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NCT05857163

Efficacy and Safety of Rifasutenizol (TNP 2198), Rabeprazole and Amoxicillin in Participants With H. Pylori Infection

Completed Phase 3 Results posted Last updated 17 August 2025
What this trial tests

Phase 3 trial testing Rifasutenizol capsules in H.Pylori Infection in 700 participants. Completed in 26 March 2024.

Timeline
18 May 2023
Primary endpoint
24 December 2023
26 March 2024

Quick facts

Lead sponsorTenNor Therapeutics (Suzhou) Limited
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment700
Start date18 May 2023
Primary completion24 December 2023
Estimated completion26 March 2024
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

TenNor Therapeutics (Suzhou) Limited — full company profile →

Who can join

Adults 18 to 65, any sex, with H.Pylori Infection. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Eradication Rate of H.Pylori Infection Primary · 4 to 6 weeks after the last dose of the study drugs

The eradication rate of H. pylori is defined as the percentage of participants with negative results of 13C UBT.

GroupValue95% CI
Test Group323
Control Group304
Eradication Rate of Antibiotic-resistant Strains of H.Pylori Secondary · 4 to 6 weeks after the last dose of the study drugs

Percentage of Participants with Successful Helicobacter Pylori (H.pylori) Eradication in Participants with antibiotic-resistant Strains of H.pylori at Baseline (based on the test results of 13C UBT)

Clarithromycin resistant
GroupValue95% CI
Test Group92
Control Group105
Clarithromycin susceptible
GroupValue95% CI
Test Group169
Control Group154
Metronidazole resistant
GroupValue95% CI
Test Group168
Control Group182
Metronidazole susceptible
GroupValue95% CI
Test Group92
Control Group77
Amoxicillin resistant
GroupValue95% CI
Test Group19
Control Group24
Amoxicillin susceptible
GroupValue95% CI
Test Group242
Control Group235
Levofloxacin resistant
GroupValue95% CI
Test Group93
Control Group85
Levofloxacin susceptible
GroupValue95% CI
Test Group167
Control Group174
Safety by Assessment of the Number of Participants With Adverse Events (AEs) Secondary · up to 4-6 weeks after the last dose of the study drugs

An Adverse Event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An Adverse Event can therefore be any unfavorable and unintended sign (including abnormal laboratory values or abnormal clinical test results), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as Adverse Events.

GroupValue95% CI
Test Group131
Control Group184
Time to Reach the Maximum Observed Plasma Concentration (Tmax) of Rifasutenizol (TNP-2198) on Day 1 Secondary · Day 1: 30 minutes before and 1, 2, 3, 4, 5, 6, 7, 8, 10, and 12 hours after Rifasutenizol (TNP-2198) administration

Plasma concentrations of Rifasutenizol (TNP-2198) were measured by a specific and validated assay. Plasma pharmacokinetic (PK) parameters of Rifasutenizol (TNP-2198) were read directly from the plasma concentration versus time profiles or calculated by using standard non-compartmental methods.

GroupValue95% CI
Test Group4.081.00 – 5.08
Time to Reach the Maximum Observed Plasma Concentration (Tmax) of Rifasutenizol (TNP-2198) on Day 14 Secondary · Day 14: 30 minutes before and 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 hours after Rifasutenizol (TNP-2198) administration

Plasma concentrations of Rifasutenizol (TNP-2198) were measured by a specific and validated assay. Plasma PK parameters of Rifasutenizol (TNP-2198) were read directly from the plasma concentration versus time profiles or calculated by using standard non-compartmental methods.

GroupValue95% CI
Test Group4.581.00 – 5.08
Maximum Observed Plasma Concentration (Cmax) of Rifasutenizol (TNP-2198) on Day 1 Secondary · Day 1: 30 minutes before and 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 hours after Rifasutenizol (TNP-2198) administration

Plasma concentrations of Rifasutenizol (TNP-2198) were measured by a specific and validated assay. Plasma PK parameters of Rifasutenizol (TNP-2198) were read directly from the plasma concentration versus time profiles or calculated by using standard non-compartmental methods.

GroupValue95% CI
Test Group324± 145
Maximum Observed Plasma Concentration (Cmax) of Rifasutenizol (TNP-2198) on Day 14 Secondary · Day 14: 30 minutes before and 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 hours after Rifasutenizol (TNP-2198) administration

Plasma concentrations of Rifasutenizol (TNP-2198) were measured by a specific and validated assay. Plasma PK parameters of Rifasutenizol (TNP-2198) were read directly from the plasma concentration versus time profiles or calculated by using standard non-compartmental methods.

GroupValue95% CI
Test Group504± 187
Half Life (t1/2) of Rifasutenizol (TNP-2198) on Day 1 Secondary · Day 1: 30 minutes before and 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 hours after Rifasutenizol (TNP-2198) administration

Plasma concentrations of Rifasutenizol (TNP-2198) were measured by a specific and validated assay. Plasma PK parameters of Rifasutenizol (TNP-2198) were read directly from the plasma concentration versus time profiles or calculated by using standard non-compartmental methods.

