Battle of the bacteria: which drug combo wins against resistant h. pylori?

NCT ID NCT03431688

First seen Jun 26, 2026 · Last updated Jun 26, 2026

Summary

This study tested two different drug combinations in 782 people with H. pylori infection that was resistant to the antibiotic clarithromycin. One group received a triple therapy with a proton pump inhibitor, amoxicillin, and metronidazole, while the other received a quadruple therapy with a proton pump inhibitor, bismuth, metronidazole, and tetracycline. The goal was to see which combination better eradicated the bacteria.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

metronidazole-based triple therapy (PPI, amoxicillin, metronidazole) and bismuth-based quadruple therapy (PPI, bismuth, metronidazole, tetracycline)

What this could lead to

If successful, this could identify a more effective treatment for people with drug-resistant H. pylori, reducing infection and related complications.

What could go wrong

This is a completed trial, but results may not apply to all populations. Drug resistance patterns vary, and side effects from the medications can occur.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

Helicobacter pylori infectious disease MALT lymphoma peptic ulcer disease

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Kangdong Sacred Heart Hospital

    Seoul, 134-701, South Korea