UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000045798
Receipt number R000048851
Scientific Title A RANDOMIZED TRIAL OF CLARITHROMYCIN 800 mg VERSUS 400 mg AS PART OF FIRST-LINE TRIPLE THERAPY
Date of disclosure of the study information 2021/10/21
Last modified on 2021/10/19 22:54:36

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Basic information

Public title

A Randomized controlled trial of clarithromycin 800 mg versus 400 mg as part of first-line triple therapy with vonoprazan for Helicobacter pylori gastritis

Acronym

A RANDOMIZED TRIAL OF CLARITHROMYCIN 800 mg VERSUS 400 mg AS PART OF FIRST-LINE TRIPLE THERAPY

Scientific Title

A RANDOMIZED TRIAL OF CLARITHROMYCIN 800 mg VERSUS 400 mg AS PART OF FIRST-LINE TRIPLE THERAPY

Scientific Title:Acronym

A RANDOMIZED TRIAL OF CLARITHROMYCIN 800 mg VERSUS 400 mg AS PART OF FIRST-LINE TRIPLE THERAPY

Region

Japan


Condition

Condition

Helicobacter pylori gastritis

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the eradication rate of clarithromycin doses of 400 mg and 800 mg in the first-line triple therapy using vonoprazan for Helicobacter pylori gastritis.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase IV


Assessment

Primary outcomes

Eradication rate of the first-line therapy assessed by a urea breath test from 8 to 12 weeks after cessation of therapy.

Key secondary outcomes

Effects of clarithromycin resistance, eGFR, alcohol consumption, and smoking on the eradication rate of each group, and the incidence and severity of adverse events


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Dose comparison

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Vonoprazan (VPZ) 20mg, Amoxicillin (ABPC) 750mg, Clarithromycin (CAM) 200mg, for the first 7days, with all drugs given twice daily

Interventions/Control_2

VPZ 20mg, ABPC 750mg, CAM 400mg, for the first 7days, with all drugs given twice daily

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who received a diagnosis of Helicobacter pylori gastritis by any one method of a rapid urease test, a urea breath test, a blood antibody test, a stool antigen test, and microbial culture.

Key exclusion criteria

1. Patients who have histories of eradication therapy for Helicobacter pylori.
2. Patients who received any one of lansoprazole, esomeprazole, omeprazole, and vonoprazan within 2 weeks.
3. Patients who suggested or received a diagnosis of other infectious diseases.
4. Patients being treated for acute gastritis, advanced gastric cancer, and gastric MALT lymphoma.
5. Patients after gastrectomy.
6. Patients who have coexisting severe heart disease, liver disease, respiratory disease, metabolic disease, neuromuscular disease, and severe chronic renal failure (estimated glomerular filtration rate [eGFR] <30 mL/min/1.73 m2).
7. Patients who have a past history of allergy for vonoprazan, esomeprazole, amoxicillin, and clarithromycin.
8. Pregnancy or lactating women.
9. Patients requiring hospitalization..

Target sample size

516


Research contact person

Name of lead principal investigator

1st name Hiroyuki
Middle name
Last name Tamaki

Organization

Takamatsu Red Cross Hospital

Division name

Department of gastroenterology

Zip code

7600017

Address

4-1-3, Ban-cho, Takamatsu , Kagawa, Japan

TEL

087-831-7101

Email

h-tama@gc4.so-net.ne.jp


Public contact

Name of contact person

1st name Hiroyuki
Middle name
Last name Tamaki

Organization

Takamatsu Red Cross Hospital

Division name

Department of gastroenterology

Zip code

7600017

Address

4-1-3, Ban-cho, Takamatsu , Kagawa, Japan

TEL

0878317101

Homepage URL


Email

h-tama@gc4.so-net.ne.jp


Sponsor or person

Institute

Takamatsu Red Cross Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Takamatsu Red Cross Hospital

Address

4-1-3, Ban-cho, Takamatsu, Kagawa, Japan

Tel

0878317101

Email

tamaki33@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 10 Month 21 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2017 Year 04 Month 10 Day

Date of IRB

2017 Year 04 Month 18 Day

Anticipated trial start date

2017 Year 05 Month 13 Day

Last follow-up date

2022 Year 05 Month 13 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 10 Month 19 Day

Last modified on

2021 Year 10 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048851