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CTRI Number  CTRI/2024/12/077627 [Registered on: 04/12/2024] Trial Registered Prospectively
Last Modified On: 18/03/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Diagnostic 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Study to detect H Pylori infection using breath test.  
Scientific Title of Study   An open label, non-randomized study of the PYtest ® Kit (urea[14C] breath test) for the detection of helicobacter pylori 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
24-TMD-001, Version:01,04/06/2024   NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Narasimhaiah S 
Designation  Principal Investigator  
Affiliation  Apollo Hospital 
Address  Room No : 3, Colorectal Surgeon, Colorectal surgery (Colorectal, Peritoneal & Pelvic Oncology) - Laparoscopic & Robotic Surgery.
Opposite IIMB, Bannerghatta Road, Bangalore
Bangalore
KARNATAKA
560076
India 
Phone  8197088434  
Fax    
Email  drnarasimhaiah_s@apollohospitals.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vimla Dsouza 
Designation  Director - Clinical Operation  
Affiliation  Arcolab Private Limited  
Address  19/2, 15th Cross Rd, opp. K C DAS, Dollar Layout, 4th Phase, J. P. Nagar, Bengaluru.
J. P. Nagar, Bengaluru.
Bangalore
KARNATAKA
560078
India 
Phone  9844224041  
Fax    
Email  Vimla.Dsouza@arcolab.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vimla Dsouza 
Designation  Director - Clinical Operation  
Affiliation  Arcolab Private Limited  
Address  19/2, 15th Cross Rd, opp. K C DAS, Dollar Layout, 4th Phase,
J. P. Nagar, Bengaluru.
Bangalore
KARNATAKA
560078
India 
Phone  9844224041  
Fax    
Email  Vimla.Dsouza@arcolab.com  
 
Source of Monetary or Material Support  
Tri-Med Distributors Pty Ltd, Unit 6/15 Walters Drive, Osborne Park, WA 6017 Australia.  
 
Primary Sponsor  
Name  Tri-Med Distributors Pty Ltd 
Address  Walters Drive Osborne Park,WA 6017 Australia 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Radhakrishnan   Apollo Hospitals  Room No : 3, Colorectal Surgeon, Colorectal surgery (Colorectal, Peritoneal & Pelvic Oncology) - Laparoscopic & Robotic Surgery, Opposite IIMB, Bannerghatta Road
Bangalore
KARNATAKA 
8056707008

radhakrishnan@apolloari.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Apollo Hospitals  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K319||Disease of stomach and duodenum, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  PYtest® Urea [14 C] Capsule  Urea breath test using urea[14C] capsule of the PYtest® Kit. To detect H. pylori, urea labelled with 14C is swallowed by the patient. If gastric urease from H. pylori is present, urea is split to form CO2 and NH3 at the interface between the gastric epithelium and lumen and 14CO2 is absorbed into the blood and exhaled in the breath. Following ingestion of the capsule by a patient with H. pylori, 14CO2 excretion in the breath peaks between 10 and 15 minutes and declines thereafter with a biological half-life of about 15 minutes.  
Comparator Agent  Rapid Urease test  The rapid urease test is an indirect method for detecting the presence of H. pylori based on the activity of urease enzyme produced by the bacteria. This test involves endoscopic evaluation where a biopsy of the gastric mucosa will be taken. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Patients who present with clinical symptoms of H. pylori
Have the ability and willingness to sign the Informed Consent Form 
 
ExclusionCriteria 
Details  Patient with current serious underlying disease.
Participation in other trials currently.
Patients who have been taking or have taken antibiotics and/or bismuth preparations for (4) weeks prior to test. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Sensitivity and specificity of PYtest® (urea[14C] breath test) kit in comparison to Rapid urease diagnostic test.  The diagnostic tests will be performed during Visit 2, which should be scheduled within 3 days of Visit 1 (Screening).
Visit 2 will include the following procedures:
• Endoscopy and Rapid Urease Test
• PYtest® (urea[14C] capsule) administration and Urea breath analysis
 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the safety of Urea[14C] capsule of PYtest ® Kit  The safety will be evaluated during Visit 2, which should be scheduled within 3 days of Visit 1 (Screening), & at the end of the study (follow up period), that is within 3 days of the Visit 2 . 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   16/12/2024 
Date of Study Completion (India) 11/03/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
The purpose of the study is to establish the sensitivity and specificity of the PYtest® (urea[14C] capsule) in comparison to Rapid urease diagnostic test in Indian population.
To evaluate the sensitivity and specificity of PYtest® (urea[14C] breath test) kit for H. pylori in comparison to Rapid urease diagnostic test. Also to evaluate the safety of Urea[14C] capsule of PYtest ® Kit.
Sensitivity, specificity, positive predictive value, and negative predictive value will be determined using a 2x2 table for comparison between breath test and reference methods. The product of positive predictive value and negative predictive value will be used to define the accuracy. One-sided 95% confidence intervals for sensitivity and specificity as well as positive and negative predictive values will be calculated using one sample binomial test.
 
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