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In Korea, the first-line therapy to treat Helicobacter pylori (Hp) consists of a proton pump inhibitor (PPI) and two antibiotics for one week. But, eradication has become less successful due to low compliance and high resistance to the antibiotics. Therefore, it is necessary to develop new treatment strategies that increase the eradication rate and reduce adverse effects. In vitro study, we previously reported that a broccoli sprout extract containing sulforaphane may prevent lipid peroxidation in the gastric mucosa and play a cytoprotective role in Hp-induced gastritis. Also, several studies suggested that probiotics could be effective for improving Hp eradication rate or reducing adverse events. But, their effect for eradication of Hp is not yet conclusive. The aims of this prospective study is to investigate the efficacy of a broccoli sprout extract containing sulforaphane and probiotics for eradication of Hp, compared with standard triple therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Probiotics | Experimental | Saccharomyces boulardii + Esomeprazole + Amoxicillin + Clarithromycin |
|
| Broccoli | Experimental | Broccoli Sprouts Extract + Esomeprazole + Amoxicillin + Clarithromycin |
|
| Triple Therapy | Active Comparator | Esomeprazole + Amoxicillin + Clarithromycin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Probiotics | Drug | Saccharomyces boulardii |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Helicobacter pylori eradication | Using the urea breath test | 5 weeks after treatment initiation |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kyung Hee University Hospital | Seoul | 130-872 | South Korea |
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| ID | Term |
|---|---|
| D019936 | Probiotics |
| C016766 | sulforaphane |
| D064098 | Esomeprazole |
| D000658 | Amoxicillin |
| D017291 | Clarithromycin |
| ID | Term |
|---|---|
| D019587 | Dietary Supplements |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
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| Broccoli | Dietary Supplement | Broccoli sprouts extract |
|
|
| Esomeprazole | Drug | Esomeprazole |
|
| Amoxicillin | Drug | Amoxicillin |
|
| Clarithromycin | Drug | Clarithromycin |
|
| D019602 |
| Food and Beverages |
| D009853 | Omeprazole |
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
| 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 |
| D000667 | Ampicillin |
| D010400 | Penicillin G |
| D010406 | Penicillins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D004917 | Erythromycin |
| D018942 | Macrolides |
| D061065 | Polyketides |
| D007783 | Lactones |