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This study is conducted to investigate whether the efficacy of single-dose triple therapy (Esomeprazole 40 mg, Tinidazole 1 g, and Levofluxacine 500 mg) for 14 days is superior to double-dose lansoprazole 30 mg, amoxicillin 1 g and clarithromycin 500 mg for 14 days in the treatment of H pylori infection.
Multiple regimens have been evaluated for H. pylori therapy in randomized controlled trials The treatment regimen that is selected must be effective, but considerations such as cost, side effects, and ease of administration should also be taken into account. Despite the number of studies, the optimal therapeutic regimen has not yet been defined.
The regimen most commonly recommended for first line treatment of H. pylori is triple therapy with a PPI, amoxicillin and clarithromycin for 14 days. However, the multi-drug application is associated with remarkable side effects and it is not uncommon not to be able to complete a treatment course. Thus, treatment failure is associated with H. pylori strains that are resistant to the commonly used antibiotics. This study is conducted to investigate whether the efficacy of single-dose triple therapy (Esomeprazole 40 mg, Tinidazole 1 g, and Levofluxacine 500 mg) for 14 days is superior to double-dose lansoprazole 30 mg, amoxicillin 1 g and clarithromycin 500 mg for 14 days in the treatment of H pylori infection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tavanex & Nexium & Tinafas | Experimental | Patients will receive Nexium (Esomeprazole) 40 mg daily and Tinafas (Tinidazole) 1 g daily and Tavanex (Levofloxacin) 500 mg daily for 14 days" |
|
| Lanzol & Klacid &Iramox | Active Comparator | Patients will receive Lanzol (lansoprazole) 30 mg twice daily and Klacid (clarithromycin) 500 mg twice daily and Iramox (amoxicillin) 1 g twice daily for 14 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nexium | Drug | Patients in experimental group will receive the 14 day single dose of Nexium 40 mg daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| The rate of H.pylori eradication | Breath Urea Test | 42 days after study completion |
| Measure | Description | Time Frame |
|---|---|---|
| Drug Compliance | Interview | within the first week after study completion |
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Inclusion Criteria:
The patients who proved H. pylori infection following three methods
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shaahin Shahbazi, MD | Assistant Professor, Ilam University of Medical Sciences,Head of Faculty of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ilam University of Medical Scienvc | Īlām | 6939177143 | Iran |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30635887 | Derived | Shahbazi S, Vahdat Shariatpanahi Z. Comparison between daily single-dose triple therapy and conventional triple therapy on patient compliance and Helicobacter pylori eradication: A randomized controlled trial. Indian J Gastroenterol. 2018 Nov;37(6):550-554. doi: 10.1007/s12664-018-0916-z. Epub 2019 Jan 12. |
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| ID | Term |
|---|---|
| D016481 | Helicobacter Infections |
| ID | Term |
|---|---|
| D016905 | Gram-Negative Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D064098 | Esomeprazole |
| D014011 | Tinidazole |
| D064747 | Lansoprazole |
| D017291 | Clarithromycin |
| D000658 | Amoxicillin |
| ID | Term |
|---|---|
| D009853 | Omeprazole |
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
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| Tinafas | Drug | Patients in experimental group will receive the 14 day single dose regimen of Tinafas 1 g daily |
|
|
| Tavanex | Drug | Patients in experimental group will receive the 14 day single dose of Tavanex 500 mg daily |
|
|
| Lanzol | Drug | Patients in active comparator group will receive the 14 day lansoprazole (Lanzol) 30 mg twice daily |
|
|
| Klacid | Drug | Patients in active comparator group will receive the 14 day clarithromycin (Klacid) 500 mg twice daily twice daily |
|
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| Iramox | Drug | Patients in active comparator group will receive the 14 day amoxicillin (Iramox) 1 g twice daily |
|
|
| D009930 |
| Organic Chemicals |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D009593 | Nitroimidazoles |
| D009574 | Nitro Compounds |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D004917 | Erythromycin |
| D018942 | Macrolides |
| D061065 | Polyketides |
| D007783 | Lactones |
| D000667 | Ampicillin |
| D010400 | Penicillin G |
| D010406 | Penicillins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |