Helicobacter Pylori InfectionPhase 3NCT04167670
Efficacy and Safety of Vonoprazan Compared to Lansoprazole in Participants With Helicobacter Pylori Infection
A Phase 3 study testing Vonoprazan, Amoxicillin and Clarithromycin in people with Helicobacter Pylori Infection, run by Phathom Pharmaceuticals, Inc. at 153 sites in 6 countries.
Trial summary
To compare the efficacy of Helicobacter pylori (HP) eradication with vonoprazan dual and triple therapy regimens versus lansoprazole triple therapy regimen in participants with HP infection, excluding participants who had a clarithromycin or amoxicillin resistant strain of HP at baseline. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Helicobacter Pylori Infection
- What is being tested?
- Vonoprazan, Amoxicillin and Clarithromycin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,046 participants
- Where
- 153 sitesin 6 countries
- Study dates
- 10 Dec 2019to 18 Mar 2021
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The participant is ≥ 18 years of age at the time of informed consent signing.
- In the opinion of the investigator or sub-investigators, the participant is capable of understanding and complying with protocol requirements.
- The participant signs and dates a written, informed consent form (ICF) and any required privacy authorization prior to the initiation of any study procedures. The participant is informed of the full nature and purpose of the study, including possible risks and side-effects. The participant has the ability to cooperate with the investigator. Ample time and opportunity should be given to read and understand verbal and/or written instructions.
- The participant has at least one of the following clinical conditions with confirmed HP+ infection demonstrated by a positive 13C-UBT during the Screening Period.
- Dyspepsia (i.e. pain or discomfort centered in the upper abdomen) lasting at least 2 weeks
- A confirmed diagnosis of functional dyspepsia
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- A recent / new diagnosis of (non-bleeding) peptic ulcer
- A history of peptic ulcer not previously treated for HP infection
- A requirement for long-term non-steroidal anti-inflammatory drug (NSAID) treatment at a stable dose of the NSAID
- A female participant of childbearing potential who is or may be routinely sexually active with a nonsterilized male partner agrees to routinely use adequate contraception from the signing of informed consent until Day -2 and two forms of adequate contraception from Day -1 until 4 weeks after the last dose of study drug.
Who cannot join
- The participant has previously been treated with any regimen to attempt to eradicate HP.
- The participant has gastric or duodenal ulcer with endoscopic evidence of current or recent bleeding.
- The participant has confirmed diagnosis of gastric cancer by biopsy.
- The participant is receiving colchicine.
- The participant has received any investigational compound (including those in post marketing studies) within 30 days prior to the start of the Screening Period. A participant who has screen failed from another clinical study and who has not been dosed may be considered for enrollment in this study.
- The participant is a study site employee, an immediate family member, or is in a dependent relationship with a study site employee who is involved in conduct of this study (e.g., spouse, parent, child, sibling) or who may have consented under duress.
Show all 20Show fewer
- The participant has cutaneous lupus erythematosus or systemic lupus erythematosus.
- The participant has had clinically significant upper or lower gastrointestinal bleeding within 4 weeks prior to randomization.
- The participant has Zollinger-Ellison syndrome or other gastric acid hypersecretory conditions.
- The participant has a history of hypersensitivity or allergies to vonoprazan (including the formulation excipients: D-mannitol, microcrystalline cellulose, hydroxypropyl cellulose, fumaric acid, croscarmellose sodium, magnesium stearate, hypromellose, macrogol 8000, titanium oxide, red or yellow ferric oxide), PPIs, amoxicillin and/or clarithromycin, or any excipients used in the 13C-UBT: mannitol, citric acid or aspartame. Skin testing may be performed according to local standard practice to confirm hypersensitivity.
- The participant has a history of alcohol abuse, illegal drug use, or drug addiction within the 12 months prior to screening, or who regularly consume >21 units of alcohol (1 unit = 12 oz/300 mL beer, 1.5 oz/25 mL hard liquor/spirits, or 5 oz/100 mL wine) per week based on self-report. Participants must have a negative urine drug screen for cannabinoids/ tetrahydrocannabinol and non-prescribed medications at screening.
- The participant is taking any excluded medications or treatments listed in the protocol.
- If female, the participant is pregnant, lactating, or intending to become pregnant before, during, or within 4 weeks after participating in this study; or intending to donate ova during such time period.
- The participant has a history or clinical manifestations of significant central nervous system, cardiovascular, pulmonary, hepatic, renal, metabolic, other gastrointestinal, urological, endocrine or hematological disease that, in the opinion of the investigator, would confound the study results or compromise participants safety.
- The participant requires hospitalization or has surgery scheduled during the course of the study or has undergone major surgical procedures within 30 days prior to the Screening Visit.
- The participant has a history of malignancy (including MALToma) or has been treated for malignancy within 5 years prior to the start of the Screening Period (Visit 1) (the participant may be included in the study if he/she has cured cutaneous basal cell carcinoma or cervical carcinoma in situ).
- The participant has acquired immunodeficiency syndrome or human immunodeficiency virus infection, or tests positive for the hepatitis B surface antigen, hepatitis C virus (HCV) antibody or HCV RNA. However, participants who test positive for HCV antibody, but negative for HCV RNA are permitted to participate.
- The participant has any of the following abnormal laboratory test values at the start of the Screening Period:
- Creatinine levels: >2 mg/dL (>177 μmol/L).
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >2 × the upper limit of normal (ULN) or total bilirubin >2 × ULN.
Trial locations and contacts
153 sites in 6 countries.
153 sites in 6 countries
United States106 sites
Anaheim Clinical Trials LLC
Anaheim, California, 92801
Synexus Clinical Research US, Inc. - Anderson
Anderson, South Carolina, 29621
Pinnacle Research Group
Anniston, Alabama, 36207
North Alabama Research Center, LLC
Athens, Alabama, 35611
Atlanta Gastroenterology Associates
Atlanta, Georgia, 30342
Nexgen Research Center
Atlanta, Georgia, 30345
Inquest Clinical Research
Baytown, Texas, 77521
Washington Gastroenterology
Bellevue, Washington, 98004
Synexus Clinical Research US, Inc. - Alabama
Birmingham, Alabama, 35211
Gastroenterology Associates of Fairfield County
Bridgeport, Connecticut, 06606
Connecticut Clinical Research Foundation
Bristol, Connecticut, 06010
Synexus Clinical Research US, Inc. - East Valley Family Physicians, PLC
Chandler, Arizona, 85224
Clinical Trials of South Carolina
Charleston, South Carolina, 29406
Carolinas Research Center
Charlotte, North Carolina, 28215
New River Valley Research Institute
Christiansburg, Virginia, 24073
GW Research, Inc. - ClinEdge - PPDS
Chula Vista, California, 91910
eStudySite - Chula Vista - PPDS
Chula Vista, California, 91911
Iowa Digestive Disease Center
Clive, Iowa, 50325
Synexus Clinical Research US, Inc.
Colorado Springs, Colorado, 80909
Kindred Medical Institute for Clinical Trials, LLC
Corona, California, 92879
Clinical Trials Management LLC
Covington, Louisiana, 70433
Synexus Clinical Research US, Inc. - Dallas
Dallas, Texas, 75234
Dayton Gastroenterology, Inc
Dayton, Ohio, 45415
Duke University Medical Center
Durham, North Carolina, 27710-4000
Riverside Clinical Research
Edgewater, Florida, 32132
Texas Tech University Health Sciences Center El Paso
El Paso, Texas, 79905
Verity Research, Inc.
Fairfax, Virginia, 22031
HB Clinical Trials, Inc.
Fountain Valley, California, 92708-7510
Prestige Clinical Research
Franklin, Ohio, 45005
Medication Management LLC
Greensboro, North Carolina, 27408
Carolina Research
Greenville, North Carolina, 27834
IL Gastroenterology Group
Gurnee, Illinois, 60031
Drug Trials America - ClinEdge
Hartsdale, New York, 10530
Synexus Clinical Research US, Inc. - Site 1
Henderson, Nevada, 89052
Synexus Clinical Research US, Inc. - Site 2
Henderson, Nevada, 89052
Peters Medical Research, LLC - ClinEdge - PPDS
High Point, North Carolina, 27262
Research Centers of America - ERG
Hollywood, Florida, 33024
CroNOLA, LLC.
Houma, Louisiana, 70360
Ben Taub General Hospital
Houston, Texas, 77030
Precision Research Institute, LLC
Houston, Texas, 77036
Biopharma Informatic, LLC
Houston, Texas, 77084
Medical Affiliated Research Center Inc
Huntsville, Alabama, 35801
Nature Coast Clinical Research
Inverness, Florida, 34452
ENCORE Borland-Groover Clinical Research - ERN - PPDS
Jacksonville, Florida, 32256
Multi Specialty Clinical Research
Johnson City, Tennessee, 37601
The Alliance for Multispecialty Research, LLC
Kansas City, Missouri, 64114
OM Research LLC - Lancaster - ClinEdge - PPDS
Lancaster, California, 93534
Sierra Clinical Research - ClinEdge - PPDS
Las Vegas, Nevada, 89106
Office - Site 1
Las Vegas, Nevada, 89119
Office - Site 2
Las Vegas, Nevada, 89128
Synexus Clinical Research US, Inc. - Layton
Layton, Utah, 84041
Preferred Research Partners - ClinEdge - PPDS
Little Rock, Arkansas, 72211
Applied Research Center of Little Rock
Little Rock, Arkansas, 72212
Torrance Clinical Research Institute
Lomita, California, 90717
Southern California Research Institute Medical Group, Inc.
Los Angeles, California, 90045
Blue Ridge Medical Research
Lynchburg, Virginia, 24502
Gastroenterology Associates of Central Georgia, LLC
Macon, Georgia, 31201
Rio Grande Gastroenterology
McAllen, Texas, 78503
Synexus Clinical Research US, Inc. - Central Arizona Medical Associates, PC
Mesa, Arizona, 85206
Synexus Clinical Research US, Inc. - Desert Clinical Research, LLC
Mesa, Arizona, 85213
Clinical Trials Management LLC
Metairie, Louisiana, 70006
Columbus Clinical Services LLC
Miami, Florida, 33125
Jesscan Medical Research
Miami, Florida, 33134
Nuren Medical and Research Center
Miami, Florida, 33144
Premier Research Associate-Miami
Miami, Florida, 33165
Facey Medical Foundation
Mission Hills, California, 91345
Coastal Carolina Research Center
Mt. Pleasant, South Carolina, 29464
Clinical Research Associates Inc
Nashville, Tennessee, 37203
Vanderbilt University Medical Center
Nashville, Tennessee, 37212
Gastroenterology Health Partners, PLLC
New Albany, Indiana, 47150
Central Sooner Research
Norman, Oklahoma, 73071
Arkansas Gastroenterology
North Little Rock, Arkansas, 72117
Atria Clinical Research - BTC - PPDS
North Little Rock, Arkansas, 72117
Summit Digestive & Liver Disease Specialists
Oakbrook Terrace, Illinois, 60181
Advanced Research Institute
Ogden, Utah, 84405
Heartland Clinical Research, Inc
Omaha, Nebraska, 68134
G. Medical Center
Orlando, Florida, 32807
Advanced Gastroenterology Associates, LLC
Palm Harbor, Florida, 34684
Palmtree Clinical Research
Palm Springs, California, 92262
Innovation Medical Research Center
Palmetto Bay, Florida, 33157
Digestive System Healthcare
Pasadena, Texas, 77505
In Quest Medical Research - ClinEdge - PPDS
Peachtree Corners, Georgia, 30071
Pearland Physicians
Pearland, Texas, 77581
Elite Clinical Studies - Phoenix - BTC - PPDS
Phoenix, Arizona, 85018
Hope Research Institute LLC
Phoenix, Arizona, 85018
Synexus Clinical Research US, Inc. - St. Petersburg
Pinellas Park, Florida, 33781
Synexus Clinical Research US, Inc. - Plano
Plano, Texas, 75093
Rapid City Medical Center LLP
Rapid City, South Dakota, 57701
Advanced Research Institute
Reno, Nevada, 89511
Meridian Clinical Research-(Rockville Maryland)
Rockville, Maryland, 20854
University of Utah Hospital- Health Sciences Center - PPDS
Salt Lake City, Utah, 84132-0001
Quality Research Inc
San Antonio, Texas, 78209
Gastroenterology Research of San Antonio (GERSA)
San Antonio, Texas, 78229
San Antonio Gastroenterology Associates Clinical Trials (SAGACT PLLC)
San Antonio, Texas, 78229
Southern Star Research Institute, LLC
San Antonio, Texas, 78229
Precision Research Institute
San Diego, California, 92114
Medical Associates Research Group, Inc.
