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The purpose of this study is to assess and compare the effectiveness of furazolidone-tetracycline-containing and tinidazole-tetracycline-containing quadruple regimens for the rescue treatment of Helicobacter pylori infection in patients allergic to penicillin.
Helicobacter pylori(H.pylori), which infects about 50% of the global population, has been recognized as a main risk factor of multiple gastric pathologies, especially non-cardiac gastric cancer. Strongly evidence supports that H.pylori eradication is an effective approach to reduce the incidence of those pathologies.However,Helicobacter pylori eradication is a challenge in patients allergic to penicillin. Therefore, the investigators aim to assess and compare the effectiveness of furazolidone-tetracycline-containing and tinidazole-tetracycline-containing quadruple regimens for the rescue treatment of Helicobacter pylori infection in patients allergic to penicillin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| furazolidone-tetracycline-containing quadruple | Experimental | patients in furazolidone-tetracycline-containing quadruple group will receive Esomeprazole 40mg po bid, tetracycline 500mg po qid , bismuth subcitrate (Colloidal Bismuth Pectin) 200mg po bid, and furazolidone 100mg po bid for 14d |
|
| tinidazole-tetracycline-containing quadruple group | Active Comparator | patients in tinidazole-tetracycline-containing quadruple group will receive Esomeprazole 40mg po bid, tetracycline 500mg po qid , bismuth subcitrate (Colloidal Bismuth Pectin) 200mg po bid, and tinidazole 500mg po tid for 14d. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Furazolidone | Drug | Furazolidone-tetracycline-containing quadruple regimens |
|
| Measure | Description | Time Frame |
|---|---|---|
| Eradication rates in 2 groups | Both intention to treat(ITT) and per-protocol(PP) analyses will be used for the assessment of the eradication rates of Helicobacter pylori infections in two groups. The ITT analysis includes all randomly assigned patients who take at least one dose of the study medications. The PP analysis is limited to patients who take over 90% of the study medications and complete follow-up. | 12months |
| Measure | Description | Time Frame |
|---|---|---|
| The rate of improving dyspepsia symptoms after Helicobacter pylori eradication | The rate of improving dyspepsia symptoms after Helicobacter pylori eradication | 12months |
| The rate of adverse events happening |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiuli Zuo, MD,PhD | Contact | 15588818685 | 053188369277 | zuoxiuli@sina.com |
| Xiuli Zuo, MD,PhD | Contact |
| Name | Affiliation | Role |
|---|---|---|
| Xiuli Zuo, MD,PhD | Qilu Hospital of Shandong University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Qilu hospital | Recruiting | Jinan | Shandong | 250000 | China |
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| ID | Term |
|---|---|
| D005664 | Furazolidone |
| D014011 | Tinidazole |
| ID | Term |
|---|---|
| D009581 | Nitrofurans |
| D009574 | Nitro Compounds |
| D009930 | Organic Chemicals |
| D023303 | Oxazolidinones |
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Parallel Assignment
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| Tinidazole | Drug | tinidazole-tetracycline-containing quadruple regimens |
|
Similarly, adverse events will also be measured by the Likert scale.
| 12months |
| The rate of good compliance | The rate of good compliance | 12months |
| D010080 |
| Oxazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005663 | Furans |
| D009593 | Nitroimidazoles |
| D007093 | Imidazoles |