Could a Two-Drug cocktail beat the standard Four-Drug regimen for stomach bug?
NCT ID NCT07179159
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether a 14-day course of just two medications (vonoprazan and amoxicillin) works as well as the usual four-drug combination for eradicating H. pylori, a bacteria that can cause stomach ulcers and cancer. About 372 adults with a confirmed H. pylori infection who have never been treated before will be randomly assigned to one of three groups. The main goal is to see how many people are cured of the infection, and the study also tracks side effects and how well patients stick to the treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vonoprazan and amoxicillin (dual therapy) or vonoprazan, amoxicillin, levofloxacin or clarithromycin, and bismuth (quadruple therapy)
- What this could lead to
- If successful, this could offer a simpler, shorter treatment for H. pylori infection with fewer side effects than current standard therapy.
- What could go wrong
- This is a mid-stage trial with 372 participants, so results may not apply to everyone. The dual therapy might not be as effective as the quadruple therapy, and side effects are still possible.
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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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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About 372 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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Dec 2026
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 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.
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: 1. Aged 18-70 years, male or female 2. Patients with H. pylori infection (positive 13C-urea breath test, together with at least one positive result from the following three tests: (a) stool H. pylori antigen test; (b) rapid urease test; (c) histopathological examination of gastric mucosal biopsy tissue) 3. No prior Helicobacter pylori eradication therapy Exclusion Criteria: 1. Severe underlying conditions, such as hepatic insufficiency, renal insufficiency, malignant tumours 2. Active gastrointestinal bleeding 3. History of upper gastrointestinal surgery 4. History of drug hypersensitivity 5. Use of bismuth compounds or antibiotics within the past 4 weeks, or acid-suppressing agents within the past 2 weeks 6. Pregnant or lactating women 7. Presence of other risk-increasing behaviours such as alcohol abuse or illicit drug use 8. Individuals unable or unwilling to provide 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 places running it
2 sites. 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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Qilu Hospital of Shandong University
RECRUITINGJinan, Shandong, 250012, China
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Qilu Hospital of Shandong University
NOT_YET_RECRUITINGJinan, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Stomach biopsies could reveal Antibiotic-Resistant h. pylori without extra tests
- Can a Two-Drug combo beat a stubborn stomach bug?
- A 10-Day h. pylori cure? new trial tests a streamlined approach
- Stomach bug tied to belly fat and blood sugar issues?
- New acid reducer shows promise in fighting stomach bug
- New study tests cheaper h. pylori treatment to beat antibiotic resistance