Additive Effect of Endonase on Eradication Rate of Second Line Therapy for HP Infection
Study Details
Study Description
Brief Summary
Endonase, a kind of protease, is known to cause both extensive degradation of mucins and a reduction in mucus viscosity. As part of the search for more effective forms of therapy against H. pylori when it colonizes not only the surface of the surface mucosal cells but also the surface mucous gel layer covering the mucosal surface of the stomach. The investigators decided to investigate whether or not endonase might have additive effect of pronase on the efficacy of the second-line eradication therapy against Helicobacter pylori.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: with Endonase Second-line quadruple therapy [PPI(pantoprazole 40mg, lansoprazole 30mg, esomeprazole 40mg, rabeprazole 20mg, omeprazole 20mg) Bid, tetracycline 500 mg QID, metronidazole 500mg Tid, tripotassium dicitrate bismuthate 300mg QID] plus 20,000 units of pronase (endonase), BID for 7 days |
Drug: Second-line quadruple therapy with endonase
Compare Second-line quadruple therapy w/o pronase (endonase)
Other Names:
|
No Intervention: without Endonase Second-line quadruple therapy [PPI(pantoprazole 40mg, lansoprazole 30mg, esomeprazole 40mg, rabeprazole 20mg, omeprazole 20mg) Bid, tetracycline 500 mg QID, metronidazole 500mg Tid, tripotassium dicitrate bismuthate 300mg QID] for 7 days |
Outcome Measures
Primary Outcome Measures
- Eradication rate [4 weeks]
Intention-to-treat analysis and per-protocol analysis to compare the eradication rate of the bismuth-containing quadruple therapy plus endonase as the second-line treatment with that of the bismuth-containing quadruple therapy
Secondary Outcome Measures
- Number of participants with adverse events [4 weeks]
Difference in the number of participants with adverse events between patients receiving bismuth-containing quadruple therapy plus endoase as the second-line treatment for H. pylori and patients receiving only bismuth-containing quadruple therapy
- Number of participants taking over 85% of medicine [4 weeks]
Difference in the number of participants taking over 85% of medicine between patients receiving bismuth-containing quadruple therapy plus endoase as the second-line treatment for H. pylori and patients receiving only bismuth-containing quadruple therapy
Eligibility Criteria
Criteria
Inclusion Criteria:
Patients with 18 years or more of age AND Patients who failed the standard proton pump inhibitor-based triple therapy for H. pylori
Exclusion Criteria:
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Patients Under 18 years, OR
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Patients with active peptic ulcer, OR
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Pregnant or Breast feeding women, OR
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Patients with gastric malignancy, OR
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Patients with a history of drug allergy or hypersensitivity, OR
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Patients with severe renal, liver, or heart diseases
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Chuncheon Sacred Heart Hospital | Chuncheon | Gangwon | Korea, Republic of | 200-100 |
Sponsors and Collaborators
- Chuncheon Sacred Heart Hospital
Investigators
- Principal Investigator: JinBong Kim, MD, Chuncheon Sacred Heart Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CSHH Endonase2