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NCT06682533

Tegoprazan- Versus PPI-based H. Pylori Eradication

Recruiting now Last updated 29 April 2025
What this trial tests

trial in H.Pylori Infection in 200 participants. Currently enrolling.

Timeline
1 December 2024
Primary endpoint
31 December 2025
31 December 2025

Quick facts

Lead sponsorSoonchunhyang University Hospital
StatusRecruiting now
Study typeOBSERVATIONAL
Enrollment200
Start date1 December 2024
Primary completion31 December 2025
Estimated completion31 December 2025
Sites1 location across South Korea

Conditions studied

Sponsor

Soonchunhyang University Hospital

Who can join

Adults 20 to 80, any sex, with H.Pylori Infection. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

In 2015, vonoprazan, a potassium-competitive blocker (P-CAB), was launched in Japan and used as an alternative for proton pump inhibitors (PPIs) for eradicating Helicobacter pylori. In recent studies, vonoprazan-based triple therapy significantly increased the eradication rate from 72.8% to 87.9%, compared to PPI treatment group. Accordingly, the Japanese Helicobacter treatment guidelines recommend prescribing P-CAB for eradication treatment. In 2018, a new P-CAB, tegoprazan, was developed in Korea and approved for gastric ulcer treatment. Subsequently, it was proven effective in the treatment of reflux esophagitis compared to PPIs in a non-inferiority clinical trial. P-CAB can increase the gastric pH to 6 or higher within 7 hours after taking tegoprazan. Because tegoprazan can be taken after meals, it can improve patient compliance for H. pylori eradication. Unlike vonoprazan in Japan, however, tegoprazan-based eradication in Korean population was similar to conventional PPI-based treatment. To date, the eradication success rates of PPI and tegoprazan-based triple therapy were 76.4-84.2% and 77.3-84.3%, respectively, and there was no significant difference between the two treatment groups. Bismuth has long been used as a semi-metal in the dyspepsia and traveler's diarrhea. In H. pylori eradication therapy, several guidelines recommended the addition of bismuth to treatment regimens. Recently, bismuth was added to the 2-week triple regimen to increase the first-line H. pylori eradication rate in countries with high antibiotic resistance. The H. pylori eradication significantly increased from 87.5-88.1% to 95.8-97.3% in a recent study. The odds ratio was 1.63-2.18 in bismuth-added treatment group, compared to no use of bismuth group. In subgroup analysis, odd ratio was 1.66-2.22 in high clarithromycin-resistant areas. However, there was no comparative analysis of PPIs and tegoprazan in a bismuth-added triple therapy.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for H.Pylori Infection

Currently open trials in the same condition.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT06682533.

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