Efficacy and Safety of Vonoprazan Compared to Lansoprazole in Participants With Helicobacter Pylori Infection
Helicobacter Pylori Infection
About this trial
This is an interventional treatment trial for Helicobacter Pylori Infection focused on measuring Vonoprazan, Lansoprazole
Eligibility Criteria
Inclusion Criteria:
- The participant is ≥ 18 years of age at the time of informed consent signing.
- In the opinion of the investigator or sub-investigators, the participant is capable of understanding and complying with protocol requirements.
- The participant signs and dates a written, informed consent form (ICF) and any required privacy authorization prior to the initiation of any study procedures. The participant is informed of the full nature and purpose of the study, including possible risks and side-effects. The participant has the ability to cooperate with the investigator. Ample time and opportunity should be given to read and understand verbal and/or written instructions.
The participant has at least one of the following clinical conditions with confirmed HP+ infection demonstrated by a positive 13C-UBT during the Screening Period.
- Dyspepsia (i.e. pain or discomfort centered in the upper abdomen) lasting at least 2 weeks
- A confirmed diagnosis of functional dyspepsia
- A recent / new diagnosis of (non-bleeding) peptic ulcer
- A history of peptic ulcer not previously treated for HP infection
- A requirement for long-term non-steroidal anti-inflammatory drug (NSAID) treatment at a stable dose of the NSAID
- A female participant of childbearing potential who is or may be routinely sexually active with a nonsterilized male partner agrees to routinely use adequate contraception from the signing of informed consent until Day -2 and two forms of adequate contraception from Day -1 until 4 weeks after the last dose of study drug.
Exclusion Criteria:
- The participant has previously been treated with any regimen to attempt to eradicate HP.
- The participant has gastric or duodenal ulcer with endoscopic evidence of current or recent bleeding.
- The participant has confirmed diagnosis of gastric cancer by biopsy.
- The participant is receiving colchicine.
- The participant has received any investigational compound (including those in post marketing studies) within 30 days prior to the start of the Screening Period. A participant who has screen failed from another clinical study and who has not been dosed may be considered for enrollment in this study.
- The participant is a study site employee, an immediate family member, or is in a dependent relationship with a study site employee who is involved in conduct of this study (e.g., spouse, parent, child, sibling) or who may have consented under duress.
- The participant has cutaneous lupus erythematosus or systemic lupus erythematosus.
- The participant has had clinically significant upper or lower gastrointestinal bleeding within 4 weeks prior to randomization.
- The participant has Zollinger-Ellison syndrome or other gastric acid hypersecretory conditions.
- The participant has a history of hypersensitivity or allergies to vonoprazan (including the formulation excipients: D-mannitol, microcrystalline cellulose, hydroxypropyl cellulose, fumaric acid, croscarmellose sodium, magnesium stearate, hypromellose, macrogol 8000, titanium oxide, red or yellow ferric oxide), PPIs, amoxicillin and/or clarithromycin, or any excipients used in the 13C-UBT: mannitol, citric acid or aspartame. Skin testing may be performed according to local standard practice to confirm hypersensitivity.
- The participant has a history of alcohol abuse, illegal drug use, or drug addiction within the 12 months prior to screening, or who regularly consume >21 units of alcohol (1 unit = 12 oz/300 mL beer, 1.5 oz/25 mL hard liquor/spirits, or 5 oz/100 mL wine) per week based on self-report. Participants must have a negative urine drug screen for cannabinoids/ tetrahydrocannabinol and non-prescribed medications at screening.
- The participant is taking any excluded medications or treatments listed in the protocol.
- If female, the participant is pregnant, lactating, or intending to become pregnant before, during, or within 4 weeks after participating in this study; or intending to donate ova during such time period.
- The participant has a history or clinical manifestations of significant central nervous system, cardiovascular, pulmonary, hepatic, renal, metabolic, other gastrointestinal, urological, endocrine or hematological disease that, in the opinion of the investigator, would confound the study results or compromise participants safety.
- The participant requires hospitalization or has surgery scheduled during the course of the study or has undergone major surgical procedures within 30 days prior to the Screening Visit.
