Two antibiotic cocktails face off to wipe out stomach bacteria
NCT ID NCT07810985
First seen Sep 09, 2026 · Last updated Sep 11, 2026 · Updated 2 times
Summary
Researchers compare two 14-day oral antibiotic regimens for eradicating Helicobacter pylori, the bacterium behind most stomach ulcers. One regimen combines bismuth, doxycycline, metronidazole, and esomeprazole; the other adds bismuth to clarithromycin, amoxicillin, and esomeprazole. The trial enrolls 200 adults with confirmed H. pylori who have not been treated before. It measures cure rates and tracks side effects and treatment compliance in both groups.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Two 14-day antibiotic combinations: bismuth quadruple therapy and bismuth added to clarithromycin triple therapy
- What this could lead to
- If one regimen clears H. pylori more reliably, it could become a preferred first-line treatment for the infection that causes most stomach ulcers.
- What could go wrong
- Antibiotic resistance and side effects like nausea or diarrhea can lower cure rates or make people stop treatment early. Results from 200 people may not apply to everyone.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
200 people
The number who actually took part.
- Started
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Sep 2023
- Finished
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Sep 2025
- 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 70 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: * Patients aged ≥ 18 years. * Confirmed diagnosis of H. pylori infection. Exclusion Criteria: * Pregnant or lactating women. * Prior treatment for H. pylori infection. * History of antibiotic or PPI use within the month preceding enrollment. * History of hypersensitivity or allergic reaction to any of the study drugs. * Presence of any contraindication to the study medications. * Advanced chronic liver disease or renal disease.
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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
-
Tanta university
Tanta, Algharbia, Egypt
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Other studies related to the condition(s) this trial covers.
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