About this trial
This is a multicenter, randomized, double blind, double-simulated, parallel control of positive drug phase III clinical study to evaluate the efficacy and safety of Anaprazole versus Esomeprazole-containing Bismuth quadruple therapy for eradication of Helicobacter pylori in China.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18-75 years
During the screening visit, the participants were determined to be Hp-positive by 13C-UBT and Hp eradication therapy was required by the investigator.
Fully understand the content of the experiment, voluntarily participate in the experiment, and sign the informed consent.
Disqualifiers
Known allergic history to Anaprazole or Esomeprazole, or amoxicillin or clarithromycin and bismuth(including any related excipients ).
Have a history of severe rapid-onset hypersensitivity to β-lactam agents (such as cephalosporins, carbapenems, monocyclic β-lactam).
The participant has Zollinger-Ellison syndrome.
Participants known to have acute upper gastrointestinal bleeding, active gastric or duodenal ulcer, acute gastric mucosal injury (AGML) or acute duodenal mucosal injury (ADML).
Trial design
Parallel
Treatments tested in this trial
Anaprazole Sodium enteric-coated tablet
DrugAnaprazole sodium enteric-coated tablets 20mg + Esomeprazole magnesium enteric-coated tablets placebo 1 tablet +Bismuth potassium citrate capsules 240mg + Amoxicillin capsules 1000mg + Clarithromycin tablets 500mg,BID,oral,twice daily for 14 days
Esomeprazole magnesium enteric-coated tablets
DrugAnaprazole sodium enteric-coated tablets placebo 1 tablet + Esomeprazole magnesium enteric-coated tablets20mg +Bismuth potassium citrate capsules 240mg + Amoxicillin capsules 1000mg + Clarithromycin tablets 500mg,BID,oral,twice daily for 14 days
Treatment groups
Trial outcomes
Primary outcomes
Percentage of all participants with successful Helicobacter Pylori (Hp) eradication
Percentage of all patients with Hp eradication determined by a 13\^C-urea breath test after study treatment
Secondary outcomes
Percentage of participants with successful Helicobacter Pylori (H.Pylori) eradication in participants with Clarithromycin-resistant strain and Clarithromycin-sensitive strain of H.Pylori at baseline
Percentage of participants with successful Helicobacter Pylori (H.Pylori) eradication in participants with Amoxicillin-resistant strain and Amoxicillin-sensitive strain of H.Pylori at baseline
Other outcomes
Number of Subjects With Adverse Events (AEs)
AUC0-t
AUC0-∞
Cmax
Sponsors and contacts
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