- The participant has a history of malignancy (including MALToma) or has been treated for malignancy within 5 years prior to the start of the Screening Period (Visit 1) (the participant may be included in the study if he/she has cured cutaneous basal cell carcinoma or cervical carcinoma in situ).
- The participant has acquired immunodeficiency syndrome or human immunodeficiency virus infection, or tests positive for the hepatitis B surface antigen, hepatitis C virus (HCV) antibody or HCV RNA. However, participants who test positive for HCV antibody, but negative for HCV RNA are permitted to participate.
The participant has any of the following abnormal laboratory test values at the start of the Screening Period:
- Creatinine levels: >2 mg/dL (>177 μmol/L).
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >2 × the upper limit of normal (ULN) or total bilirubin >2 × ULN.
Sites / Locations
- Pinnacle Research Group
- North Alabama Research Center, LLC
- Synexus Clinical Research US, Inc. - Alabama
- Medical Affiliated Research Center Inc
- Synexus Clinical Research US, Inc. - East Valley Family Physicians, PLC
- Synexus Clinical Research US, Inc. - Central Arizona Medical Associates, PC
- Synexus Clinical Research US, Inc. - Desert Clinical Research, LLC
- Elite Clinical Studies - Phoenix - BTC - PPDS
- Hope Research Institute LLC
- Del Sol Research Management - BTC - PPDS
- Preferred Research Partners - ClinEdge - PPDS
- Applied Research Center of Little Rock
- Arkansas Gastroenterology
- Atria Clinical Research - BTC - PPDS
- Anaheim Clinical Trials LLC
- GW Research, Inc. - ClinEdge - PPDS
- eStudySite - Chula Vista - PPDS
- Kindred Medical Institute for Clinical Trials, LLC
- HB Clinical Trials, Inc.
- OM Research LLC - Lancaster - ClinEdge - PPDS
- Torrance Clinical Research Institute
- Southern California Research Institute Medical Group, Inc.
- Facey Medical Foundation
- Palmtree Clinical Research
- Precision Research Institute
- Medical Associates Research Group, Inc.
- Paragon Rx Clinical, Inc.
- Synexus Clinical Research US, Inc.
- Western States Clinical Research, Inc.
- Gastroenterology Associates of Fairfield County
- Connecticut Clinical Research Foundation
- Riverside Clinical Research
- Research Centers of America - ERG
- Nature Coast Clinical Research
- ENCORE Borland-Groover Clinical Research - ERN - PPDS
- Columbus Clinical Services LLC
- Jesscan Medical Research
- Nuren Medical and Research Center
- Premier Research Associate-Miami
- G. Medical Center
- Advanced Gastroenterology Associates, LLC
- Innovation Medical Research Center
- Synexus Clinical Research US, Inc. - St. Petersburg
- Precision Clinical Research, LLC
- Guardian Angel Research Center
- Atlanta Gastroenterology Associates
- Nexgen Research Center
- Gastroenterology Associates of Central Georgia, LLC
- In Quest Medical Research - ClinEdge - PPDS
- IL Gastroenterology Group
- Summit Digestive & Liver Disease Specialists
- Gastroenterology Health Partners, PLLC
- Iowa Digestive Disease Center
- Clinical Trials Management LLC
- CroNOLA, LLC.
- Clinical Trials Management LLC
- Meridian Clinical Research-(Rockville Maryland)
- Clinical Associates
- Oakland Medical Research Center
- The Alliance for Multispecialty Research, LLC
- Washington University School of Medicine
- Heartland Clinical Research, Inc
- Synexus Clinical Research US, Inc. - Site 1
- Synexus Clinical Research US, Inc. - Site 2
- Sierra Clinical Research - ClinEdge - PPDS
- Office - Site 1
- Office - Site 2
- Advanced Research Institute
- Drug Trials America - ClinEdge
- Carolinas Research Center
- Duke University Medical Center
- Medication Management LLC
- Carolina Research
- Peters Medical Research, LLC - ClinEdge - PPDS
- Dayton Gastroenterology, Inc
- Prestige Clinical Research
- Central Sooner Research
- Synexus Clinical Research US, Inc. - Anderson
- Clinical Trials of South Carolina
- Coastal Carolina Research Center
- Rapid City Medical Center LLP
- Multi Specialty Clinical Research
- Clinical Research Associates Inc
- Vanderbilt University Medical Center
- Inquest Clinical Research
- Synexus Clinical Research US, Inc. - Dallas
- Texas Tech University Health Sciences Center El Paso
- Ben Taub General Hospital
- Precision Research Institute, LLC
- Biopharma Informatic, LLC
- Rio Grande Gastroenterology
- Digestive System Healthcare
- Pearland Physicians
- Synexus Clinical Research US, Inc. - Plano
- Quality Research Inc
- Gastroenterology Research of San Antonio (GERSA)
- San Antonio Gastroenterology Associates Clinical Trials (SAGACT PLLC)
- Southern Star Research Institute, LLC
- Synexus Clinical Research US, Inc. - Layton
- Advanced Research Institute
- University of Utah Hospital- Health Sciences Center - PPDS
- New River Valley Research Institute
- Verity Research, Inc.
