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Safety and Efficacy Study of a Non-antibiotic Treatment for the Eradication of Helicobacter Pylori

Primary Purpose

Helicobacter Pylori Infection

Status
Terminated
Phase
Phase 1
Locations
Singapore
Study Type
Interventional
Intervention
GT08
Sponsored by
Synergy Pharmaceuticals Pte. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Helicobacter Pylori Infection focused on measuring bacterial infections, anti-infective agents, gastrointestinal agents, antibacterial agents, omeprazole, lauric acid, n-acetylcysteine, helicobacter infections, helicobacter pylori, non-antibiotic treatment

Eligibility Criteria

21 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Informed Consent prior to any study procedure
  • Age at least 21 years and up to 70 years
  • If female of childbearing potential who is sexually active, agrees to use acceptable methods of birth control throughout the study. Acceptable methods of birth control are: hormonal contraceptives (birth control pills), intrauterine device (IUD), diaphragm with spermicide, condom, vasectomy.

Additional Inclusion Criteria for Initial Phase only

  • Healthy volunteers - can have gastrointestinal or other symptoms if these do not require medical treatment and are considered by the investigator to be clinically minor and irrelevant to the conduct of the study.
  • Positive laboratory serology for H.pylori
  • Positive Urea Breath Test for H.pylori
  • Willing to undergo two gastroscopy procedures

Additional Inclusion Criteria for Secondary Phase only

  • Either healthy volunteers or patients attending gastroenterology outpatient clinic - can have gastrointestinal or other symptoms if these are considered by the investigator to be clinically minor or irrelevant to the conduct of the study.
  • Positive diagnosis of current H.pylori infection, as diagnosed by positive Urea Breath Test and at least one of the following: 1) Positive laboratory serology for H.pylori, 2) known positive Campylobacter-like organism (CLO) test or H.pylori culture from a gastroscopy performed in the 1 year prior to Screening.

Exclusion Criteria:

  • Pregnant or breast feeding.
  • Clinically significant gastric disease, in the opinion of the investigator.
  • Significant disease or disorder on general medical examination, in the opinion of the investigator (general, respiratory, cardiovascular, renal, hepatic, neurological, bleeding tendency etc).
  • Regular or intermittent use of antibiotics, non-steroidal anti-inflammatory drugs (NSAIDs), anticoagulants or antiplatelet medications is expected during the trial period.
  • Cessation of proton pump inhibitor or H2-blocker therapy for 2 weeks prior to Urea Breath Test is likely to not be in the best interests of the participant.
  • Laboratory values on blood testing that are outside of the laboratory normal range and considered clinically relevant by the investigator: the following will be screened Haemoglobin (Hb), bilirubin, aspartate transaminase (AST), alanine transaminase (ALT), serum albumin, Alkaline Phosphatase, Urea, sodium (Na), potassium (K), creatinine (CRE).
  • Any contraindication to treatment with omeprazole, N-acetyl cysteine (NAC), or sodium bicarbonate.
  • Any evidence of organic or psychiatric disorders likely to result in poor compliance in the opinion of the investigator.
  • Previous participation in this trial at any time, or participation in any other clinical trial within the previous 3 months.

Sites / Locations

  • Singapore General Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment with GT08

Arm Description

Initial phase - omeprazole, N-acetyl cysteine (NAC), lauric acid dose and duration titration from 1 up to 14 days of treatment. Secondary phase - 14 days treatment with omeprazole, NAC, lauric acid

Outcomes

Primary Outcome Measures

Number of Participants With Eradication of H.Pylori Infection
Eradication as measured by negative Urea Breath Test 4-6 weeks following completion of treatment
Absence of Significant Gastric Abnormality Post-treatment (Initial Phase)
Gastroscopy pre- and post-treatment will be performed in the Initial Phase (20 participants), with the goal of excluding significant gastric abnormality at baseline and after treatment (e.g. gastric ulceration arising following the treatment).

Secondary Outcome Measures

Assessment of Adverse Events (AE)
Adverse event data will be collected in response to neutral questioning.

Full Information

First Posted
April 20, 2010
Last Updated
March 4, 2014
Sponsor
Synergy Pharmaceuticals Pte. Ltd.
Collaborators
Singapore General Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01109381
Brief Title
Safety and Efficacy Study of a Non-antibiotic Treatment for the Eradication of Helicobacter Pylori
Official Title
A Single-centre, Open-label, Non-controlled, Exploratory Safety and Efficacy Clinical Trial of GT08 in Volunteers and Patients Who Are Infected With Helicobacter Pylori
Study Type
Interventional

2. Study Status

Record Verification Date
March 2014
Overall Recruitment Status
Terminated
Why Stopped
Poor efficacy (2 of 31 completing participants with H.pylori eradication)
Study Start Date
May 2010 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Synergy Pharmaceuticals Pte. Ltd.
Collaborators
Singapore General Hospital

