New triple therapy may finally knock out tough stomach bug
NCT ID NCT05874544
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested whether a three-drug combination containing rifabutin can wipe out Helicobacter pylori infections that didn't respond to earlier treatments. 360 adults who had failed prior therapy were randomly assigned to one of three regimens. The goal was to see which approach had the highest eradication rate six weeks after treatment ended.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Rifabutin (antibiotic) combined with vonoprazan (acid reducer) and amoxicillin (antibiotic)
- What this could lead to
- If successful, this could provide a more effective rescue treatment for people with hard-to-treat H. pylori infections, reducing the risk of ulcers and stomach cancer.
- What could go wrong
- This is a completed Phase 4 trial, but results may not apply to all populations. Rifabutin can cause side effects like low white blood cell counts and may not work if resistance develops.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
360 people
The number who actually took part.
- Started
-
May 2023
- Finished
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Jan 2025
- Lead sponsor
-
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
-
18 to 70 years
- Sex
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Anyone
- Healthy volunteers
-
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: * Ability and willingness to participate in the study and to sign and give informed consent * Confirmed H. pylori infection and with previous treatment experience Exclusion Criteria: * subjects naive to H. pylori treatment, * under 18 or over 80 years old * history of gastrectomy * pregnant or lactating women * Previous history of tuberculosis * Allergy to any of the study drugs * severe systemic diseases or malignancy * administration of antibiotics, bismuth, antisecretory drugs, or Chinese herb medicine in the preceding 8 weeks
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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
-
Renji Hospital, School of Medicine, Shanghai Jiao Tong University
Shanghai, Shanghai Municipality, 200127, China
-
Shanghai Songjiang District Central Hospital
Shanghai, Shanghai Municipality, China
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The Second Affiliated Hospital of Zhejiang University school of Medicine
Hangzhou, Zhejiang, China
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Other studies related to the condition(s) this trial covers.
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