A Phase 4 interventional study of Pranactin citric solution in Bacterial Infection Due to Helicobacter Pylori (H. Pylori), sponsored by Otsuka America Pharmaceutical. Completed at 3 sites in United States. Open to participants aged 3 Years to 18 Years. Per ClinicalTrials.gov, last updated 2015-02-23.
Sponsored by Otsuka America Pharmaceutical (part of Otsuka Holdings Co., Ltd.) · Phase 4, Interventional, and Diagnostic
The purpose of this study is to compare between the POCone® to the UBiT®-IR300 in measuring 13CO2/12CO2 ratio in breath samples when used together with the BreathTek® UBT (urea breath test) Kit and the pUHR-CA web-based software program in identifying H. pylori infection in pediatric subjects.
The same patients will be tested on both the POCone® and UBiT®-IR300. If the patients test positive for H. pylori, they will be given eradication medication and brought back in for a re-test.
Otsuka America Pharmaceutical is the lead sponsor of 10 studies on the registry; none are open to participants now.
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Exclusion Criteria:
Comparison of Urea hydrolysis rate (UHR) values derived from Delta over Baseline (DOB)values obtained from the POCone and UBiT-IR300
Other: Pranactin citric solution
All patients were required to drink the pranactic citric solution to diagnose H.pylori.
Agreement Between POCone and UBiT-IR300.
The study end-points are UHR values derived from DOB (delta over baseline) values obtained from the POCone and UBiT-IR300 (UHRP and UHRU, respectively) at Baseline and Post-Dose. Same patients will be tested on both the POCone and UBiT-IR300. Subjects fasted for at least 1 hr prior test. Each patient provided breath samples in 3 blue (Baseline) breath bags-labeled "A" "B" "C". Subjects were given Pranactin-Citric solution (4oz) to drink, waited 15 min and collected 3 pink (post-dose) bags which were paired with the baseline bags in no particular order. Each pair was tested on both machines. The first two available pairs of UHR values were used for data analysis. The 3rd pair was used only if one of the first two samples did not produce a valid test result. DOB values were generated by the two instruments for each Baseline and Post Dose pair. UHR values were claculated based on the DOB values and the subject's anthropometric variables (age, gender, ehight and body weight).
Time frame: Baseline, Post Dose (15 min)
Number of Participants Tested Positive/Negative for H. Pylori
Qualified subjects from clinical sites underwent a standard urea breath test using the BreathTek UBT Kit. Breath samples were analyzed using both the POCone and the UBiT-IR300. DOB values from these two infrared spectrophotometers were converted to respective UHR values using pUHR-CA. The paired UHR values from each subject were evaluated for agreement. UHR values of \>10 µg/min were considered positive for H. pylori and UHR values of \<10 µg/min were considered negative for H. pylori.
Time frame: Single Study Visit (1 hour of testing)
| Milestone | Urea Hydrolysis Rate (UHR) |
|---|---|
| Started | 99 |
| Available for analysis | 95 |
| Completed | 95 |
| Not completed | 4 |
| Withdrew: Did not drink pranactin citric | 4 |
The study end-points are UHR values derived from DOB (delta over baseline) values obtained from the POCone and UBiT-IR300 (UHRP and UHRU, respectively) at Baseline and Post-Dose. Same patients will be tested on both the POCone and UBiT-IR300. Subjects fasted for at least 1 hr prior test. Each patient provided breath samples in 3 blue (Baseline) breath bags-labeled "A" "B" "C". Subjects were given Pranactin-Citric solution (4oz) to drink, waited 15 min and collected 3 pink (post-dose) bags which were paired with the baseline bags in no particular order. Each pair was tested on both machines. The first two available pairs of UHR values were used for data analysis. The 3rd pair was used only if one of the first two samples did not produce a valid test result. DOB values were generated by the two instruments for each Baseline and Post Dose pair. UHR values were claculated based on the DOB values and the subject's anthropometric variables (age, gender, ehight and body weight).
| Measure | Urea Hydrolysis Rate (UHR) Values |
|---|---|
| Deming Regression Analysis | 0.990 (0.987 to 0.993) |
| Passing-Bablok Regression Analysis | 0.995 (0.990 to 1.00) |
| Regular Regression Analysis | 0.990 (0.987 to 0.993) |
Qualified subjects from clinical sites underwent a standard urea breath test using the BreathTek UBT Kit. Breath samples were analyzed using both the POCone and the UBiT-IR300. DOB values from these two infrared spectrophotometers were converted to respective UHR values using pUHR-CA. The paired UHR values from each subject were evaluated for agreement. UHR values of \>10 µg/min were considered positive for H. pylori and UHR values of \<10 µg/min were considered negative for H. pylori.
| Participants | UBiT-IR300 | POCone |
|---|---|---|
| Positive for H.pylori | 24 | 24 |
| Negative for H. pylori | 71 | 71 |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Pranactin Citric Solution | — | 0/99 (0%) | 4/99 (4%) |
| Event | Pranactin Citric Solution |
|---|---|
| HeadacheNervous system disorders | 2/99 |
| coughRespiratory, thoracic and mediastinal disorders | 1/99 |
| Dry MouthGastrointestinal disorders | 1/99 |
| Acute Upper Respiratory InfectionInfections and infestations | 1/99 |
95 evaluable subjects for initial diagnosis- each patient received the BreathTek UBT test. Collected breath samples were analyzed on both the UBiT-IR300 and the POC-one.
| Age, Categorical(Participants) | BreathTek UBT |
|---|---|
| <=18 years | 95 |
| Between 18 and 65 years | 0 |
| >=65 years | 0 |
| Age, Continuous(years) | BreathTek UBT |
|---|---|
| Mean | 10.5 (3.4 to 18.0) |
| Sex: Female, Male(Participants) | BreathTek UBT |
|---|---|
| Female | 54 |
| Male | 41 |
| Region of Enrollment(Number of Participants) | BreathTek UBT |
|---|---|
| United States | 95 |
The record gives a start of Jul 2012, a primary completion of Mar 2013 and a completion of Apr 2013. It does not say whether these dates are actual or estimated.
Results were first posted in Jan 2015, 1 year 10 months after primary completion.
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