Unique ID issued by UMIN | UMIN000022766 |
---|---|
Receipt number | R000026232 |
Scientific Title | Eradication of H. Pylori With the Regimen Individualized Susceptibility of H. Pylori to Clarithromycin Determined by the Mutation of 23S rRNA of H. Pylori |
Date of disclosure of the study information | 2016/07/01 |
Last modified on | 2019/12/19 09:30:57 |
Eradication of H. Pylori With the Regimen Individualized Susceptibility of H. Pylori to Clarithromycin Determined by the Mutation of 23S rRNA of H. Pylori
Eradication of H. Pylori Therapy Individualized by the Mutation of 23S rRNA of H. Pylori (EHR)
Eradication of H. Pylori With the Regimen Individualized Susceptibility of H. Pylori to Clarithromycin Determined by the Mutation of 23S rRNA of H. Pylori
Eradication of H. Pylori Therapy Individualized by the Mutation of 23S rRNA of H. Pylori (EHR)
Japan |
patients infected with H. pylori
Gastroenterology |
Others
NO
To study the clinical efficacy of tailored regimens based on the mutation of H. pylori which is related the resistance to clarithromycin
Safety
Confirmatory
Explanatory
Phase II
Eradication rates of H. pylori is assessed bythe 13C-urea breath test performed at 1 month after the therapy.
interview on the adverse events during the treatment, such as diarrhea, loose stool, abdominal pain and allergic reactions.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
1
Treatment
Medicine |
During the gastroscopy, gastric mucus samples are collected, from which DNA is extracted. The DNA samples are subjected the full-auto SNP analyzer and the from A to G mutation of 23s rRNA of H. pylori at the positions of 2142 and 2143 is measured. When the mutation is detected, patients are diagnosed to be infected with clarithromycin-resistant strains of H. pylori and therefore, treated with the triple therapy with vonoprazan 20 mg bid + amoxicillin 750 mg bid + metronidazole 250 mg bid for 1 week. When the mutation is not detected, patients are considered to be infected with clarithromycin-sensitive strains of H. pylori and therefore, treated with the triple therapy with vonoprazan 20 mg bid + amoxicillin 750 mg bid + clarithromycin 200 mg bid for 1 week. The success or failure of eradication was determined based on the 13C-urea breath test performed 1 month after the therapy. The total eradication rates with this strategy was compared with that by the standard regimen in Japan performed in the same period of the study.
20 | years-old | <= |
80 | years-old | >= |
Male and Female
Patients infected with H. pylori are invited to the study.
Patients not allergic to the any of the drugs used for eradication of H. pylori.
Patients who has agreed to participate to the study.
Patients allergic to the any of the drugs used for eradication of H. pylori.
Patients who do not agree to the study.
100
1st name | |
Middle name | |
Last name | Takahisa Furuta |
Hamamatsu University School of Medicine
Center for Clinical Research
1-20-1, Handayama, Higashi-Ku, Hamamatsu
053-435-2850
furuta@hama-med.ac.jp
1st name | |
Middle name | |
Last name | Takahisa Furuta |
Hamamatsu University School of Medicine
Center for Clinical Research
1-20-1, Handayama, Higashi-Ku, Hamamatsu
053-435-2850
furuta@hama-med.ac.jp
Hamamatsu University School of Medicine
Hamamatsu University School of Medicine
Self funding
NO
2016 | Year | 07 | Month | 01 | Day |
Unpublished
0
Under progression
2019 | Year | 12 | Month | 19 | Day |
Delay expected |
Delay
Preinitiation
2016 | Year | 04 | Month | 05 | Day |
2016 | Year | 07 | Month | 01 | Day |
2018 | Year | 03 | Month | 31 | Day |
2018 | Year | 04 | Month | 15 | Day |
2018 | Year | 05 | Month | 31 | Day |
2018 | Year | 06 | Month | 30 | Day |
2016 | Year | 06 | Month | 16 | Day |
2019 | Year | 12 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000026232