- Blue Ridge Medical Research
- Washington Gastroenterology
- Harborview Medical Center
- Multiprofile Hospital for Active Treatment Puls AD - PPDS
- University Multiprofile Hospital for Active Treatment
- Second Multiprofile Hospital for Active Treatment Sofia
- Medical Center Excelsior OOD - PPDS
- Diagnostic and Consulting Center Aleksandrovska EOOD
- Fourth Multiprofile Hospital for Active Treatment
- Diagnostic- Consultative Center Convex EOOD
- Synexus - Medical Center Synexus Sofia EOOD
- Synexus - Medical Centre Synexus Sofia EOOD (branch - Stara Zagora)
- PreventaMed s.r.o.
- Synexus Czech s.r.o.
- MEDIC KRAL s.r.o.
- Krajska zdravotni, a.s. - Masarykova nemocnice v Usti nad Labem, o.z. Oddeleni gastroenterolgie
- Nemocnice Pardubickeho kraje, a.s. Orlickoustecka nemocnice, Interni oddeleni
- Synexus (DRS) - Synexus Magyarország Kft. Budapest
- Synexus Affiliate - Synexus Magyarorszag Kft. Debrecen
- Debreceni Egyetem Klinikai Kozpont
- Synexus (DRS) - Synexus Magyarorszag Kft. Gyula
- Synexus Affiliate BKS Research Kft. Hatvan
- Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz
- Synexus (DRS) - Synexus Magyarország Kft. Zalaegerszeg
- Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz
- Gabinet Lekarski-Janusz Rudzinski
- Synexus - Czestochowa
- Synexus - Gdansk
- Synexus - Gdynia
- Synexus - Katowice
- Synexus Affiliate - Krakowskie Centrum Medyczne
- Centrum Opieki Zdrowotnej Orkan-Med Stec-Michalska Sp. J.
- Synexus - Poznan
- Korczowski Bartosz, Gabinet Lekarski
- Twoja Przychodnia - Szczecińskie Centrum Medyczne
- Gastromed Specjalistyczne Centrum Gastrologii i Endoskopii
- Synexus - Warsaw
- Synexus - Wroclaw
- Melita Medical
- Synexus - Lodz
- Santa Familia Centrum Badań Profilaktyki i Leczenia
- Synexus - Wales Clinical Research Centre
- Synexus - Lancashire Clinical Research Centre
- Synexus - Midlands Clinical Research Centre
- CPS Research
- Synexus - Hexham Clinical Research Centre
- Synexus - Merseyside Clinical Research Centre
- Synexus - Manchester Clinical Research Centre
- Synexus Thames Valley Clinical Research Centre
- Synexus - North Tees Clinical Research Centre
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
Vonoprazan dual therapy
Vonoprazan triple therapy
Lansoprazole triple therapy
Participants will receive vonoprazan 20 mg twice daily (BID) in conjunction with amoxicillin 1 g, three times daily, for 14 days.
Participants will receive vonoprazan 20 mg twice daily (BID) in conjunction with amoxicillin 1 g BID and clarithromycin 500 mg, BID, for 14 days.
Participants will receive lansoprazole 30 mg twice daily (BID) in conjunction with amoxicillin 1 g BID and clarithromycin 500 mg BID, for 14 days.