San Diego, California, 92123
Paragon Rx Clinical, Inc.
Santa Ana, California, 92703
Harborview Medical Center
Seattle, Washington, 98104
Washington University School of Medicine
St Louis, Missouri, 63110
Precision Clinical Research, LLC
Sunrise, Florida, 33351
Guardian Angel Research Center
Tampa, Florida, 33614
Clinical Associates
Towson, Maryland, 21286
Oakland Medical Research Center
Troy, Michigan, 48085
Del Sol Research Management - BTC - PPDS
Tucson, Arizona, 85712
Western States Clinical Research, Inc.
Wheat Ridge, Colorado, 80033
Poland17 sites
Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz
Bydgoszcz, 85-168
Gabinet Lekarski-Janusz Rudzinski
Bydgoszcz, 85-681
Synexus - Czestochowa
Częstochowa, 42-202
Synexus - Gdansk
Gdansk, 80-382
Synexus - Gdynia
Gdynia, 81-537
Synexus - Katowice
Katowice, 40-040
Synexus Affiliate - Krakowskie Centrum Medyczne
Krakow, 31-501
Centrum Opieki Zdrowotnej Orkan-Med Stec-Michalska Sp. J.
Ksawerów, 95-054
Synexus - Lodz
Lodz, 90-127
Santa Familia Centrum Badań Profilaktyki i Leczenia
Lodz, 90-302
Synexus - Poznan
Poznan, 60-702
Korczowski Bartosz, Gabinet Lekarski
Rzeszów, 35-302
Twoja Przychodnia - Szczecińskie Centrum Medyczne
Szczecin, 71-434
Gastromed Specjalistyczne Centrum Gastrologii i Endoskopii
Torun, 87-100
Synexus - Warsaw
Warsaw, 01-192
Synexus - Wroclaw
Wroclaw, 50-381
Melita Medical
Wroclaw, 50-449
Bulgaria9 sites
Multiprofile Hospital for Active Treatment Puls AD - PPDS
Blagoevgrad, 2700
University Multiprofile Hospital for Active Treatment
Pleven, 5800
Second Multiprofile Hospital for Active Treatment Sofia
Sofia, 1202
Medical Center Excelsior OOD - PPDS
Sofia, 1407
Diagnostic and Consulting Center Aleksandrovska EOOD
Sofia, 1431
Fourth Multiprofile Hospital for Active Treatment
Sofia, 1606
Diagnostic- Consultative Center Convex EOOD
Sofia, 1680
Synexus - Medical Center Synexus Sofia EOOD
Sofia, 1784
Synexus - Medical Centre Synexus Sofia EOOD (branch - Stara Zagora)
Stara Zagora, 6003
United Kingdom9 sites
Synexus - Wales Clinical Research Centre
Cardiff, CF15 9SS
Synexus - Lancashire Clinical Research Centre
Chorley, PR7 7NA
Synexus - Midlands Clinical Research Centre
Edgbaston, B15 2SQ
CPS Research
Glasgow, G20 0XA
Synexus - Hexham Clinical Research Centre
Hexham, NE46 1QJ
Synexus - Merseyside Clinical Research Centre
Liverpool, L22 0LG
Synexus - Manchester Clinical Research Centre
Manchester, M15 6SE
Synexus Thames Valley Clinical Research Centre
Reading, RG2 0TG
Synexus - North Tees Clinical Research Centre
Stockton-on-Tees, TS19 8PE
Hungary7 sites
Synexus (DRS) - Synexus Magyarország Kft. Budapest
Budapest, 1036
Synexus Affiliate - Synexus Magyarorszag Kft. Debrecen
Debrecen, 4025
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Synexus (DRS) - Synexus Magyarorszag Kft. Gyula
Gyula, 5700
Synexus Affiliate BKS Research Kft. Hatvan
Hatvan, 3000
Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz
Nyíregyháza, 4400
Synexus (DRS) - Synexus Magyarország Kft. Zalaegerszeg
Zalaegerszeg, 8900
Czechia5 sites
PreventaMed s.r.o.
