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A Comparison of Four Different Treatment Regimens of Helicobacter Pylori in Chinese Children
Sponsor: Ying HUANG
Summary
With the resistance of Helicobacter pylori increasing, low and unsatisfactory eradication rate (64%) have been observed with standard triple therapy in European children. Which regimen is appropriate for Chinese children? There is no large scale, multi center studies in China about treatment, CYP2C19 gene polymorphism, resistance rate and resistance genotype. Investigators want to perform a research to compare four different treatment regimens(triple therapy, sequential therapy, bismuth quadruple therapy and concomitant therapy)as the first-line treatment of Helicobacter pylori in Chinese children and investigation of resistance, impact factors and changes of microbiota after the therapy. The results of the study will provide theoretical basis to make the new guideline of diagnosis and therapy of Helicobacter pylori in Chinese children. It advance instruct and norm the clinical practice for Chinese pediatrician to increase the cure rate of Helicobacter pylori and decrease the resistance.
Official title: A Comparison of Four Different Treatment Regimens as the First-line Treatment of Helicobacter Pylori in Chinese Children and Investigation of Resistance and Impact factors-a Multicenter Study
Key Details
Gender
All
Age Range
6 Years - 18 Years
Study Type
INTERVENTIONAL
Enrollment
1440
Start Date
2017-09-20
Completion Date
2025-12-31
Last Updated
2025-02-28
Healthy Volunteers
No
Conditions
Interventions
triple therapy
Omeprazole+Amoxicillin+Clarithromycin
sequential therapy
the first 7 days : Omeprazole+Amoxicillin, the last 7 days: Omeprazole+Clarithromycin+Metronidazole
bismuth quadruple therapy
Omeprazole+Amoxicillin+Metronidazole+Colloidal Bismuth Subcitrate
concomitant therapy
Omeprazole+Amoxicillin+Clarithromycin+Metronidazole
Locations (1)
Children's hospital of Fudan university
Shanghai, Shanghai Municipality, China