- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00281047
The Influence of FP-10 on the Eradication Rates of H. Pylori by a Triple Therapy
The Phase 2 Study of FP-10, the Food Ingredient Derived From Milk Casein, on the Eradication Rates of Helicobacter Pylori by a Triple Therapy With Lansoprazole, Amoxicillin, and Clarithromycin
Study Overview
Detailed Description
H. pylori -positive patients older than 15 years of age with gastritis, gastric ulcer, duodenal ulcer, or gastroduodenal ulcer are invited to participate in the study. These patients had endoscopically and histologically proven ulcers or active chronic gastritis and are all H. pylori-positive. Written informed consent to participation must be obtained from each patient before the study.
During gastroduodenoscopy, biopsy specimens obtained from both the antrum and the corpus of the greater curvature are subjected to the bacterial susceptibility to clarithromycin by culture test or measurements of 23S rRNA mutations at positions 2142 and 2143 (from adenine to guanine).
Patients are treated with 30 mg of lansoprazole bid, 200 mg of clarithromycin bid, and 750 mg of amoxicillin bid for one week. In addition, they take placebo bid, FP10 1 g bid, or FP-10 2 g bid (2 hour after breakfast and at the bed time) for the same one week. Administration of placebo, FP-10 1 g or FP-10 2 g are performed in a double blinded manner.
Eradication of H. pylori was confirmed by a 13C-urea breath test performed one month after eradication therapy. Throughout the study period, the investigators involved in the assessment of H. pylori eradication are blinded to susceptibility to clarithromycin H. pylori strains.
Study Type
Enrollment
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Contact
- Name: Takahisa Furuta, MD, PhD
- Phone Number: 81-53-435-2850
- Email: furuta@hama-med.ac.jp
Study Contact Backup
- Name: Kazunari Murakami, MD, PhD
- Phone Number: 81-97-586-6193
- Email: murakam@med.oita-u.ac.jp
Study Locations
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Oita, Japan, 879-5593
- Recruiting
- University Hospital of Oita University Faculty of Medicine
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Contact:
- Kazunari Murakami, MD, PhD
- Phone Number: 81-97-586-6193
- Email: murakam@med.oita-u.ac.jp
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Principal Investigator:
- Kazunari Murakami, MD, PhD
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Oita
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Beppu, Oita, Japan, 874-8585
- Recruiting
- Oita Kouseiren Tsurumi Hospital
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Contact:
- Takayuki Nagai, MD. PhD
- Phone Number: 81-977-23-7111
- Email: ikyoku@ok-tsurumi.com
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Principal Investigator:
- Takayuki Nagai, MD, PhD
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Shizuoka
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Hamamatsu, Shizuoka, Japan, 431-3125
- Recruiting
- Senoo Clinic for Internal Medicine and Gastroenterology
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Contact:
- Kazutaka Senoo, MD
- Email: CBF00628@nifty.com
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Principal Investigator:
- Kazutaka Senoo, MD
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Hamamatsu, Shizuoka, Japan, 431-3192
- Recruiting
- University Hospital of Hamamatsu University School of Medicine
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Contact:
- Takahisa Furuta, MD, PhD
- Phone Number: 81-53-435-2850
- Email: furuta@hama-med.ac.jp
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Principal Investigator:
- Takahisa Furuta, MD, PhD
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Sub-Investigator:
- Naohito Shirai, MD, PhD
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Sub-Investigator:
- Mitsushige Sugimoto, MD
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Hamamatsu, Shizuoka, Japan, 433-8121
- Recruiting
- Matsushita Clinic
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Contact:
- Fumiaki Matsushita, MD, PhD
- Phone Number: 81-53-475-5225
- Email: fmatsushita@mail.wbs.ne.jp
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Principal Investigator:
- Fumiaki Matsushida, MD, PhD
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Hamamatsu, Shizuoka, Japan, 435-0006
- Recruiting
- Kumagai Clinic for Internal Medicine and Gastroenterology
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Contact:
- Junichi Kumagai, MD, PhD
- Phone Number: 81-53-422-2588
- Email: jkuma@yr.tnc.ne.jp
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Principal Investigator:
- Junichi Kumagai, MD, PhD
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Kakegawa, Shizuoka, Japan, 436
- Recruiting
- Nakajima Clinic
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Contact:
- Hiroshi Nakamura, MD, PhD
- Phone Number: 81-537-22-6819
- Email: mdnakajima@mail.wbs.ne.jp
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Principal Investigator:
- Hiroshi Nakajima, MD, PhD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
H. pylori-positive patients who have never undergo the H. pylori eradication therapy -
Exclusion Criteria:
Patients not infected with H. pylori, Patients who are allergic to amoxicillin, clarithromycin, lansoprazole, 13C-urea, or milk casein
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Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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The effect of FP-01 on the eradication rates of H. pylori infection by a triple therapy
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Secondary Outcome Measures
Outcome Measure |
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The effect o FP-10 on the eradication rates of clarithromycin-sensitive and -resistant strains of H. pylori by a triple therapy
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Takahisa Furuta, MD, PhD, Center for Clinical Research, Hamamatsu University School of Medicine
- Study Director: Kazunrai Murakami, MD, PhD, Department of Gastroenterology, Oita University Faculty of Medicine
- Study Chair: Toshio Fujioka, MD, PhD, Oita University
Publications and helpful links
General Publications
- Furuta T, Shirai N, Sugimoto M, Nakamura A, Hishida A, Ishizaki T. Influence of CYP2C19 pharmacogenetic polymorphism on proton pump inhibitor-based therapies. Drug Metab Pharmacokinet. 2005 Jun;20(3):153-67. doi: 10.2133/dmpk.20.153.
