CClinicalTrials.gg
Status unknownNCT04558502Updated Jan 13, 2022

Effectiveness of Minocycline-Containing Bismuth Quadruple Therapy for Helicobacter Pylori Eradication

A Phase 4 interventional study of Minocycline hydrochloride capsule and Clarithromycin in Helicobacter Pylori Eradication, sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University. Status unknown. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2022-01-13.

Sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2021), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
339
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Although,bismuth-containing quadruple therapy has been highly recommended as first-line treatment regimen for H.pylori infection,it also has its problems and limitations in China.The primary resistance rates of metronidazole,clarithromycin and levofloxacin are all high in China.Besides that,tetracycline cannot be obtained and its complicated administration (four times daily) easily reduce patient compliance. In this study, we proposed to evaluate the eradication rate, safety, and compliance of a minocycline-based bismuth quadruple regimen.

Read the detailed description

A total of 339 H. pylori-infected, treatment-naive patients will be enrolled in this randomized controlled clinical trial. Patients will be randomly allocated into 3 groups: Esomeprazole 20 mg, clarithromycin 500 mg, amoxicillin 1000 mg, and colloidal bismuth pectin 200 mg twice daily for 14 days; Esomeprazole 20 mg, minocycline 100 mg, amoxicillin 1000 mg, and colloidal bismuth pectin 200 mg twice daily for 14 days; Esomeprazole 20 mg, minocycline 100 mg, amoxicillin 1000 mg, and colloidal bismuth pectin 200 mg twice daily for 10 days. Eradication rates will be assessed 4-12 weeks after treatment.

02

Conditions studied

  • Helicobacter Pylori Eradication

Keywords

  • Helicobacter pylori
  • Eradication
  • minocycline
  • bismuth quadruple regimens
03

In context

Lead sponsor

Second Affiliated Hospital, School of Medicine, Zhejiang University is the lead sponsor of 1,058 studies on the registry; 511 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • H.pylori-positive outpatients with endoscopically proven chronic gastritis
  • H. pylori (+) determined by either the 14C-or 13C-urea breath test or the gastric mucosal tissue rapid urease test and pathological section staining
  • Treatment-naive patients for eradication of H.pylori infection
  • Fully informed and agreed to participate in this study

Exclusion criteria

Exclusion Criteria:

  • Age \<18 years or >70 years
  • Allergy to any of the study drugs
  • Use of any drug that could influence the study results 4 weeks before the study,such as antibiotics,bismuth agent,PPI or H2 receptor antagonist (H2RA)
  • Previous gastric or esophageal surgery
  • Patients with malignancy or severe comorbidity
  • Pregnancy,lactation or alcohol abuse
  • Patients with poor treatment compliance or could not express themselves correctly
  • Participation in other clinical studies recently (within 3 months of enrollment in this clinical study)
05

Study design

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

Study arms

  • Experimental
    minocycline-based bismuth quadruple regimen for 14 days

    Esomeprazole 20 mg, minocycline 100 mg, amoxicillin 1000 mg, and colloidal bismuth pectin 200 mg twice daily for 14 days.

    Drug: Minocycline hydrochloride capsule · Drug: Amoxicillin · Drug: colloidal bismuth pectin · Drug: esomeprazole

  • Active comparator
    clarithromycin-based bismuth quadruple regimen for 14 days

    Esomeprazole 20 mg,clarithromycin 500 mg, amoxicillin 1000 mg, and colloidal bismuth pectin 200 mg twice daily for 14 days.

    Drug: Clarithromycin · Drug: Amoxicillin · Drug: colloidal bismuth pectin · Drug: esomeprazole

  • Experimental
    minocycline-based bismuth quadruple regimen for 10 days

    Esomeprazole 20 mg, minocycline 100 mg, amoxicillin 1000 mg, and colloidal bismuth pectin 200 mg twice daily for 10 days.

    Drug: Minocycline hydrochloride capsule · Drug: Amoxicillin · Drug: colloidal bismuth pectin · Drug: esomeprazole

Interventions

  • DrugMinocycline hydrochloride capsule

    Antibiotic for H. pylori eradication

    Also known as: Meiman

  • DrugClarithromycin

    Antibiotic for H. pylori eradication

    Also known as: Klacid

  • DrugAmoxicillin

    Antibiotic for H. pylori eradication

  • Drugcolloidal bismuth pectin

    Gastric mucosal protective drug with anti-H. pylori effect

  • Drugesomeprazole

    Proton pump inhibitor

06

What researchers measure

Primary outcomes

  1. Eradication rate

    Helicobacter pylori eradication of minocycline-containing bismuth quadruple therapy

    Time frame: 4-12 weeks after treatment

Secondary outcomes

  1. incidence of adverse effects

    incidence of adverse effects of minocycline-containing bismuth quadruple therapy

    Time frame: 3-7 days after treatment

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 13, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04558502
Lead sponsor
Second Affiliated Hospital, School of Medicine, Zhejiang University
Responsible party
Sponsor
First posted
Sep 22, 2020
Start date
Jan 5, 2022 (estimated)
Primary completion
Jun 5, 2022 (estimated)
Completion
Dec 5, 2022 (estimated)
Last update
Jan 13, 2022

Study contacts

Yan Li, master
Contact
liyan_8786@zju.edu.cn
15906698496
Yuehua Han, PhD
Contact
13858126927@163.com
13858126927
Qin Du, master
principal investigator · 2nd Affiliated Hospital,School of Medicine,Zhejiang University,China

Oversight

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 2021. You cannot join it, but the record below documents what was studied.

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