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Vonoprazan-containing Triple Therapy Versus Empiric Bismuth Quadruple Therapy for First-line Helicobacter Pylori Treatment: a Randomized Clinical Trial

Efficacy of Vonoprazan-containing Triple Therapy Versus Empiric Bismuth Quadruple Therapy for First-line Helicobacter Pylori Treatment: a Randomized Clinical Trial

Status
Not yet recruiting
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05726734
Enrollment
100
Registered
2023-02-14
Start date
2023-02-06
Completion date
2026-02-06
Last updated
2023-02-14

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 Infection

Brief summary

Vonoprazan Amoxicillin and metronidazole based triple 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 Vonoprazan, amoxicillin and metronidazole based triple therapy and the empiric bismuth quadruple therapy in the naive patients with Helicobacter pylori infection.

Interventions

DRUGVonoprazan

potassium-competitive acid blocker

Antibiotics for H. pylori eradication

DRUGBismuth Potassium Citrate

Gastric mucosal protective drug with anti-H. pylori effect

DRUGEsomeprazole

Proton pump inhibitor

Sponsors

Shanghai East Hospital
Lead SponsorOTHER

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 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

Contacts

Primary ContactYingjie Ji, M.D.
jiyingjie39@outlook.com+86-15800575527

Outcome results

None listed

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