ClinicalTrials.gg
Status unknownNCT03347513Updated Dec 4, 2018

Eradication of H-pylori in Pregnancy and Its Effect on Iron Replacement Therapy?

A Phase 4 interventional study of triple attack therapy and Ferrous(II)-glycine-sulphate complex 567.7 mg capsules in Pregnancy Complications, Anemia, Iron Deficiency and H Pylori Infection, sponsored by Kasr El Aini Hospital. Status unknown at 1 site in Egypt. Open to female participants aged Up to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-12-04.

Sponsored by Kasr El Aini Hospital · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2018), so the status shown — last known as Recruiting — may be out of date.

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Phase
Phase 4
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
Up to 40 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 16 studies in Pregnancy Complications with a site in Egypt — 1 open to participants now, 1 under way, none of them phase 3. Pregnancy Complications · Egypt.

Planned enrollment
3rd of 11
150 · median 70
Started
2017
with 1 other
Phase 4
2 of 16
none open now
Registered
5th of 16
by date
Lead sponsor
1 of 16
Kasr El Aini Hospital

Among the 16 studies in Pregnancy Complications with a site in Egypt, this one is the 3rd largest by planned enrollment of the 11 interventional ones that give a count, is one of 2 that started in 2017, is one of 2 in phase 4, and was the 5th registered.

Pregnancy Complications

411 studies on the registry are indexed under Pregnancy Complications; 113 are open to participants now.

Browse Pregnancy Complications studies →

Open to participants now

1 of the 16 studies in Pregnancy Complications with a site in Egypt is open now. Recruiting first, the newest first:

A study can be open while its sites in Egypt have not opened yet or have stopped. Only those recruiting at a site in Egypt →

Who these studies take

Of the 92 Pregnancy Complications studies recruiting now, 44 (48%) set no upper age limit and 45 (49%) stop at 75 or younger; 22 take children under 18; 35 take healthy volunteers.

This study: Up to 40 Years · female · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 16 studies in Pregnancy Complications with a site in Egypt, or all of them as a file.
02

Study summary

the effect of eradication of H-pylori in pregnant patients with iron deficiency anemia on the level of hemoglobin after iron therapy.

Read the detailed description

After approval of the "Ethics Committee" of the obstetrics and gynecology department of the faculty of medicine Cairo University, a clinical trial will be started in which pregnant patients with iron deficiency anemia will be recruited out of the antenatal care clinic. Routine complete blood count (CBC) is done early during the second trimester for cases with anemia discovered by labs drawn on their booking appointment during their 1st antenatal care visit.

IDA defined as hemoglobin below 11gm/dl with MCV below 80 fl, with one of the following: if the serum ferritin level is below 70 μg/L. or if transferrin saturation is below 20.

We based our sample size according to the work done by Nashaat \& Mansour, 2014 who studied a difference in the mean hemoglobin level of 1.6 g/dl with a standard deviation of 3.3. The ratio of women in the control group to experimental group was set at 1:1, the power at 0.8, and the type I error at 0.05 which gave us 68 subjects in every arm. We allowed for 10% dropouts finally giving us 75 subjects on each study arm.

After obtaining informed consent, H-pylori infection will be diagnosed using a stool antigen assay ABON which is one step H. pylori antigen test device (®Inverness Medical Innovation Hong Kong Limited). A stool sample will be collected and the top screwed on. An applicator will then be introduced into the sample after unscrewing of the cap in three different sites to collect at least 50 mg of fecal matter. The sample will be centrifuged at 4000 rpm for 5 minutes and the supernatant will be used for immunoassay. Two drops will be placed on the kit as per kit instructions. This test utilizes lateral chromatographic assay where after 10 minutes a positive sample will have a purple-pink line in addition to the control line, while a negative test only has the control line present. If the control line was missing the test will be considered invalid.

All the enrolled participants will then be randomized into two groups using a computer generated randomization table and a sealed envelope system to be opened by the nurse in the next antenatal care visit. When the envelope is opened the participant will be assigned to either group (A) (eradication of H-pylori before iron therapy) or group (B) (start iron therapy without eradication o f H-pylori).

Participants in group A will undergo eradication of H-pylori using triple attack therapy according to O'Connor et al, 2013 with Proton pump inhibitor (eg, omeprazole 20 mg BID), Clarithromycin 500 mg BID, metronidazole 500 mg BID for 14 days, followed by confirmation of eradication by repeating the H-pylori stool antigen test .

Iron therapy will be given to both groups twice daily for one month in the form ferrous(II)-glycine-sulphate complex 567.7 mg capsules (each capsule contains about 100 mg elemental iron) Ferro sanol duodenal ®Minapharm , Egypt. All recruited cases will undergo blood sampling for complete blood count (CBC), serum ferritin, transferrin saturation, and total iron binding capacity (TIBC) before and after iron therapy. All demographic data along with relevant history taking and examination will be recorded at the beginning of recruitment including age, body mass index (BMI), and parity e.t.c.

