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Helicobacter Pylori Infection in Children With Chronic Idiopathic Thrombocytopenic Purpura
This study is currently recruiting participants.
Verified by Mahidol University, September 2008
First Received: April 27, 2007   Last Updated: September 16, 2008   History of Changes
Sponsor: Mahidol University
Collaborator: Ramathibodi Hospital
Information provided by: Mahidol University
ClinicalTrials.gov Identifier: NCT00467571
  Purpose

Previous studies suggest that chronic idiopathic thrombocytopenic purpura is associated with Helicobacter pylori infection. The objective is to study the effect of Helicobacter pylori eradication on platelet count.


Condition Intervention Phase
Chronic Idiopathic Thrombocytopenic Purpura
Helicobacter Pylori Infection
Drug: lansoprazole, clarithromycin, amoxycillin
Phase IV

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Uncontrolled, Parallel Assignment, Efficacy Study
Official Title: Helicobacter Pylori Infection in Children With Chronic Idiopathic Thrombocytopenic Purpura

Resource links provided by NLM:


Further study details as provided by Mahidol University:

Primary Outcome Measures:
  • platelet count [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • platelet antibody after treatment of Helicobacter pylori infection, compared with control group (no treatment of Helicobacter pylori) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • platelet count [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 26
Study Start Date: March 2006
Estimated Study Completion Date: December 2008
Estimated Primary Completion Date: September 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
I: Experimental
Drug: lansoprazole, clarithromycin, amoxycillin
Drug: lansoprazole, clarithromycin, amoxycillin
lansoprazole (15, 30 mg) 1 tab twice daily, clarithromycin 7.5 mg/kg twice daily, amoxycillin 25 mg/kg twice daily; rout: orally; duration 14 days

Detailed Description:

Children with chronic idiopathic thrombocytopenic purpura who have Helicobacter pylori infection are enrolled. Helicobacter pylori infection is diagnosed by urea breath test. Patients who have Helicobacter pylori infection will be randomized into 2 groups: control and treatment groups. The treatment group will receive 2 antibiotics and proton-pump inhibitors for 14 days for eradication of infection. Repeated urea breath test at week 6-8 after treatment. Blood tests for platelet count will be performed every month for 6 months in both groups. Platelet count at 6 months in both group will be compared.Blood for platelet antibody will be performed at 3 and 6 months. Control group will receive treatment for Helicobacter pylori at the end of the study.

  Eligibility

Ages Eligible for Study:   2 Years to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Children who was diagnosed as chronic ITP, defined by platelets below 100,000/uL for more than 6 months without identified causes.
  • 13C-urea breath test (UBT) was performed for diagnosis of Helicobacter pylori infection.

Exclusion Criteria:

  • Patients who had a previous treatment for H. pylori infection.

    • Patients require prednisolone more than 0.5 mg/kg/day
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00467571

Contacts
Contact: Suporn Treepongkaruna, M.D. 66 2201 1446 rastp@mahidol.ac.th
Contact: Nongnut Sirachainan, M.D. 66 22011748 rasrb@mahidol.ac.th

Locations
Thailand
Faculty of Medicine, Ramathibodi Hospital, Mahidol University Recruiting
Bangkok, Thailand, 10400
Contact: Suporn Treepongkaruna, M.D.     66 2201 1446     rastp@mahidol.ac.th    
Contact: Nongnut Sirachainan, M.D.     66 2201 1748     rasrb@mahidol.ac.th    
Principal Investigator: Suporn Treepongkaruna, M.D.            
Sponsors and Collaborators
Mahidol University
Ramathibodi Hospital
Investigators
Principal Investigator: Suporn Treepongkaruna, M.D. Faculty of Medicine, Ramathibodi Hospital, Mahidol University
  More Information

No publications provided

Responsible Party: Mahidol University ( Suporn Treepongkaruna )
Study ID Numbers: ID11-48-20
Study First Received: April 27, 2007
Last Updated: September 16, 2008
ClinicalTrials.gov Identifier: NCT00467571     History of Changes
Health Authority: Thailand: Ethical Committee

Keywords provided by Mahidol University:
chronic idiopathic thrombocytopenic purpura
Helicobacter pylori infection
platelet

Additional relevant MeSH terms:
Skin Manifestations
Communicable Diseases
Anti-Infective Agents
Molecular Mechanisms of Pharmacological Action
Infection
Purpura, Thrombocytopenic
Signs and Symptoms
Clarithromycin
Anti-Bacterial Agents
Hemorrhagic Disorders
Thrombocytopenia
Therapeutic Uses
Anti-Ulcer Agents
Purpura
Amoxicillin
Autoimmune Diseases
Immune System Diseases
Hematologic Diseases
Blood Platelet Disorders
Blood Coagulation Disorders
Gastrointestinal Agents
Enzyme Inhibitors
Pharmacologic Actions
Protein Synthesis Inhibitors
Purpura, Thrombocytopenic, Idiopathic
Lansoprazole

ClinicalTrials.gov processed this record on February 08, 2010