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Efficacy and Safety of Quadruple Therapy in Eradication of H. Pylori: A Comparison to Triple Therapy
This study has been completed.
First Received: April 29, 2008   Last Updated: November 26, 2009   History of Changes
Sponsor: Axcan Pharma
Information provided by: Axcan Pharma
ClinicalTrials.gov Identifier: NCT00669955
  Purpose

This study aims at evaluating efficacy and safety of quadruple therapy (bismuth, metronidazole, tetracycline and omeprazole) vs triple therapy (amoxicillin, clarithromycin and omeprazole) in H. Pylori eradication. It is hypothesized that quadruple therapy will be comparable in efficacy to triple therapy. Subjects with confirmed H. pylori positive status will be randomized to one of the treatments described above. Approximately one month and two months after treatment, a urea breath test will be performed to confirm eradication.


Condition Intervention Phase
Helicobacter Infections
Drug: OBMT
Drug: OAC
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Efficacy and Safety of Quadruple Therapy by Bismuth Subcitrate Potassium, Metronidazole, and Tetracycline Given X 10 Days With Omeprazole in Eradication of Helicobacter Pylori: A Comparison to Omeprazole, Amoxicillin and Clarithromycin Given X 7 Days

Further study details as provided by Axcan Pharma:

Primary Outcome Measures:
  • Helicobacter Pylori Status confirmed by Urea Breath Test [ Time Frame: One month and two months post-treatment ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Safety [ Time Frame: at the end of treatment, one and two months post-treatment ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 400
Study Start Date: June 2008
Study Completion Date: August 2009
Primary Completion Date: July 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
2: Active Comparator
Triple therapy, consisting of Omeprazole, Amoxicilin and Clarithromycin given for 7 days
Drug: OAC
given bid for 7 days
1: Experimental
OBMT (Pylera)
Drug: OBMT
QID for 10 days

Detailed Description:

The study will include three phases: screening, treatment and follow-up. Screening: this phase will last a maximum of 30 days and subjects eligibility will be evaluated after informed consent signature. Endoscopy and Urea Breath test will be performed in addition to the baseline routine evaluations.

Treatment: Subjects assigned to OAC will be treated for 7 days. Those assigned to Pylera will be treated for 10 days. A randomization visit will take place on Day 0 and an end-of-treatment visit will take place between day 8 and 14.

Follow-up: includes two visits. approximately one and two months post-treatment. Eradication of H. Pylori will be confirmed through Urea Breath Test, and resistance will be evaluated in case of treatment failure. These subjects will undergo an endoscopy.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Positive H. Pylori status;
  • Presence of upper gastro-intestinal symptoms;
  • Mental and legal ability to sign informed consent.

Exclusion Criteria:

  • Previous surgery of the GI tract;
  • Clinically significant impairment of renal or hepatic function;
  • Severe unstable cardiovascular, pulmonary or endocrine disease;
  • Barrett's oesophagus or high-grade dysplasia;
  • Dysphagia or vomiting as major symptoms.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00669955

Locations
United Kingdom
Dr. I. Orpen
Bath, United Kingdom
Sponsors and Collaborators
Axcan Pharma
Investigators
Study Director: Monique Giguère, PhD Axcan Pharma inc
  More Information

No publications provided

Responsible Party: Axcan Pharma inc. ( Dr. Monique Giguere )
Study ID Numbers: PYLHp07-01
Study First Received: April 29, 2008
Last Updated: November 26, 2009
ClinicalTrials.gov Identifier: NCT00669955     History of Changes
Health Authority: Germany: Federal Institute for Drugs and Medical Devices;   United Kingdom: National Health Service;   Spain: Ethics Committee;   Spain: Ministry of Health;   Poland: Ministry of Health;   Ireland: Irish Medicines Board;   Italy: National Bioethics Committee;   France: Afssaps - French Health Products Safety Agency;   Netherlands: Medicines Evaluation Board (MEB)

Keywords provided by Axcan Pharma:
H. Pylori
Quadruple therapy
Eradication rate
Multinational trial
Resistance to antibiotics
Subjects with confirmed Helicobacter Pylori infection

Additional relevant MeSH terms:
Bacterial Infections
Communicable Diseases
Helicobacter Infections
Infection
Gram-Negative Bacterial Infections

ClinicalTrials.gov processed this record on February 08, 2010