UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003181
Receipt number R000003858
Scientific Title Comparison of Helicobacter pylori Eradication plus Rebamipide combination therapy with proton pump inhibitor(PPI) alone in the treatment of endoscopic submucosal dissection(ESD) induced ulcers in H.pylori positive eary gastric cancer: Prospective Randomized Pilot Syudy
Date of disclosure of the study information 2010/02/14
Last modified on 2012/12/03 12:41:40

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Basic information

Public title

Comparison of Helicobacter pylori Eradication plus Rebamipide combination therapy with proton pump inhibitor(PPI) alone in the treatment of endoscopic submucosal dissection(ESD) induced ulcers in H.pylori positive eary gastric cancer: Prospective Randomized Pilot Syudy

Acronym

Helicobacter pylori Eradication plus Rebamipide promotes gastric ulcer healing after Endoscopic Submucosal Dissection(ESD): Prospective Randomized Pilot Syudy

Scientific Title

Comparison of Helicobacter pylori Eradication plus Rebamipide combination therapy with proton pump inhibitor(PPI) alone in the treatment of endoscopic submucosal dissection(ESD) induced ulcers in H.pylori positive eary gastric cancer: Prospective Randomized Pilot Syudy

Scientific Title:Acronym

Helicobacter pylori Eradication plus Rebamipide promotes gastric ulcer healing after Endoscopic Submucosal Dissection(ESD): Prospective Randomized Pilot Syudy

Region

Japan


Condition

Condition

H.pylori positive eary gastric cancer

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to investigate the curative efficacy of H.pylori eradication plus rebamipide after endoscopic submucosal dissection induced ulcers in H.pylori positive early gastric cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Endoscopic evaluations:The primary endopoint is the ulcer healing(S1, S2) at 8 weeks after ESD.

Key secondary outcomes

Endoscopic evaluations:ulcer healing rate
Symptom
Incidence of asynchronous multiple cancer
Safety


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Patients in the treatment group receive H.pylori eradication therapy(Omeprazole 40 mg/day, clarithromycin 800 mg/day, amoxicillin 1500 mg/day) for 7 days and then rebamipide (300 mg/day) for 7 weeks.

Interventions/Control_2

Patients in the control group do not receive rebamipide. Omeprazole (20 mg/day) receive for 8 weeks.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1)The patient provided written informed consents to participate in this study.
2)H.pylori positive patient
3)The lesion is to be resected en bloc by ESD.
4)The invasion depth of carcinoma is diagnosed as mucosa endoscopically.
5)It is onset and one-shot(in principle) gastric cancer.
6)The patient without therapeutic medical history for other organ carcinoma.
7)Age is equal to or less than 75 years old more than 20 years old.
8)Sexuality no object.

Key exclusion criteria

1)The patient with past H.pylori eradication treatment
2)The patient who coexists for active gastroduodenal ulcer
3)Upper gastrointestinal tract ablative operation and the patient with medical history of vagotomy
4)The patient who does not become a subject of medical treatment for perforation/pyloric stenosis, a massive bleeding case.
5)The patient who could not interrupt the antiplatelet agent or anticoagulant temporarily for ESD therapy.
6)The patient with medical history of shock by amoxicillin.
7)The patient with glandular infection.
8)The patient with anaphylactic medical history for penicillin antimicrobial agent, clarithromycin, a proton pump inhibitor and rebamipide.
9)The patient who is administrated drug considered to be contraindication of clarithromycin(terfenadine, cisapride, pimoside).
10)The patient with grave complication(respiratory tract disease, kidney disease, treatment by use of insulin or diabetes mellitus inadequate control) and a hindrance for examination enforcement.
11)Inadequate to entry judged by investigators.

Target sample size

120


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kazuhide Higuchi

Organization

Osaka Medical College

Division name

Second Department of Internal Medicine

Zip code


Address

2-7 Daigaku-machi, Takatsuki City, Osaka, Japan

TEL

072-683-1221

Email



Public contact

Name of contact person

1st name
Middle name
Last name Eiji Umegaki

Organization

Osaka Medical College

Division name

Second Department of Internal Medicine

Zip code


Address

2-7 Daigaku-machi, Takatsuki City, Osaka, Japan

TEL

072-683-1221

Homepage URL


Email

in2038@poh.osaka-med.ac.jp


Sponsor or person

Institute

Osaka Medical College

Institute

Department

Personal name



Funding Source

Organization

Osaka Medical College

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

JAPAN


Other related organizations

Co-sponsor

Osaka City University
Osaka Medical Center for Cancer and Cardiovascular Diseases
Kyoto Prefectural University of Medicine
Kobe University
Nara Medical University
Wakayama Medical University
etc.

Name of secondary funder(s)

None


IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

大阪医科大学付属病院(大阪府)
大阪市立大学付属病院(大阪府)
大阪府立成人病センター(大阪府)
北野病院(大阪府)
京都府立医科大学付属病院(京都府)
神戸大学付属病院(兵庫県)
高槻赤十字病院(大阪府)
奈良県立医科大学付属病院(奈良県)
和歌山県立医科大学付属病院(和歌山県)


Other administrative information

Date of disclosure of the study information

2010 Year 02 Month 14 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2010 Year 01 Month 18 Day

Date of IRB


Anticipated trial start date

2010 Year 02 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2010 Year 02 Month 14 Day

Last modified on

2012 Year 12 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003858


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name