CClinicalTrials.gg
Status unknownNCT04667299Updated Dec 22, 2020

Bismuth-Metronidazole Triple Therapy for H. Pylori First-line Treatment

A Phase 4 interventional study of Rabeprazole and Bismuth potassium citrate in Helicobacter Pylori Infection, sponsored by Shanghai Zhongshan Hospital. Status unknown at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-12-22.

Sponsored by Shanghai Zhongshan Hospital · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2020), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
270
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

This randomized controlled clinical trial will compare the eradication efficacy of bismuth-metronidazole triple therapy (PPI+bismuth+ metronidazole) with that of bismuth-metronidazole quadruple therapy (PPI+bismuth+ metronidazole+ amoxicillin) for Helicobacter pylori first-line treatment. The completion of this trial will expand new therapy for the treatment of Helicobacter pylori, which can not only ensure clinical efficacy, but also reduce the use of antibiotics.

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Conditions studied

  • Helicobacter Pylori Infection
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In context

Lead sponsor

Shanghai Zhongshan Hospital is the lead sponsor of 636 studies on the registry; 283 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participate in the trial voluntarily, fully understand the trial, and sign the informed consent form (ICF).
  • 18-75 years old on the day of signing the ICF.
  • Helicobacter pylori infection confirmed by 13C-urea breath test or rapid urease test.
  • Have not received Helicobacter pylori eradication treatment before.

Exclusion criteria

Exclusion Criteria:

  • Have received Hp eradication treatment.
  • Patients with severe heart, lung, kidney, liver, blood, nerve, endocrine, and psychiatric diseases.
  • Subjects or guardians refused to participate in the trial.
  • Alcohol and/or drugs Abuse (addiction or dependence) or poor compliance with doctor's judgment.
  • Have taken antibiotics, bismuth, PPI or Chinese traditional medicine 4 weeks before treatment.
  • Pregnant or lactating women.
  • Active peptic ulcer.
  • allergic to drugs used in the trial.
  • any other circumstances that are not suitable for recruitment.
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Study design

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

Study arms

  • Experimental
    BMT group

    Rabeprazole 20 mg bid, bismuth potassium citrate 0.6 g bid and metronidazole 0.4 g qid for 14 days

    Drug: Rabeprazole · Drug: Bismuth potassium citrate · Drug: Metronidazole

  • Active comparator
    BMQ group

    Rabeprazole 20 mg bid, bismuth potassium citrate 0.6 g bid, metronidazole 0.4 g qid and amoxicillin 1 g bid for 14 days

    Drug: Rabeprazole · Drug: Bismuth potassium citrate · Drug: Metronidazole · Drug: Amoxicillin

Interventions

  • DrugRabeprazole

    20mg bid

  • DrugBismuth potassium citrate

    0.6g bid

  • DrugMetronidazole

    0.4g qid

  • DrugAmoxicillin

    1g bid

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What researchers measure

Primary outcomes

  1. Eradication rate of Helicobacter pylori

    Eradication of Helicobacter pylori was defined as negative result of urea breath test (\<4‰ cut-off value).

    Time frame: At least 4 weeks after completion of therapy

Secondary outcomes

  1. Eradication rate of Helicobacter pylori metronidazole-resistant strains

    Eradication of Helicobacter pylori was defined as negative result of urea breath test (\<4‰ cut-off value). The strains with minimal inhibitory concentration (MIC) value of metronidazole \>8 μg/ml were defined as resistant strains.

    Time frame: At least 4 weeks after completion of therapy

  2. Eradication rate of Helicobacter pylori metronidazole-susceptible strains

    Eradication of Helicobacter pylori was defined as negative result of urea breath test (\<4‰ cut-off value). The strains with metronidazole MIC value \<=8 μg/ml were defined as susceptible strains.

    Time frame: At least 4 weeks after completion of therapy

Other outcomes

  1. Adherence rate

    Adherence was defined as poor when subjects took less than 80% of the total medication.

    Time frame: At least 1 weeks after completion of therapy

  2. Frequency of adverse events

    Any possible adverse events during the 14-day treatment period were recorded.

    Time frame: At least 1 weeks after completion of therapy

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Study locations

1 of 1 sites recruiting
  • Zhongshan Hospital, Fudan University
    Shanghai, Shanghai 200032, China
    • Qi Chen, MD · Contact · chenqimd@163.com · 86-18817821405
    • Taotao Liu, MD · Principal investigator
    • Qi Chen, MD · Sub investigator
    • Ying Fang, MD · Sub investigator
    • Hao Wu, MD · Sub investigator
    Recruiting
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References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices) will be available from the principal investigator Taotao Liu at liu.taotao@zs-hospital.sh.cn, beginning 6 months and ending 5 years after the trial results were published. The study protocol and statistical analysis plan are available online from https://clinicaltrials.gov/. All proposals requesting data access will need to specify how it is planned to use the data, and all proposals will need approval of all investigators before data release.

Supporting information: Study protocol

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04667299
Lead sponsor
Shanghai Zhongshan Hospital
Responsible party
Sponsor
First posted
Dec 14, 2020
Start date
Dec 20, 2020
Primary completion
Nov 20, 2021 (estimated)
Completion
Dec 31, 2021 (estimated)
Last update
Dec 22, 2020

Study contacts

Qi Chen, MD
Contact
chenqimd@163.com
86-17811921405
Taotao Liu, MD
principal investigator · Fudan University

Oversight

Data monitoring committee
No
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 2020. You cannot join it, but the record below documents what was studied.

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