Status:

UNKNOWN

Oral Versus IV Proton Pump Inhibitor in High-risk Bleeding Peptic Ulcers After Endoscopic Hemostasis

Lead Sponsor:

National Taiwan University Hospital

Conditions:

Peptic Ulcers

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Endoscopic hemostasis has been documented by a number of clinical studies to be effective in decreasing rebleeding, need for emergency surgery, and hospitalization days. Studies showed adjuvant treatm...

Detailed Description

Acute peptic ulcer bleeding remains a therapeutic challenge with significant morbidity and mortality. Endoscopic therapy using various modalities significantly reduces re-bleeding, need for surgery an...

Eligibility Criteria

Inclusion

  • Age ≥ 18
  • Confirmed ulcer bleeding with Forrest Ia, Ib, IIa
  • Endoscopic hemostasis achieved by combined endoscopic hemostasis
  • Informed consent obtained

Exclusion

  • No consent
  • Unsuccessful endoscopic treatment
  • Upper GI malignancy
  • History of subtotal gastrectomy
  • Bleeding tendency, platelet count \< 80x109/L, prothrombin time INR \>1.5
  • Myocardial infarction or cerebrovascular accident within one week
  • Ulcer bleeding because of mechanical factors (such as, induction of NG tube)
  • Malignancy or other advanced disease with a life expectancy of \< 6 months
  • IV PPI \> 40mg within 24hrs before enrollment
  • Decompensated liver cirrhosis
  • Requiring dialysis
  • Pregnant or lactating women
  • History of allergy or severe side effects to lansoparzole or pantoprazole

Key Trial Info

Start Date :

August 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

Estimated Enrollment :

190 Patients enrolled

Trial Details

Trial ID

NCT01182597

Start Date

August 1 2010

Last Update

June 21 2012

Active Locations (2)

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Page 1 of 1 (2 locations)

1

National Taiwan Univeristy Hospital Yunlin Branch

Douliu, Taiwan, Taiwan

2

National Taiwan Univeristy Hospital

Taipei, Taiwan, Taiwan