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First-line eradication rates comparing two shortened non-bismuth quadruple regimens againstHelicobacter pylori: an open-label, randomized, multicentre clinical trial
Author(s) -
Antonio Cuadrado,
José R. Salcines-Caviedes,
Ainhoa Diaz-Perez,
Miguel F. Carrascosa,
María Elena Ochagavia,
José Luis Fernández-Forcelledo,
Marta Cobo,
Pedro Fernández-Gil,
B. Ayestaran,
Blanca Sánchez,
Cristina Campo,
Javier Llorca,
Silvia Lorenzo,
Aitziber Illaro
Publication year - 2015
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkv089
Subject(s) - medicine , helicobacter pylori , regimen , metronidazole , gastroenterology , amoxicillin , clarithromycin , omeprazole , urea breath test , adverse effect , intention to treat analysis , randomized controlled trial , breath test , concomitant , surgery , antibiotics , helicobacter pylori infection , microbiology and biotechnology , biology
Helicobacter pylori eradication remains a challenge. Non-bismuth-based quadruple regimens (NBQR) have shown high eradication rates (ER) elsewhere that need to be locally confirmed. The objective of this study was to compare the first-line ER of a hybrid therapy (20 mg of omeprazole twice daily and 1 g of amoxicillin twice daily for 10 days, adding 500 mg of clarithromycin twice daily and 500 mg of metronidazole every 8 h for the last 5 days; OA-OACM) with that of a 10 day concomitant regimen consisting of taking all four drugs twice daily every day (including 500 mg of metronidazole every 12 h; OACM). A 10 day arm with standard triple therapy (OAC; 20 mg of omeprazole/12 h, 1 g of amoxicillin/12 h and 500 mg of clarithromycin/12 h) was included.

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