Could a Two-Week pill combo replace six months of acid blockers for heart patients?

NCT ID NCT04728516

First seen Jun 24, 2026 · Last updated Jun 26, 2026 · Updated 1 time

Summary

This study looks at 2,600 heart attack patients who had a stent placed and also have an H. pylori infection. Half will get a 2-week course of vonoprazan plus amoxicillin to treat the infection, while the other half gets a standard 6-month acid blocker (pantoprazole). The goal is to see if the short treatment prevents stomach bleeding just as well as the long-term medication.

What this could mean

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

Active substance
vonoprazan and amoxicillin
What this could lead to
If successful, this could offer a shorter, simpler treatment to prevent stomach bleeding in heart patients with H. pylori infection, reducing the need for long-term acid-suppressing drugs.
What could go wrong
This is a Phase 4 trial, but it is open-label (not blinded), which can bias results. The 2-week therapy may not be as effective as the standard 6-month PPI, and side effects from antibiotics are possible.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

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

Contacts and locations

Locations

  • Affiliated Hospital of Shandong Second Medical University

    RECRUITING

    Weifang, Shandong, 261031, China

  • Affiliated Hospital of Shandong University of Traditional Chinese Medicine

    RECRUITING

    Jinan, Shandong, 250011, China

  • Aviation General Hospital

    RECRUITING

    Beijing, Beijing Municipality, 100012, China

  • Bozhou People's Hospital

    RECRUITING

    Bozhou, Anhui, 236800, China

  • Central Hospital Affiliated to Shandong First medical University

    WITHDRAWN

    Jinan, Shandong, China

  • China-Japan Friendship Hospital

    RECRUITING

    Beijing, Beijing Municipality, 100029, China

  • Chuzhou First People's Hospital

    RECRUITING

    Chuzhou, Anhui, 239000, China

  • Dongying People's Hospital

    RECRUITING

    Dongying, Shandong, 257091, China

  • Haiyang People's Hospital

    RECRUITING

    Yantai, Shandong, 256100, China

  • Heze Municipal Hospital

    RECRUITING

    Heze, Shandong, 274031, China

  • Hospital of Chengdu University of Traditional Chinese Medicine

    WITHDRAWN

    Chengdu, Sichuan, 610072, China

  • JINA CITY People's Hospital

    RECRUITING

    Jinan, Shandong, 271199, China

  • Liaocheng People's Hospital

    NOT_YET_RECRUITING

    Liaocheng, Shandong, 252000, China

  • Linshu County People'S Hospital

    RECRUITING

    Linyi, Shandong, 276700, China

  • Linyi City People's Hospital

    NOT_YET_RECRUITING

    Linyi, Shandong, 276000, China

  • NINGJIN People's Hospital

    RECRUITING

    Dezhou, Shandong, 253400, China

  • Pingyuan First People'S Hospital

    RECRUITING

    Dezhou, Shandong, 253100, China

  • Qilu Hospital of Shandong University

    NOT_YET_RECRUITING

    Jinan, Shandong, 250012, China

  • Qilu Hospital of Shandong University (Qingdao)

    NOT_YET_RECRUITING

    Qingdao, Shandong, 266000, China

  • Qilu Hospital of Shandong University Dezhou Hospital

    RECRUITING

    Dezhou, Shandong, 253000, China

  • Qinghai Red Cross Hospital

    RECRUITING

    Xining, Qinghai, 810000, China

  • Ru Shan People's Hospital

    RECRUITING

    Rushan, Yantai, 264500, China

  • Shandong Healthcare Group Zaozhuang Central Hospital

    WITHDRAWN

    Zaozhuang, Shandong, 277000, China

  • Shandong Provincial Third Hospital

    RECRUITING

    Jinan, Shandong, 250031, China

  • Shandong Public Health Clinical Center

    RECRUITING

    Jinan, Shandong, 250100, China

  • Shandong Second Provincial General Hospital

    WITHDRAWN

    Jinan, Shandong, 250002, China

  • THE Second People's Hospital of Dongying

    RECRUITING

    Dongying, Shandong, 257335, China

  • The 960th Hospital of the Joint Logistic Support Force

    WITHDRAWN

    Jinan, Shandong, 250000, China

  • The Affiliated Hospital of Qingdao University

    RECRUITING

    Qingdao, Shandong, 266003, China

  • The First Affiliated Hospital of Anhui Medical University

    NOT_YET_RECRUITING

    Hefei, Anhui, 230000, China

  • The First Affiliated Hospital of Dalian Medical University

    RECRUITING

    Dalian, Liaoning, China

  • The First Affiliated Hospital of Zhengzhou University

    RECRUITING

    Zhengzhou, Henan, 450052, China

  • The First People'S Hospital of Zunyi

    RECRUITING

    Zunyi, Guizhou, 563000, China

  • The First People's Hospital of Jining City

    NOT_YET_RECRUITING

    Jining, Shandong, 272000, China

  • The Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine

    NOT_YET_RECRUITING

    Shanghai, Shanghai Municipality, 200000, China

  • The fourth People's Hospital of jinan

    RECRUITING

    Jinan, Shandong, 250031, China

  • Tianjin Chest Hospital

    WITHDRAWN

    Tianjin, Tianjin Municipality, 300222, China

  • Weifang Hospital of Traditional Chinese Medicine

    RECRUITING

    Weifang, Shandong, 261041, China

  • Weihai Central Hospital

    WITHDRAWN

    Weihai, Shandong, 264200, China

  • Weihai Municipal Hospital

    NOT_YET_RECRUITING

    Weihai, Shandong, 264200, China

  • Zaozhuang Municipal Hospital

    RECRUITING

    Zaozhuang, Shandong, 277100, China

  • Zibo Central Hospital

    WITHDRAWN

    Zibo, Shandong, 255000, China

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