Stomach biopsies could reveal Antibiotic-Resistant h. pylori without extra tests
NCT ID NCT07821294
First seen Sep 15, 2026 · Last updated Sep 16, 2026 · Updated 1 time
Summary
Helicobacter pylori is a common stomach infection, and doctors often treat it with clarithromycin. Resistance to this antibiotic is growing, so researchers want to know if a DNA test called qPCR can spot resistant infections using stomach biopsy tissue that is already collected and stored. The study includes 250 adults who have H. pylori confirmed by standard tissue tests. Researchers compare qPCR results with histology, immunohistochemistry, and bacterial PCR to see how well the new test performs and whether it could guide treatment choices.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- qPCR testing on stored stomach biopsy tissue
- What this could lead to
- If it works, doctors could check for clarithromycin resistance using biopsy tissue they already collect, without a separate culture or endoscopy.
- What could go wrong
- The test may miss cases or give unclear results on stored tissue, and it may not change treatment decisions in practice. This is an observational study, so it cannot prove that using the test improves patient outcomes.
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.
- Participants
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About 250 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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Aug 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.
Who is studied
Adults undergoing gastroscopy with gastric biopsies for suspected Helicobacter pylori infection. Participants must have confirmed H. pylori infection by histology and immunohistochemistry. Gastric biopsy samples will be analyzed by q-PCR on formalin-fixed paraffin-embedded (FFPE) tissue to evaluate detection of H. pylori and clarithromycin resistance-associated mutations.
- Ages
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18 years and older
- 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: * Age ≥18 years. * Ability to provide non-opposition to participate in the study. * Participants with suspected Helicobacter pylori infection requiring gastric biopsies during gastroscopy for H. pylori assessment by histopathology and bacteriology, including clarithromycin resistance testing by PCR. * Confirmed presence of Helicobacter pylori by histological examination and immunohistochemistry. Exclusion Criteria: * Minor participants. * Adults under legal protection, guardianship or curatorship. * Refusal to participate in the study. * Recent antibiotic therapy (\<4 weeks) that may affect bacterial load. * Recent proton pump inhibitor treatment (\<2 weeks). * Insufficient tissue quantity for complementary analyses. * Poor quality fixation or preservation of samples.
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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 places running it
1 site. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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Benkessou
Paris, 75016, France
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