7 day H.pylori eradication Omeprazole or Rabeprazole, Clarithromycin, AmoxicillinPlacebo, Omeprazole or Rabeprazole, Clarithromycin
7 day H.pylori eradication Omeprazole or Rabeprazole, Clarithromycin, Amoxicillin: Omeprazole 20 mg or Rabeprazole 10 mg bid for 7 days, Clarithromycin 500 mg bid for 7 days, Amoxicillin 1,000 mg bid for 7 days.
Placebo, Omeprazole or Rabeprazole, Clarithromycin: Omeprazole 20 mg or Rabeprazole 10 mg bid for 7 days, Placebo for clarithromycin 500 mg bid for 7 days, Placebo for amoxicillin 1,000 mg bid for 7 days.
Study summary
This study evaluates whether Helicobacter pylori eradication improves precancerous lesions including glandular atrophy and intestinal metaplasia as well as metachronous cancers or dysplasias after endoscopic mucosal resection for gastric cancer.
Eligibility
Sex
ALL
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria:
* Early Gastric cancer or high grade dysplasia confirmed by endoscopy
* Histologically confirmed well or moderately differentiated adenocarcinoma, or high grade dysplasia
* Submucosal invasion is not suspected
* No evidence of ulceration or ulcer scar within the lesion
* Helicobacter pylori infection was confirmed by histological evaluation and rapid urease test
* Pre op CT stage: IA (T1N0M0) according to UICC TNM classification system
* Informed consent should be signed
Exclusion Criteria:
* Recurrent gastric cancer
* Previous serious side effect to antibiotics
* H. pylori eradication treatment history
* Poorly differentiated adenocarcinoma or Signet ring cell carcinoma
* Undergoing operation due to complication of EMR
* Undergoing operation due to remnant cancer
* Other malignancy within the past 5 years
* Pregnant or nursing women
* Serious concurrent infection or nonmalignant disease such as liver cirrhosis, renal failure, cardiovascular diseases
* Psychiatric disorder that would preclude compliance
Primary outcome measure(s)
Improvement (histological) of glandular atrophy — 3 years after enrollment Improvement of glandular atrophy at the corpus lesser curvature
Incidence of metachronous gastric cancer — 3 years after last patient enrollment Comparison of metachronous gastric cancer according to the allocated treatment
Trial sites (1)
Facility
City
Region
Status
National Cancer Center, Korea
Goyang-si
Gyeonggi-do
More National Cancer Center, Korea trials in South Korea
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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