This study investigates the efficacy of a b.i.d. quadruple therapy containing Pylera® or L. reuteri for H. pylori infection.
Bismuth, metronidazole and tetracycline yielded high cure rates for H. pylori infection. Earlier studies suggested that the bismuth quadruple therapy may be effective when given twice-a-day rather than q.i.d. and that b.i.d. therapy was associated with fewer side effects. The addition of the probiotic Lactobacillus reuteri (Gastrus®) to Lactobacillus reuteri (Gastrus®) that has been shown to increase the cure rates by 10-14%. In another study bismuth supplementation with L. reuteri DSM 17938, in a modified low dose quadruple therapy provided good eradication rates (93.3%; 95% CI : 85-99%) in clinical practice.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
99
Pylera capsules
Gastrus 1 tablet
Clinica Medica, Dipartimento di Medicina Clinica e Sperimentale
Sassari, SS, Italy
Helicobacter pylori eradication rate
a negative 13C-urea breath test and/or a negative stool antigen test
Time frame: 30-40 days after the end of treatment
Compliance and side effects evaluation
Patient interview at the end of treatment
Time frame: 30-40 days
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