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Helicobacter Pylori Infection in Children With Chronic Idiopathic Thrombocytopenic Purpura

Information source: Mahidol University
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Chronic Idiopathic Thrombocytopenic Purpura; Helicobacter Pylori Infection

Intervention: lansoprazole, clarithromycin, amoxycillin (Drug)

Phase: Phase 4

Status: Recruiting

Sponsored by: Mahidol University

Official(s) and/or principal investigator(s):
Suporn Treepongkaruna, M.D., Principal Investigator, Affiliation: Faculty of Medicine, Ramathibodi Hospital, Mahidol University

Overall contact:
Suporn Treepongkaruna, M.D., Phone: 66 2201 1446, Email: rastp@mahidol.ac.th

Summary

Previous studies suggest that chronic idiopathic thrombocytopenic purpura is associated with Helicobacter pylori infection. The objective is to study the effect of Helicobacter pylori eradication on platelet count.

Clinical Details

Official title: Helicobacter Pylori Infection in Children With Chronic Idiopathic Thrombocytopenic Purpura

Study design: Treatment, Randomized, Open Label, Uncontrolled, Parallel Assignment, Efficacy Study

Primary outcome: platelet count

Secondary outcome:

platelet antibody after treatment of Helicobacter pylori infection, compared with control group (no treatment of Helicobacter pylori)

platelet count

Detailed description: Children with chronic idiopathic thrombocytopenic purpura who have Helicobacter pylori infection are enrolled. Helicobacter pylori infection is diagnosed by urea breath test. Patients who have Helicobacter pylori infection will be randomized into 2 groups: control and treatment groups. The treatment group will receive 2 antibiotics and proton-pump inhibitors for 14 days for eradication of infection. Repeated urea breath test at week 6-8 after treatment. Blood tests for platelet count will be performed every month for 6 months in both groups. Platelet count at 6 months in both group will be compared. Blood for platelet antibody will be performed at 3 and 6 months. Control group will receive treatment for Helicobacter pylori at the end of the study.

Eligibility

Minimum age: 2 Years. Maximum age: 18 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Children who was diagnosed as chronic ITP, defined by platelets below 100,000/uL for

more than 6 months without identified causes.

- 13C-urea breath test (UBT) was performed for diagnosis of Helicobacter pylori

infection.

Exclusion Criteria:

- Patients who had a previous treatment for H. pylori infection.

- Patients require prednisolone more than 0. 5 mg/kg/day

Locations and Contacts

Suporn Treepongkaruna, M.D., Phone: 66 2201 1446, Email: rastp@mahidol.ac.th

Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand; Recruiting
Suporn Treepongkaruna, M.D., Phone: 66 2201 1446, Email: rastp@mahidol.ac.th
Nongnut Sirachainan, M.D., Phone: 66 2201 1748, Email: rasrb@mahidol.ac.th
Suporn Treepongkaruna, M.D., Principal Investigator
Additional Information

Starting date: March 2006
Ending date: December 2008
Last updated: September 16, 2008

Page last updated: October 19, 2009

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