- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05870683
Comparison of Two Dual Therapies in the First-line Treatment of Helicobacter Pylori Infection (SHARE2301)
Comparison of the Efficacy of Tegoprazan-containing Versus Esomeprazole-containing Dual Therapy for Helicobacter Pylori Eradication: a Prospective, Multicenter, Randomized Controlled Study (SHARE2301)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In 1989, it was suggested that amoxicillin combined with PPI could eradicate Hp infection, and in 2015, a prospective, multicenter, randomized controlled study in Taiwan with a large sample showed that the eradication rate of Hp could reach 96.6% with dual therapy for primary treatment of Hp infection, and the results of intention-to-treat analysis were as high as 95.3%. 95.3%. In 2020, a meta-analysis showed that high-dose dual therapy had the same efficacy and fewer side effects than other recommended regimens in first-line treatment. In terms of dosing days, multiple randomized controlled studies and meta-analyses from 2020-2021 have shown that 14 days of high-dose dual therapy is more effective in eradicating H. pylori.
Tegoprazan, a Potassium-Competitive Acid Blockers (P-CAB), is a new type of acid-suppressing drug that compensates for the short half-life of acid-activated traditional acid-suppressing PPI and the low mucosal healing rate due to insufficient acid suppression. The efficacy of P-CAB agents represented by vonoprazan in H. pylori eradication therapy has been widely verified. 2022, tegoprazan was approved by the State Drug Administration for the new indication of eradication of H. pylori infection in adults in combination with appropriate antimicrobial therapy, and its efficacy in clinical application has not yet been verified.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Yanqing Li, MD
- Phone Number: 18560086667
- Email: qlxhkqz@163.com
Study Locations
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Shandong
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Jinan, Shandong, China, 250012
- Recruiting
- Department of Gastroenterology, Qilu Hospital, Shandong University
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Contact:
- Yanqing Li, PhD. MD.
- Phone Number: 18678827666
- Email: liyanqing@sdu.edu.cn
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Helicobacter pylori infection (either positive for histopathological test, rapid urease test, or C13/C14 urea breath test).
- Patients who have not previously received helicobacter pylori eradication therapy.
Exclusion Criteria:
- Serious underlying diseases, such as liver insufficiency, renal insufficiency, immunosuppression, malignant tumor, coronary heart disease (angina pectoris or coronary artery stenosis ≥ 75%).
- Those who are not willing to take contraceptive measures during pregnancy, lactation or the trial.
- Active gastrointestinal bleeding.
- History of drug allergy.
- History of upper gastrointestinal surgery.
- Medication history of bismuth, antibiotics and PPI within 4 weeks.
- Other behaviors that may increase the risk, such as alcohol and drug abuse.
- Unable or unwilling to provide informed consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 14-day Tegoprazan-Amoxicillin dual therapy
14-day Tegoprazan-Amoxicillin dual therapy, Tegoprazan(Luo Xin Pharmaceutical Group Co. LTD)50mg bid, Amoxicillin (Amoxicillin, United Laboratories Co. LTD) 750mg qid
|
Included in dual eradication medication.
Included in dual eradication medication.
|
Active Comparator: 14-day Esomeprazole-Amoxicillin dual therapy
14-day Esomeprazole-Amoxicillin dual therapy, Esomeprazole(Astrazeneca Pharmaceutical Co., LTD.) 20mg qid, Amoxicillin (Amoxicillin, United Laboratories Co. LTD) 750mg qid
|
Included in dual eradication medication.
Included in dual eradication medication.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Eradication rate
Time Frame: Immediately after follow-up check
|
Both intention to treat (ITT) and per-protocol (PP) analyses will be used for the assessment of the eradication rates of Helicobacter pylori infections in two groups.
The ITT analysis includes all randomly assigned patients who take at least one dose of the study medications.
The PP analysis is limited to patients who take over 80% of the study medications and complete follow-up.
|
Immediately after follow-up check
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of adverse reactions
Time Frame: Immediately after follow-up check
|
Rate of adverse reactions
|
Immediately after follow-up check
|
Patient compliance
Time Frame: Immediately after follow-up check
|
good compliance is defined as the actual dosage is within the range of 80%-100% of the dosage that should be taken
|
Immediately after follow-up check
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Chair: Yanqing Li, Qilu Hospital of Shandong University
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Gram-Negative Bacterial Infections
- Bacterial Infections
- Bacterial Infections and Mycoses
- Infections
- Helicobacter Infections
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Gastrointestinal Agents
- Anti-Bacterial Agents
- Anti-Ulcer Agents
- Proton Pump Inhibitors
- Amoxicillin
- Esomeprazole
Other Study ID Numbers
- SHARE2301
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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