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
At present, triple therapy is recommended by various guidelines for the treatment of Helicobacter pylori (H.pylori) infection. Recent studies have shown increasing resistance of H.pylori to commonly used antibiotics used in triple therapy. This study explores a non-antibiotic treatment regime for H.pylori that uses lauric acid as the primary anti-microbial agent. The study hypothesis is that Lauric acid works synergistically with omeprazole following administration of a mucolytic agent to kill H.pylori topically in the stomach.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Helicobacter Pylori Infection
Keywords
bacterial infections, anti-infective agents, gastrointestinal agents, antibacterial agents, omeprazole, lauric acid, n-acetylcysteine, helicobacter infections, helicobacter pylori, non-antibiotic treatment

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
33 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment with GT08
Arm Type
Experimental
Arm Description
Initial phase - omeprazole, N-acetyl cysteine (NAC), lauric acid dose and duration titration from 1 up to 14 days of treatment. Secondary phase - 14 days treatment with omeprazole, NAC, lauric acid
Intervention Type
Drug
Intervention Name(s)
GT08
Intervention Description
GT08 is the combination of omeprazole 40mg daily, lauric acid 150-300mg daily, NAC 1.2 - 2g daily
Primary Outcome Measure Information:
Title
Number of Participants With Eradication of H.Pylori Infection
Description
Eradication as measured by negative Urea Breath Test 4-6 weeks following completion of treatment
Time Frame
4-6 weeks following treatment
Title
Absence of Significant Gastric Abnormality Post-treatment (Initial Phase)
Description
Gastroscopy pre- and post-treatment will be performed in the Initial Phase (20 participants), with the goal of excluding significant gastric abnormality at baseline and after treatment (e.g. gastric ulceration arising following the treatment).
Time Frame
up to 14 days of treatment
Secondary Outcome Measure Information:
Title
Assessment of Adverse Events (AE)
Description
Adverse event data will be collected in response to neutral questioning.
Time Frame
AE commencing within 30 days of initiation of treatment, followed until resolution

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Informed Consent prior to any study procedure Age at least 21 years and up to 70 years If female of childbearing potential who is sexually active, agrees to use acceptable methods of birth control throughout the study. Acceptable methods of birth control are: hormonal contraceptives (birth control pills), intrauterine device (IUD), diaphragm with spermicide, condom, vasectomy. Additional Inclusion Criteria for Initial Phase only Healthy volunteers - can have gastrointestinal or other symptoms if these do not require medical treatment and are considered by the investigator to be clinically minor and irrelevant to the conduct of the study. Positive laboratory serology for H.pylori Positive Urea Breath Test for H.pylori Willing to undergo two gastroscopy procedures Additional Inclusion Criteria for Secondary Phase only Either healthy volunteers or patients attending gastroenterology outpatient clinic - can have gastrointestinal or other symptoms if these are considered by the investigator to be clinically minor or irrelevant to the conduct of the study. Positive diagnosis of current H.pylori infection, as diagnosed by positive Urea Breath Test and at least one of the following: 1) Positive laboratory serology for H.pylori, 2) known positive Campylobacter-like organism (CLO) test or H.pylori culture from a gastroscopy performed in the 1 year prior to Screening. Exclusion Criteria: Pregnant or breast feeding. Clinically significant gastric disease, in the opinion of the investigator. Significant disease or disorder on general medical examination, in the opinion of the investigator (general, respiratory, cardiovascular, renal, hepatic, neurological, bleeding tendency etc). Regular or intermittent use of antibiotics, non-steroidal anti-inflammatory drugs (NSAIDs), anticoagulants or antiplatelet medications is expected during the trial period. Cessation of proton pump inhibitor or H2-blocker therapy for 2 weeks prior to Urea Breath Test is likely to not be in the best interests of the participant. Laboratory values on blood testing that are outside of the laboratory normal range and considered clinically relevant by the investigator: the following will be screened Haemoglobin (Hb), bilirubin, aspartate transaminase (AST), alanine transaminase (ALT), serum albumin, Alkaline Phosphatase, Urea, sodium (Na), potassium (K), creatinine (CRE). Any contraindication to treatment with omeprazole, N-acetyl cysteine (NAC), or sodium bicarbonate. Any evidence of organic or psychiatric disorders likely to result in poor compliance in the opinion of the investigator. Previous participation in this trial at any time, or participation in any other clinical trial within the previous 3 months.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ling Khoon Lin, MRCP, DPhil
Organizational Affiliation
Singapore General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Singapore General Hospital
City
Singapore
Country
Singapore

12. IPD Sharing Statement

Learn more about this trial

Safety and Efficacy Study of a Non-antibiotic Treatment for the Eradication of Helicobacter Pylori

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