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Efficacy And Safety of Bismuth-Tetracycline-Rabeprazole Triple For First-Line Eradication of Helicobacter Pylori Infection
Sponsor: Chih-An Shih, MD
Summary
Most international treatment guidelines currently recommend a 14-day bismuth quadruple therapy as the first-line treatment for Helicobacter pylori infection, especially in areas with high clarithromycin resistance. While this therapy boasts good eradication rates, its administration is complex and has a high incidence of adverse reactions. However, tetracycline is one of the most effective anti-Helicobacter pylori antibiotics, with a resistance rate of less than 3%. This study prospectively evaluates the efficacy and safety of a 14-day triple therapy (high-dose tetracycline combined with bismuth and PPI) versus a 14-day bismuth quadruple therapy as first-line eradication therapy. This novel single-antibiotic therapy has the potential to become a new standard of care for Helicobacter pylori eradication.
Official title: Efficacy And Safety of Bismuth-Tetracycline-Rabeprazole Triple Versus Bismuth Quadruple Therapies For First-Line Eradication of Helicobacter Pylori Infection: A Single-Center, Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 90 Years
Study Type
INTERVENTIONAL
Enrollment
300
Start Date
2026-09-01
Completion Date
2029-09-01
Last Updated
2026-08-26
Healthy Volunteers
No
Interventions
Bismuth
14-day Bismuth-Tetracycline-Rabeprazole Triple
Bismuth quadruple therapy
Bismuth quadruple therapy, combining Rabeprazole, Tetracycline, Bismuth, and Metronidazole
Locations (1)
Antai Medical Care Corporation, Antai Tian-Sheng Memorial Hospital
Pingtung City, Taiwan