Can a Two-Drug combo beat a stubborn stomach bug?
NCT ID NCT07757919
First seen Aug 11, 2026 · Last updated Aug 12, 2026 · Updated 1 time
Summary
This trial compares a 14-day course of vonoprazan plus minocycline against two other dual therapies (vonoprazan with amoxicillin or tetracycline) for eradicating Helicobacter pylori, a common stomach infection linked to ulcers and cancer. About 492 adults who have never been treated for H. pylori will be randomly assigned to one of the three regimens. The study tracks how well each treatment clears the infection (confirmed by a breath test six weeks later), as well as side effects and how well participants stick to the medication schedule.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Vonoprazan-minocycline dual therapy (vonoprazan fumarate tablets plus minocycline capsules)
- What this could lead to
- If successful, this could offer a simpler, shorter, and possibly better-tolerated antibiotic option for clearing H. pylori infections, reducing the risk of stomach ulcers and cancer.
- What could go wrong
- This is a phase 4 trial, but the new combination may not be as effective as existing treatments, and antibiotics can cause side effects like nausea or diarrhea. Results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 492 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Aged 18-65 years, male or female. * Helicobacter pylori-infected patients with positive ¹³C/¹⁴C urea breath test, and at least one positive result among the following three tests: Rapid Urease Test; Histopathological examination of gastric mucosal biopsy specimens; Stool Hp antigen test. * No prior history of Helicobacter pylori eradication therapy. Exclusion Criteria: * Severe underlying diseases, such as hepatic insufficiency, renal insufficiency, malignant tumors, etc. * Active gastrointestinal bleeding. * History of upper gastrointestinal surgery. * History of allergy to study medications. * Use of antibiotics or bismuth agents within 1 month, or acid-suppressive agents within 2 weeks. * Pregnant or lactating women. * Presence of other behaviors that may increase disease risks, such as heavy alcohol consumption, drug abuse, etc. * Participation in other clinical trials within 3 months. * Subjects unable or unwilling to provide written informed consent.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New study tests cheaper h. pylori treatment to beat antibiotic resistance
- Could adding bismuth boost stomach bug treatment?