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Study aim
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Comparison of the effect of Sequential Therapy and Triple Therapy for Helicobacter Pylori Eradication
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Design
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In this study, 144 patients with H.pylori infection will undergo gastroscopy if they meet all the inclusion criteria and none of the exclusion criteria. A written consent will be received from all patients before participating in the study and undergoing esophago-gastro-duodenoscopy. Then they will randomly be divided into the sequential therapy and standard triple therapy groups by tossing coin.
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Settings and conduct
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This is a double blinded clinical trial on patients who refer to Shahid Mohammadi Hospital in Bandar Abbas. Patients will be divided randomly into sequential therapy and standard triple therapy groups. Information about the type of treatment will be kept secret from the patients, pathologists, and physicians involved in the treatment. For this purpose, the drugs given to each group will be placed in the same package alongside the instructions.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: No history of H. pylori treatment, age above 18, Gastrointestinal symptoms like nausea, vomiting, indigestion, and melena, Being a candidate for endoscopy, Not responding to experimental therapy
Exclusion criteria: Pregnancy, Lactating, severe Heart, Liver, Lung, or Kidney diseases, having malignancies, Being allergic to amoxicillin, clarithromycin, or tinidazole
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Intervention groups
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Intervention group 1: Patients in sequential therapy group received pantoprazole 20 mg twice daily for 10 days, amoxicillin 1000 mg twice daily for the first 5-day period followed by tinidazole 500 mg twice daily for the second 5-day period. Intervention group 2: Patients in standard triple therapy group, received pantoprazole 20 mg, clarithromycin 500 mg, and amoxicillin 1000 mg (all medicines twice daily) for 14 days.
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Main outcome variables
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H-Pylori infection eradication rate