Olomouc, 779 00
Synexus Czech s.r.o.
Prague, 120 00
MEDIC KRAL s.r.o.
Prague, 190 00
Krajska zdravotni, a.s. - Masarykova nemocnice v Usti nad Labem, o.z. Oddeleni gastroenterolgie
Ústí nad Labem, 401 13
Nemocnice Pardubickeho kraje, a.s. Orlickoustecka nemocnice, Interni oddeleni
Ústí nad Orlicí, 562 18
About this study
Official title: A Phase 3 Randomized Multicenter Study to Evaluate the Efficacy and Safety of Open-Label Dual Therapy With Oral Vonoprazan 20 mg or Double-Blind Triple Therapy With Oral Vonoprazan 20 mg Compared to Double-Blind Triple Therapy With Oral Lansoprazole 30 mg Daily in Patients With Helicobacter Pylori Infection
To compare the efficacy of Helicobacter pylori (HP) eradication with vonoprazan dual and triple therapy regimens versus lansoprazole triple therapy regimen in participants with HP infection, excluding participants who had a clarithromycin or amoxicillin resistant strain of HP at baseline.
- Conditions
- Helicobacter Pylori Infection
- Being tested
- Vonoprazan, Amoxicillin, Clarithromycin, Lansoprazole
- Keywords
- Vonoprazan, Lansoprazole
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VonoprazanDrug
Over-encapsulated tablets administered orally.
AmoxicillinDrug
Capsules administered orally.
ClarithromycinDrug
Tablets administered orally.
LansoprazoleDrug
Over-encapsulated capsules administered orally.
| Study group | Role | What they receive |
|---|---|---|
| Vonoprazan dual therapy | Experimental | Participants will receive vonoprazan 20 mg twice daily (BID) in conjunction with amoxicillin 1 g, three times daily, for 14 days. Receives: Drug: Vonoprazan; Drug: Amoxicillin |
| Vonoprazan triple therapy | Experimental | Participants will receive vonoprazan 20 mg twice daily (BID) in conjunction with amoxicillin 1 g BID and clarithromycin 500 mg, BID, for 14 days. Receives: Drug: Vonoprazan; Drug: Amoxicillin; Drug: Clarithromycin |
| Lansoprazole triple therapy | Active comparator | Participants will receive lansoprazole 30 mg twice daily (BID) in conjunction with amoxicillin 1 g BID and clarithromycin 500 mg BID, for 14 days. Receives: Drug: Amoxicillin; Drug: Clarithromycin; Drug: Lansoprazole |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Successful Helicobacter Pylori (H Pylori) Eradication in Participants Without a Clarithromycin- or Amoxicillin-resistant Strain of H Pylori at Baseline
H pylori eradication was determined by the ^13C-UBT test.
Measured: Baseline to 4 weeks after the last dose of study drugs (maximum duration of treatment was 2 weeks)
Secondary outcomes (2)
Percentage of Participants With Successful Helicobacter Pylori (H Pylori) Eradication in Participants With a Clarithromycin-resistant Strain of H Pylori at Baseline
H pylori eradication was determined by the ^13C-UBT test.
