New acid blocker may beat standard treatment for stomach bug
NCT ID NCT07537634
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether a newer acid-reducing drug (vonoprazan) works better than a standard one (esomeprazole) for clearing H. pylori, a bacteria that can cause stomach ulcers and indigestion. About 80 adults with H. pylori will take one of the two drug combinations for 14 days. Four weeks later, a stool test will check if the infection is gone.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vonoprazan or esomeprazole, each combined with amoxicillin and levofloxacin
- What this could lead to
- If vonoprazan works better, it could offer a more effective option for clearing H. pylori infections, reducing the risk of ulcers and stomach issues.
- What could go wrong
- This is a small, early-phase 4 trial with only 80 participants, so results may not apply to everyone. Both regimens include antibiotics, which can cause side effects like diarrhea or allergic reactions.
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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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 80 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 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 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: 1. Age ≥ 18 years 2. Dyspeptic patients with positive for both rapid urease test and stool antigen test 3. Patients giving written informed consent Exclusion Criteria: 1. Treatment with a proton pump inhibitor, H2-receptor antagonist within the last 2 weeks, prior to the study 2. Treatment with antibiotics or bismuth preparation within 4 weeks prior to the study 3. Previous H. pylori eradication therapy 4. Gastric or duodenal ulcer with current or recent bleeding on endoscopy 5. Significant upper or lower gastrointestinal bleeding within 4 weeks 6. Patients with regular intake of NSAIDs or steroids 7. Surgery that might affect gastric acid secretion e.g., upper GI resection or vagotomy 8. Known case of malignancy, including MALToma 9. Advanced co-morbidities (e.g., CLD, CKD, cardio-respiratory failure, known thyroid disease) 10. Chronic alcohol abuse, chronic illegal drug use, or drug addiction within the past 12 months 11. Pregnant, lactating woman or intend to become pregnant within the study period 12. History of hypersensitivity to vonoprazan, PPIs, amoxicillin, and/or levofloxacin 13. On colchicine 14. Subjects with abnormal laboratory test at the start of the screening period: S. creatinine \> 2 mg/dl SGPT \> 2 x Upper limit of normal
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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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Bangabandhu Sheikh Mujib Medical University
NOT_YET_RECRUITINGDhaka, Bangladesh
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Bangabandhu Sheikh Mujib Medical University
RECRUITINGDhaka, Bangladesh
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