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Trial Title: Gastric Cancer Prevention in the Family Members by Helicobacter Pylori Eradication

NCT ID: NCT01678027

Condition: Gastric Cancer
Helicobacter Pylori Infection
Family Members

Conditions: Official terms:
Stomach Neoplasms
Clarithromycin

Conditions: Keywords:
Stomach neoplasm
Helicobacter pylori

Study type: Interventional

Study phase: Phase 3

Overall status: Active, not recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Prevention

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: Placebo
Description: Lansoprazole placebo, amoxicillin placebo, and clarithromycin placebo, all twice a day for 1 week.
Arm group label: Placebo

Intervention type: Drug
Intervention name: LAC triple therapy
Description: Lansoprazole 30 mg, amoxicillin 1,000 mg, and clarithromycin 500 mg, all twice a day for 1 week.
Arm group label: LAC triple therapy

Other name: PPI-Clarithromycin containing triple therapy

Summary: This study evaluate whether treatment of Helicobacter pylori infection reduces the incidence of gastric cancer in subjects with family history of gastric cancer.

Detailed description: Helicobacter pylori infection is associated with gastric cancer in epidemiological studies. However, it is still unknown whether H. pylori eradication is useful and required to prevent gastric cancer. Gastric cancer risk is increased in family members of gastric cancer patient. Though there is no direct evidence that H. pylori infection is a risk factor for gastric cancer in family members of gastric cancer, current European guideline recommends H. pylori eradication in first-degree relatives of gastric cancer patients. In this study, the investigators will evaluate whether H. pylori eradication can reduce gastric cancer risk in the first-degree family members of gastric cancer patients.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Sibling or offspring of patients with gastric adenocarcinoma confirmed by EGD and biopsy - Informed consent should be signed Exclusion Criteria: - Gastric cancer history - Other malignancy within the past 5 years - Hereditary cancer family member (HNPCC, FAP) - Peptic ulcer history - Peptic ulcer, esophageal cancer, gastric cancer case found at EGD - H. pylori eradication treatment history - Previous serious side effect to antibiotics - Serious concurrent infection or nonmalignant disease such as liver cirrhosis, renal failure, cardiovascular diseases - Pregnant or nursing women - Psychiatric disorder that would preclude compliance, alcoholics - Refuse informed consent

Gender: All

Minimum age: 40 Years

Maximum age: 65 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: National Cancer Center, Korea

Address:
City: Goyang
Zip: 10408
Country: Korea, Republic of

Start date: November 2004

Completion date: December 2035

Lead sponsor:
Agency: National Cancer Center, Korea
Agency class: Other

Source: National Cancer Center, Korea

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT01678027

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