Measured: Baseline to 4 weeks after the last dose of study drugs (maximum duration of treatment was 2 weeks)
Percentage of All Participants With Successful Helicobacter Pylori (H Pylori) Eradication
H pylori eradication was determined by the ^13C-UBT test.
Measured: Baseline to 4 weeks after the last dose of study drugs (maximum duration of treatment was 2 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Nov 2019
- Study start10 Dec 2019
- Primary completion10 Mar 2021
- Study completion18 Mar 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Helicobacter Pylori InfectionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,046 participants (actual)
Sponsor and investigators
- Lead sponsor
- Phathom Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Phathom Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04167670
- Sponsor's protocol ID
- HP-301
- Other IDs
- 2019-002668-28, 2019
- Status last verified
- Mar 2022
- First submitted
- 15 Nov 2019
- Last updated
- 5 Apr 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Megraud F, Graham DY, Howden CW, Trevino E, Weissfeld A, Hunt B, Smith N, Leifke E, Chey WD. Rates of Antimicrobial Resistance in Helicobacter pylori Isolates From Clinical Trial Patients Across the US and Europe. Am J Gastroenterol. 2023 Feb 1;118(2):269-275. doi: 10.14309/ajg.0000000000002045. Epub 2022 Sep 30.
PubMed 36191284Chey WD, Megraud F, Laine L, Lopez LJ, Hunt BJ, Howden CW. Vonoprazan Triple and Dual Therapy for Helicobacter pylori Infection in the United States and Europe: Randomized Clinical Trial. Gastroenterology. 2022 Sep;163(3):608-619. doi: 10.1053/j.gastro.2022.05.055. Epub 2022 Jun 6.
PubMed 35679950
Study at a glance
From the registry record, last updated by the sponsor on 5 Apr 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized Multicenter Study to Evaluate the Efficacy and Safety of Open-Label Dual Therapy With Oral Vonoprazan 20 mg or Double-Blind Triple Therapy With Oral Vonoprazan 20 mg Compared to Double-Blind Triple Therapy With Oral Lansoprazole 30 mg Daily in Patients With Helicobacter Pylori Infection
- ClinicalTrials.gov ID
- NCT04167670
- Acronym / sponsor ID
- HP-301
- Conditions
- Helicobacter Pylori Infection
- Keywords
- Vonoprazan, Lansoprazole
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,046 participants (actual)
- Lead sponsor
- Phathom Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- 10 Dec 2019 (actual)
- Primary completion
- 10 Mar 2021 (actual)
- Study completion
- 18 Mar 2021 (actual)
- First posted
- 19 Nov 2019 (actual)
- Results
- Posted 5 Apr 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To compare the efficacy of Helicobacter pylori (HP) eradication with vonoprazan dual and triple therapy regimens versus lansoprazole triple therapy regimen in participants with HP infection, excluding participants who had a clarithromycin or amoxicillin resistant strain of HP at baseline.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Vonoprazan dual therapy | Experimental | Drug: Vonoprazan, Drug: AmoxicillinParticipants will receive vonoprazan 20 mg twice daily (BID) in conjunction with amoxicillin 1 g, three times daily, for 14 days. |
| Vonoprazan triple therapy | Experimental | Drug: Vonoprazan, Drug: Amoxicillin, Drug: ClarithromycinParticipants will receive vonoprazan 20 mg twice daily (BID) in conjunction with amoxicillin 1 g BID and clarithromycin 500 mg, BID, for 14 days. |
| Lansoprazole triple therapy | Active comparator | Drug: Amoxicillin, Drug: Clarithromycin, Drug: LansoprazoleParticipants will receive lansoprazole 30 mg twice daily (BID) in conjunction with amoxicillin 1 g BID and clarithromycin 500 mg BID, for 14 days. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- The participant is ≥ 18 years of age at the time of informed consent signing.
- In the opinion of the investigator or sub-investigators, the participant is capable of understanding and complying with protocol requirements.