GroupValue95% CI
Test Group3.252.21 – 5.25
Half Life (t1/2) of Rifasutenizol (TNP-2198) on Day 14 Secondary · Day 14: 30 minutes before and 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 hours after Rifasutenizol (TNP-2198) administration

Plasma concentrations of Rifasutenizol (TNP-2198) were measured by a specific and validated assay. Plasma PK parameters of Rifasutenizol (TNP-2198) were read directly from the plasma concentration versus time profiles or calculated by using standard non-compartmental methods.

GroupValue95% CI
Test Group3.052.45 – 5.80
Area Under the Plasma Concentration-time Curve Within a Dosing Interval (AUC0-tau) of Rifasutenizol (TNP-2198) on Day 1 Secondary · Day 1: 30 minutes before and 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 hours after Rifasutenizol (TNP-2198) administration

Plasma concentrations of Rifasutenizol (TNP-2198) were measured by a specific and validated assay. Plasma PK parameters of Rifasutenizol (TNP-2198) were read directly from the plasma concentration versus time profiles or calculated by using standard non-compartmental methods.

GroupValue95% CI
Test Group1160± 507
Area Under the Plasma Concentration-time Curve Within a Dosing Interval (AUC0-tau) of Rifasutenizol (TNP-2198) on Day 14 Secondary · Day 14: 30 minutes before and 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 hours after Rifasutenizol (TNP-2198) administration

Plasma concentrations of Rifasutenizol (TNP-2198) were measured by a specific and validated assay. Plasma PK parameters of Rifasutenizol (TNP-2198) were read directly from the plasma concentration versus time profiles or calculated by using standard non-compartmental methods.

GroupValue95% CI
Test Group1950± 737
Area Under the Plasma Concentration-time Curve From the Time of Administration Extrapolated to Infinity (AUC0-∞) of Rifasutenizol (TNP-2198) on Day 1 Secondary · Day 1: 30 minutes before and 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 hours after Rifasutenizol (TNP-2198) administration

Plasma concentrations of Rifasutenizol (TNP-2198) were measured by a specific and validated assay. Plasma PK parameters of Rifasutenizol (TNP-2198) were read directly from the plasma concentration versus time profiles or calculated by using standard non-compartmental methods.

GroupValue95% CI
Test Group1240± 548

Adverse events — posted to ClinicalTrials.gov

Time frame: up to 4-6 weeks after the last dose of the study drugs. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Test Group
Serious: 2/351 (1%)
Deaths: 0/351
Control Group
Serious: 2/346 (1%)
Deaths: 0/346

Serious adverse events (6 terms)

ReactionSystemTest GroupControl Group
Vertigo positionalEar and labyrinth disorders
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders
Sclerosing pneumocytomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HaematocheziaGastrointestinal disorders
Defaecation disorderGastrointestinal disorders
Abdominal painGastrointestinal disorders
Other adverse events (4 terms — click to expand)

ReactionSystemTest GroupControl Group
DysgeusiaNervous system disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
DizzinessNervous system disorders

Most-reported serious reactions: Vertigo positional, Intervertebral disc protrusion, Sclerosing pneumocytoma, Haematochezia, Defaecation disorder, Abdominal pain.

Data from ClinicalTrials.gov NCT05857163 adverse events section.

Sponsor's own description

A multi-center, randomized, double-blind, bismuth-containing quadruple active comparator-controlled Phase 3 clinical study to evaluate the efficacy and safety of Rifasutenizol in combination with rabeprazole and amoxicillin in the primary treatment of participants with H. pylori infection using an adaptive design with sample size re-estimation.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Antibacterials with Novel Chemical Scaffolds in Clinical Development.
    Heimann D, Kohnhäuser D, Kohnhäuser AJ, Brönstrup M. · · 2025 · cited 10× · PMID 39847315 · DOI 10.1007/s40265-024-02137-x
  2. Rifasutenizol-based triple therapy versus bismuth plus clarithromycin-based triple therapy for first-line treatment of Helicobacter pylori infection in China (EVEREST-HP): a phase 3, multicentre, randomised, triple-dummy, double-blind, controlled, non-inferiority trial.
    Song Z, Zhou L, Wang W, Lan C, et al · · 2026 · cited 2× · PMID 40945526 · DOI 10.1016/s1473-3099(25)00438-4
  3. Therapeutic advances and future directions in <i>Helicobacter pylori</i> eradication.
    Suresh V, Sreekumar A, Kumar A, Sadasivan S, et al · · 2025 · PMID 41415806 · DOI 10.3389/fmicb.2025.1652943

Verify or expand the search:

Other recruiting trials for H.Pylori Infection

Currently open trials in the same condition.

Other TenNor Therapeutics (Suzhou) Limited trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing