured by the Likert scale. |
| The rate of good compliance | 12months | The rate of good compliance |
Countries
China