- The participant signs and dates a written, informed consent form (ICF) and any required privacy authorization prior to the initiation of any study procedures. The participant is informed of the full nature and purpose of the study, including possible risks and side-effects. The participant has the ability to cooperate with the investigator. Ample time and opportunity should be given to read and understand verbal and/or written instructions.
- The participant has at least one of the following clinical conditions with confirmed HP+ infection demonstrated by a positive 13C-UBT during the Screening Period.
- A female participant of childbearing potential who is or may be routinely sexually active with a nonsterilized male partner agrees to routinely use adequate contraception from the signing of informed consent until Day -2 and two forms of adequate contraception from Day -1 until 4 weeks after the last dose of study drug.
Key exclusion criteria (20 listed)
- The participant has previously been treated with any regimen to attempt to eradicate HP.
- The participant has gastric or duodenal ulcer with endoscopic evidence of current or recent bleeding.
- The participant has confirmed diagnosis of gastric cancer by biopsy.
- The participant is receiving colchicine.
- The participant has received any investigational compound (including those in post marketing studies) within 30 days prior to the start of the Screening Period. A participant who has screen failed from another clinical study and who has not been dosed may be considered for enrollment in this study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VonoprazanOver-encapsulated tablets administered orally. | Drug | Vonoprazan dual therapy, Vonoprazan triple therapy |
| AmoxicillinCapsules administered orally. | Drug | Lansoprazole triple therapy, Vonoprazan dual therapy, Vonoprazan triple therapy |
| ClarithromycinTablets administered orally. | Drug | Lansoprazole triple therapy, Vonoprazan triple therapy |
| LansoprazoleOver-encapsulated capsules administered orally. | Drug | Lansoprazole triple therapy |
Primary outcome
Percentage of Participants With Successful Helicobacter Pylori (H Pylori) Eradication in Participants Without a Clarithromycin- or Amoxicillin-resistant Strain of H Pylori at Baseline
Time frame: Baseline to 4 weeks after the last dose of study drugs (maximum duration of treatment was 2 weeks)
H pylori eradication was determined by the ^13C-UBT test.
2 secondary outcomes
Percentage of Participants With Successful Helicobacter Pylori (H Pylori) Eradication in Participants With a Clarithromycin-resistant Strain of H Pylori at Baseline
Time frame: Baseline to 4 weeks after the last dose of study drugs (maximum duration of treatment was 2 weeks)
Percentage of All Participants With Successful Helicobacter Pylori (H Pylori) Eradication
Time frame: Baseline to 4 weeks after the last dose of study drugs (maximum duration of treatment was 2 weeks)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Apr 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36191284Megraud F, Graham DY, Howden CW, Trevino E, Weissfeld A, Hunt B, Smith N, Leifke E, Chey WD. Rates of Antimicrobial Resistance in Helicobacter pylori Isolates From Clinical Trial Patients Across the US and Europe. Am J Gastroenterol. 2023 Feb 1;118(2):269-275. doi: 10.14309/ajg.0000000000002045. Epub 2022 Sep 30.
- Derived from this study: PubMed 35679950Chey WD, Megraud F, Laine L, Lopez LJ, Hunt BJ, Howden CW. Vonoprazan Triple and Dual Therapy for Helicobacter pylori Infection in the United States and Europe: Randomized Clinical Trial. Gastroenterology. 2022 Sep;163(3):608-619. doi: 10.1053/j.gastro.2022.05.055. Epub 2022 Jun 6.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Phathom Pharmaceuticals
153 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Vonoprazan, Amoxicillin and Clarithromycin in people with Helicobacter Pylori Infection, run by Phathom Pharmaceuticals, Inc. at 153 sites in 6 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 5 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 153 sites in United States, Poland, Bulgaria, United Kingdom, Hungary and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 5 Apr 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With Successful Helicobacter Pylori (H Pylori) Eradication in Participants Without a Clarithromycin- or Amoxicillin-resistant Strain of H Pylori at Baseline (time frame: Baseline to 4 weeks after the last dose of study drugs (maximum duration of treatment was 2 weeks)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04167670, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Apr 2022.