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.
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
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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782 people
The number who actually took part.
- Started
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Oct 2018
- Finished
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Dec 2020
- 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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19 to 85 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * peptic ulcer disease * H. pylori gastritis * low grade MALT lymphoma Exclusion Criteria: * history of gastric cancer surgery * severe comorbidity (ESRD, LC) * hypersensitivity to drug * pregnancy
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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
-
Kangdong Sacred Heart Hospital
Seoul, 134-701, South Korea
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