- Furuta T, Sagehashi Y, Shirai N, Sugimoto M, Nakamura A, Kodaira M, Kenmotsu K, Nagano M, Egashira T, Ueda K, Yoneyama M, Ohashi K, Ishizaki T, Hishida A. Influence of CYP2C19 polymorphism and Helicobacter pylori genotype determined from gastric tissue samples on response to triple therapy for H pylori infection. Clin Gastroenterol Hepatol. 2005 Jun;3(6):564-73. doi: 10.1016/s1542-3565(04)00779-7.
- Shirai N, Furuta T, Sugimoto M, Nakamura A. [High dose dual PPI/AMPC therapy for the treatment of Helicobacter pylori infection after failure of usual standard triple PPI/AMPC/CAM therapy]. Nihon Rinsho. 2005 Nov;63 Suppl 11:438-41. No abstract available. Japanese.
- Okudaira K, Miura S, Furuta T, Sugimoto M, Shirai N. [Concomitant dosing of a H2 receptor antagonist (H2RA) with a triple therapy increases the cure rate of Helicobacter pylori infection]. Nihon Rinsho. 2005 Nov;63 Suppl 11:391-6. No abstract available. Japanese.
- Furuta T, Shirai N, Sugimoto M, Nakamura A, Okudaira K, Kajimura M, Hishida A. Effect of concomitant dosing of famotidine with lansoprazole on gastric acid secretion in relation to CYP2C19 genotype status. Aliment Pharmacol Ther. 2005 Jul 1;22(1):67-74. doi: 10.1111/j.1365-2036.2005.02523.x.
- Okudaira K, Furuta T, Shirai N, Sugimoto M, Miura S. Concomitant dosing of famotidine with a triple therapy increases the cure rates of Helicobacter pylori infections in patients with the homozygous extensive metabolizer genotype of CYP2C19. Aliment Pharmacol Ther. 2005 Feb 15;21(4):491-7. doi: 10.1111/j.1365-2036.2005.02353.x. Erratum In: Aliment Pharmacol Ther. 2005 Jun 1;21(11):1398.
- Murakami K, Fujioka T. [Drug resistant H. pylori in Japan: general remarks]. Nihon Rinsho. 2005 Nov;63 Suppl 11:198-202. No abstract available. Japanese.
- Murakami K, Kodama M, Sato R, Okimoto T, Watanabe K, Fujioka T. Helicobacter pylori eradication and associated changes in the gastric mucosa. Expert Rev Anti Infect Ther. 2005 Oct;3(5):757-64. doi: 10.1586/14787210.3.5.757.
- Murakami K, Sato R, Okimoto T, Watanabe K, Nasu M, Fujioka T, Kodama M, Kagawa J. Influence of anti-ulcer drugs used in Japan on the result of (13)C-urea breath test for the diagnosis of Helicobacter pylori infection. J Gastroenterol. 2003;38(10):937-41. doi: 10.1007/s00535-003-1176-x.
- Hiramoto S, Itoh K, Shizuuchi S, Kawachi Y, Morishita Y, Nagase M, Suzuki Y, Nobuta Y, Sudou Y, Nakamura O, Kagaya I, Goshima H, Kodama Y, Icatro FC, Koizumi W, Saigenji K, Miura S, Sugiyama T, Kimura N. Melanoidin, a food protein-derived advanced maillard reaction product, suppresses Helicobacter pylori in vitro and in vivo. Helicobacter. 2004 Oct;9(5):429-35. doi: 10.1111/j.1083-4389.2004.00263.x.
- Murakami K, Sato R, Okimoto T, Nasu M, Fujioka T, Kodama M, Kagawa J. Efficacy of triple therapy comprising rabeprazole, amoxicillin and metronidazole for second-line Helicobacter pylori eradication in Japan, and the influence of metronidazole resistance. Aliment Pharmacol Ther. 2003 Jan;17(1):119-23. doi: 10.1046/j.1365-2036.2003.01401.x.
- Murakami K, Sato R, Okimoto T, Nasu M, Fujioka T, Kodama M, Kagawa J, Sato S, Abe H, Arita T. Eradication rates of clarithromycin-resistant Helicobacter pylori using either rabeprazole or lansoprazole plus amoxicillin and clarithromycin. Aliment Pharmacol Ther. 2002 Nov;16(11):1933-8. doi: 10.1046/j.1365-2036.2002.01368.x.
- Murakami K, Nasu M. [Clarithromycin (CAM)]. Nihon Rinsho. 2002 Feb;60 Suppl 2:667-70. No abstract available. Japanese.
- Murakami K, Nasu M. [Drug sensitivity test for Helicobacter pylori]. Nihon Rinsho. 2002 Feb;60 Suppl 2:350-3. No abstract available. Japanese.
- Murakami K, Fujioka T, Okimoto T, Sato R, Kodama M, Nasu M. Drug combinations with amoxycillin reduce selection of clarithromycin resistance during Helicobacter pylori eradication therapy. Int J Antimicrob Agents. 2002 Jan;19(1):67-70. doi: 10.1016/s0924-8579(01)00456-3.
- Asaka M, Satoh K, Sugano K, Sugiyama T, Takahashi S, Fukuda Y, Ota H, Murakami K, Kimura K, Shimoyama T. Guidelines in the management of Helicobacter pylori infection in Japan. Helicobacter. 2001 Sep;6(3):177-86. doi: 10.1046/j.1523-5378.2001.00027.x.
- Murakami K, Fujioka T, Kodama R, Kubota T, Tokieda M, Nasu M. Helicobacter pylori infection accelerates human gastric mucosal cell proliferation. J Gastroenterol. 1997 Apr;32(2):184-8. doi: 10.1007/BF02936365.
Study record dates
Study Major Dates
Study Start
Study Completion
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- Hp.FP-10.01
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