Dexlansoprazole MR-Based Concomitant Quadruple Therapy
NCT03829150 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 202
Last updated 2019-05-14
Summary
Background:
Recommended proton pump inhibitor (PPI)-clarithromycin-amoxicillin or metronidazole treatment for 7 to14 days is the first choice treatment for H pylori infection. The eradication rate of the standard triple therapy has generally declined to unacceptable levels (i.e., 80% or less) recently because the increasing incidence of clarithromycin-resistant strains of H. pylori. Standard triple therapies should be abandoned in the areas with clarithromycin resistance ≥ 20%. The investigators have proven that 7-day Concomitant therapy can achieve a promising success rate of \>90 % in the presence of clarithromycin resistance. However, high dose PPI is needed with a dosage of twice daily but when a dual delayed release formulation PPI in capsules for oral administration (Dexlansoprazole MR), a once daily dose may be needed only. The capsules contain dexlansoprazole in a mixture of two types of enteric-coated granules with different pH-dependent dissolution profiles. It suppresses gastric acid secretion via inhibition of the proton pump in the gastric parietal cell, which blocks the final step of acid production. Thus, it improves acid suppression and offer benefits over conventional single release PPI formulations. by prolonging optimal plasma concentration and create a favorable condition H. pylori eradication
Aim:
The efficacy of Dexlansoprazole MR-based concomitant quadruple therapy
Conditions
- Helicobacter Pylori Infection
Interventions
- DRUG
-
Dexlan
Dexlansoprazole MR 60 mg qd for 7 days
- DRUG
-
Amoxicillin
Amoxicillin (Amolin) 1 g bid. for 7 days
- DRUG
-
Clarithromycin 500mg
clarithromycin (Klaricid) 500 mg bid for 7 days
- DRUG
-
Metronidazole
Metronidazole (Flagyl) 500 mg bid daily for 7 days
Sponsors & Collaborators
-
Chang Gung Memorial Hospital
lead OTHER
Principal Investigators
-
Seng-Kee Chuah, MD · Kaohsiung Chang Gung Memorial Hospital,Taiwan
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-03-01
- Primary Completion
- 2019-04-20
- Completion
- 2019-04-20
Countries
- Taiwan
Study Locations
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