PS Power and Sample Size Calculations software, version 2.1.30 for MS Windows, was used to calculate sample size (Dupont and Vanderbilt, Nashville, TN).

03

Conditions studied

  • Pregnancy Complications
  • Anemia, Iron Deficiency
  • H Pylori Infection

Keywords

  • H-pylori
  • iron deficiency anemia
  • Pregnancy
  • iron therapy
04

Who can participate

Ages eligible
Up to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosed Iron deficiency anemia.
  • H-pylori positive cases.
  • Second trimester pregnancy.

Exclusion criteria

Exclusion Criteria:

  • Severe Iron deficiency anemia ( \< 8.0 g/dL).
  • Parasitic worm infection e.g. schistosomiasis, and hook worm by stool analysis.
  • Any cases giving clinical symptoms of gastritis e.g. nausea, vomiting, dull aching pain or soreness in the epigastrium.
  • Cases with history of gastric ulcer diagnosed by upper endoscopy.
  • Cases complaining of hematemesis.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Eradication of H-pylori

    triple attack therapy (Clarithromycin 500 mg BID for 14 days, omeprazole 20 mg BID for 14 days, metronidazole 500 mg BID for 14 days). Followed by confirmation of eradication by repeating the H-pylori stool antigen test. Iron therapy will be given twice daily for one month in the form ferrous(II)-glycine-sulphate complex 567.7 mg capsules (each capsule contains about 100 mg elemental iron) Ferro sanol duodenal ®Minapharm, Egypt.

    Drug: triple attack therapy · Drug: Ferrous(II)-glycine-sulphate complex 567.7 mg capsules

  • Active comparator
    No eradication of H-pylori

    Iron therapy will be given twice daily for one month in the form ferrous(II)-glycine-sulphate complex 567.7 mg capsules (each capsule contains about 100 mg elemental iron) Ferro sanol duodenal ®Minapharm, Egypt.

    Drug: Ferrous(II)-glycine-sulphate complex 567.7 mg capsules

Interventions

  • Drugtriple attack therapy

    eradication of H-pylori using triple attack therapy.

    Also known as: KLACID XL 500 mg, HEALSEC 20 mg, Flagyly 500 mg

  • DrugFerrous(II)-glycine-sulphate complex 567.7 mg capsules

    Iron therapy will be given to both groups twice daily for one month.

    Also known as: Ferro sanol duodenal ®Minapharm , Egypt

06

What researchers measure

Primary outcomes

  1. hemoglobin levels

    difference in mean mean hemoglobin levels

    Time frame: one month

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Nashaat EH, Mansour GM. Helicobacter pylori and anemia with pregnancy. Arch Gynecol Obstet. 2014 Jun;289(6):1197-202. doi: 10.1007/s00404-013-3138-8. Epub 2013 Dec 28. PubMed 24374855 ↗
  • Breymann C, Honegger C, Hosli I, Surbek D. Diagnosis and treatment of iron-deficiency anaemia in pregnancy and postpartum. Arch Gynecol Obstet. 2017 Dec;296(6):1229-1234. doi: 10.1007/s00404-017-4526-2. Epub 2017 Sep 22. PubMed 28940095 ↗
  • Chey WD, Leontiadis GI, Howden CW, Moss SF. ACG Clinical Guideline: Treatment of Helicobacter pylori Infection. Am J Gastroenterol. 2017 Feb;112(2):212-239. doi: 10.1038/ajg.2016.563. Epub 2017 Jan 10. Erratum In: Am J Gastroenterol. 2018 Jul;113(7):1102. doi: 10.1038/s41395-018-0132-6. PubMed 28071659 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2017 (actual). Primary completion is estimated for Mar 2019, 16 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 15, 2017
First posted
Nov 20, 2017
StartActual
Nov 25, 2017
Primary completionEst.
Mar 2019
CompletionEst.
May 2019
Last update
Dec 4, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 4, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03347513
Responsible party
Ahmed M.Kamel (Assistant professor of obstetrics and gynecology, Kasr El Aini Hospital) — Principal investigator
First posted
Nov 20, 2017
Start date
Nov 25, 2017
Primary completion
Mar 2019 (estimated)
Completion
May 2019 (estimated)
Last update
Dec 4, 2018

Study contacts

Ahmed Kamel, M.D.
Contact
dr.ahmed.m.kamel@gmail.com
00201120022332
Emad salah, M.D.
Contact
emadsalah148@gmail.com
Ahmed Kamel, M.D.
principal investigator · Cairo University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Dec 2018. You cannot join it, but the record below documents what was studied.

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