Effect of H. Pylori Eradication on the Fate of H. Pylori-associated Gastric Polyp
Effect of H. Pylori Eradication on the Fate of H. Pylori-associated Gastric Polyp (Randomized Controlled Study)
Evaluation of the effect of H. pylori eradication on regression of H. pylori-related gastric polyp (Ranomized controlled trial)
- Study design: open labeled RCT
- Study group H. pylori eradication group (N=17), non-eradication group (N=15)
Treatment plan
Baseline EGD
: 0.3-1cm sized polyp - bx & CLO test (antrum & body)
==> if H. pylori positive and eligible patients, randomization
- Triple therapy
- UBT (4week after eradication)
- Follow-up EGD: gross finding, CLO test
Evaluation of polyp regression
- disappear
- regression over 50% (size, number)
- no change or increase (size, number)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
(A) Study population
- inclusion HP-realetd polyp polyp size with 0.3cm-1cm 20 yr - 70yr
- exclusion peptic ulcer, healing stage or acute stage recent use of PPI within 4weeks Liver cirrhosis, renal insufficiency, other serious chronic or acute disease current infection of other bacteria, virus, or fungus cancer, psychologic disease heavy drinker drug abuser pregnant women, Penicillin allergy, digoxin, antifungal, wafarin previosu H. pylori eradication enroll gastric polyp with bleeding or malignant transformation tiny polyp less than 3mm.
(B) Study method
- Study design: open labeled RCT
- Study group H. pylori eradication group (N=17), non-eradication group (N=15)
Treatment plan
- Baseline EGD: 0.3-1cm sized polyp - bx & CLO test (antrum & body) ==> if H. pylori positive and eligible patients, randomization
- Triple therapy
- UBT (4week after eradication) if eradication failure in triple therapy, 2nd line treatment (metroniazole based quadraple therpay) and the UBT (4week after eradication)
- Follow-up EGD (3-9M): gross finding, CLO test
Evaluation of polyp regression
- disappear
- regression over 50% (size, number)
- no change or increase (size, number)
Statistical analysis
- Chi-square test to compare polyp regression between treatment & control group.
- t-test to compare continuous variables between treatment & control group.
- Paired T-test to compare the size between baseline and follow-up EGD.
- Regression analysis: univariate & multivariate analysis.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Daegu, Korea, Republic of, 41404
- Su Youn Nam
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Gastric polyp with current infection of H. pylori
- Gastric polyp size with 3mm-10mm
- Age of 20 yr - 70yr
Exclusion Criteria:
- Gastric ulcer ir duodenal ulcer (healing stage or acute stage)
- Use of PPI within 4weeks
- Liver cirrhosis, renal insufficiency, other serious chronic or acute disease
- Current infection of other bacteria, virus, or fungus
- Any cancer, psychologic disease
- Heavy drinker
- Drug abuser
- Pregnant women
- Penicillin allergy
- Use of digoxin, antifungal, wafarin
- Previous H. pylori eradication
- Gastric polyp with bleeding or malignant transformation
- Tiny polyp less than 3mm.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: eradictaion
H. pylori eradication group
|
H. pylori eradication (Triple Therapy) as first line treatment if eradication failure, quadruple therpy will be provided as 2nd line treatment
Other Names:
|
|
No Intervention: non-eradication
H. pylori non-eradication group
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Compare regression rate of gastric polyps between H. pylori eradication and non-eradication groups. Regression of gastric polyp: one of below 1) Disappearance of gastric polyp 2) Reduction of polyp size over 50%
Time Frame: up to 24months
|
Evaluation of the effect of H. pylori eradication on the regression of H. pylori associated gastric polyp Study group
Definition of gastric polyp change:
|
up to 24months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Su Youn Y Nam, MD, PhD, Kyungpook National University Medical Center
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Neoplasms, Glandular and Epithelial
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Stomach Diseases
- Pathological Conditions, Anatomical
- Adenoma
- Stomach Neoplasms
- Polyps
- Adenomatous Polyps
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Anti-Bacterial Agents
- Cytochrome P-450 CYP3A Inhibitors
- Cytochrome P-450 Enzyme Inhibitors
- Protein Synthesis Inhibitors
- Clarithromycin
Other Study ID Numbers
Other Study ID Numbers
- KNUMC_15-1045
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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