Optimal Tailored Treatment for H. Pylori Infection
NCT04462133 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2024-05-16
Summary
The efficacy of the current standard triple therapy is at an unacceptably low level. Resistance to antibiotics is suspected to be the major cause of the low efficacy of standard triple therapy. Point mutations in the 23S rRNA gene are known to be the primary mechanism of clarithromycin resistance against H pylori. Recently, a point mutation detection kit using a dual-priming oligonucleotide (DPO)-based multiplex polymerase chain reaction (PCR) assay was introduced and made commercially available. The primary goal of our study was to compare the eradication rates of empirical therapy and tailored therapy. Specifically we examined the eradication rates of 7-d, 14-d empirical therapy with 7-d, 14-d tailored therapy. Our secondary goal was to examine the adverse events of each treatment, cost effectiveness of each treatment methods, and accuracy of DPO-PCR for detecting H. pylori resistance.
Conditions
- Helicobacter Pylori Infection
- Antibiotic Resistant Infection
Interventions
- DIAGNOSTIC_TEST
-
Dual-priming oligonucleotide-based multiplex polymerase chain reaction (DPO-PCR)
Empirical H. pylori eradication treatment versus tailored therapy based on DPO-PCR results
Sponsors & Collaborators
-
Incheon St.Mary's Hospital
lead OTHER
Principal Investigators
-
Byung-Wook Kim, MD, PhD · Incheon St.Mary's Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Max Age
- 79 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2020-09-01
- Primary Completion
- 2024-03-31
- Completion
- 2024-10-01
Countries
- South Korea
Study Locations
More Related Trials
-
Tailored Therapy for Clarithromycin-Resistant H. Pylori
NCT03431688 ·Status: COMPLETED ·Phase: NA
-
Comparison of Bismuth Containing Quadruple Therapy and Based Tailored Therapy for H. Pylori Infection
NCT03361267 ·Status: UNKNOWN ·Phase: NA
-
Eradication of H. Pylori Therapy Individualized by the Mutation of 23S rRNA of H. Pylori
NCT02761005 ·Status: UNKNOWN ·Phase: PHASE2
-
A Study on Eradication Rate of Triple Therapy According to Treatment Period and CYP2C19 Polymorphisms in H.Pylori Patients
NCT03099876 ·Status: UNKNOWN
-
High-Dose Dual Therapy for H. Pylori Eradication (RETRO-HP Study)
NCT07121205 ·Status: COMPLETED
-
Empirical vs Tailored Therapy for H. Pylori Infection
NCT04006340 ·Status: UNKNOWN ·Phase: NA
-
Prevalence and Trends of Antimicrobial Resistance of Helicobacter Pylori in Korea
NCT05247112 ·Status: RECRUITING
-
Molecular Detection of Antibiotic Resistance and H Pylori Eradication
NCT01168063 ·Status: COMPLETED ·Phase: NA
-
The Pilot Study on Tailored Eradication Therapy According to Clarithromycin Resistance in H.Pylori Patients
NCT02648659 ·Status: COMPLETED ·Phase: PHASE4
-
Therapeutic Trial Comparing Triple Therapy Guided by the PCR Detection of Clarithromycin Resistance vs Empiric Concomitant Quadruple Therapy for Helicobacter Pylori Infection
NCT02576236 ·Status: UNKNOWN ·Phase: NA
-
A Phase 3 Study to Evaluate the Efficacy and Safety of Triple Therapy With CJ-12420 in H. Pylori Positive Patients
NCT03317223 ·Status: COMPLETED ·Phase: PHASE3
-
Genotypic Resistance-guided Versus Empirical Therapy for H. Pylori Eradication.
NCT04090021 ·Status: UNKNOWN ·Phase: PHASE4
-
Intraluminal Clarithromycin Powder Monotherapy for Helicobacter Pylori Infection
NCT03516669 ·Status: COMPLETED ·Phase: PHASE4
-
Five Days Quadruple and Clarithromycin Containing Triple Therapy as Treatment for Helicobacter Pylori Eradication
NCT01306786 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety of 7-day Triple Therapy Containing Amoxicillin and Tetracycline Versus 14-day Dual Therapy for Helicobacter Pylori Eradication
NCT07333001 ·Status: COMPLETED
-
Antimicrobial Susceptibility Testing Guided Triple Therapy in Salvage Helicobacter Pylori Treatment
NCT03139253 ·Status: UNKNOWN ·Phase: PHASE4
-
Comparison of 7-day PPI-based Standard Triple Therapy and 10-day Bismuth Quadruple Therapy for H. Pylori Eradication
NCT02557932 ·Status: COMPLETED ·Phase: PHASE3
-
Development of Treatment Algorithm for Eradication of Helicobacter Pylori Based on Antibiotic Susceptibility Test
NCT02759029 ·Status: UNKNOWN ·Phase: NA
-
Efficiency Study of Clarithromycin and Bismuth-containing Quadruple Therapy to Treat H.Pylori
NCT01667575 ·Status: COMPLETED ·Phase: PHASE4
-
Study to Evaluate the Efficacy and Safety of DWP14012-based Triple Therapy in Eradication of Helicobacter Pylori
NCT06751121 ·Status: COMPLETED ·Phase: PHASE3
-
Modified Non-clarithromycin Triple Therapy in Eradicating Helicobacter Pylori
NCT02776371 ·Status: COMPLETED ·Phase: PHASE4
-
Optimal Duration of Antimicrobial Susceptibility Test (AST) Guided Rescue Therapy for Helicobacter Pylori Infection
NCT02934048 ·Status: UNKNOWN ·Phase: PHASE4
-
Antimicrobial Susceptibility Testing Guided Therapy Versus Empirical Therapy for the First-line Helicobacter Pylori Eradication.
NCT03571230 ·Status: UNKNOWN ·Phase: PHASE4
-
Tailored Vs. Empirical Helicobacter Pylori Infection Treatment
NCT06200779 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Helicobacter Pylori Eradication Rates of Bismuth-containing Quadruple Therapy vs Modified Quadruple Therapy in Korea
NCT03665428 ·Status: COMPLETED ·Phase: PHASE4