| E.1 Medical condition or disease under investigation | 
| E.1.1 | Medical condition(s) being investigated  | 
Diagnosis of Helicobacter pylori infection for patients taking proton pump inhibitors (PPI) with one day break of
 medication instead of two weeks prior to the test | 
 
 
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| E.1.1.1 | Medical condition in easily understood language  | 
| Diagnosis of Helicobacter pylori infection in patients taking medication without being able to stop Treatment longer than for one day.   | 
 
 
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| E.1.1.2 | Therapeutic area  | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Diagnosis [E01] | 
| MedDRA Classification | 
| E.1.3 | Condition being studied is a rare disease  |  No  | 
| E.2 Objective of the trial | 
| E.2.1 | Main objective of the trial  | 
| To confirm the sensitivity and specificity of the 13C-UBT using the new test meal for H. pylori in patients with dyspepsia and GERD taking PPI. | 
 
 
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| E.2.2 | Secondary objectives of the trial  | 
To compare the sensitivity and specificity of the 13C-UBT using the new test meal and standard test meal for H. pylori in patients with dyspepsia and GERD taking PPI.
 
 To correlate the results of the Helicobacter Test INFAI® using new test meal for H. pylori in patients with dyspepsia and GERD taking PPI with:
 
 •	Histology score for H. pylori in antrum and corpus using the    updated Sydney System,
 •	Sex,
 •	Age,
 •	Body Mass Index (BMI).
 
 | 
 
 
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| E.2.3 | Trial contains a sub-study  |  No  | 
| E.3 | Principal inclusion criteria  | 
•	Male and female patients of at least 18 years of age 
 •	All acid-related disorders requiring long-term PPI treatment including functional dyspepsia and GERD according Rome IV classification
 •	Positive or negative standard 13C-UBT at screening.
 •	Diagnosis of H. pylori infection confirmed or excluded by combination of culture#, histology* and rapid** urease test (PyloriTek®, Serim Research Corp., Elkhart, USA) on samples obtained by endoscopy:
 -	True positive: culture and/or (histology and rapid urease test) are positive
 -	True negative:  at least two tests are negative and culture is not positive 
 -	True negative:  culture not evaluable and both histology and urease test are negative.
 
 -	Patients will undergo upper endoscopy. Six biopsy samples will be obtained during this procedure.
 #)	Culture will be based on antrum and corpus 2 biopsies.
 *)	two biopsies ( corpus and antrum ) for histology
 **)  two biopsies ( corpus and antrum ) for Rapid urease test(RUT)
 
 •	Written informed consent of the patient.
 
 | 
 
 
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| E.4 | Principal exclusion criteria | 
•	Previous H. pylori eradication therapy.
 •	Intake of PPI in 2 weeks, H2 receptor antagonists  1 day and NSAIDs, antibiotics, anti¬secretory drugs, bismuth compounds, or sucralfate in the 4 weeks prior to enrolment.
 •	Manifest coagulopathy or any other disorder according to which endoscopy and/or biopsies are contraindicated.
 •	Participation in a clinical trial with another not approved drug within 30 days before entering the study and/or previous participation in this study.
 •	Pregnancy
 
 | 
 
 
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| E.5 End points | 
| E.5.1 | Primary end point(s) | 
Co-primary efficacy variables:
 •	The proportion of H. pylori positive patients with positive new test result using a cut-off value of 2.5‰ 
 •	The proportion of H. pylori negative patients with negative new test result using a cut-off value of 2.5‰
 
 | 
 
 
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| E.5.1.1 | Timepoint(s) of evaluation of this end point | 
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| E.5.2 | Secondary end point(s) | 
•	The proportion of H. pylori positive patients with positive standard test result using a cut-off value of 4‰ 
 •	The proportion of H. pylori negative patients with negative standard test result using a cut-off value of 4‰ 
 •	The delta over baseline (DOB) or Δδ-value [‰] will be calculated from the difference of the 13CO2 / total CO2 ratio 30 min after intake of the urea-13C solution and at baseline.
 •	Coefficients of correlation between DOB and the histology score for H. pylori in antrum and corpus using the Updated Sydney System, sex, age and BMI.
 
 | 
 
 
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| E.5.2.1 | Timepoint(s) of evaluation of this end point | 
 | 
| E.6 and E.7 Scope of the trial | 
| E.6 | Scope of the trial | 
| E.6.1 | Diagnosis |  Yes  | 
| E.6.2 | Prophylaxis |  No  | 
| E.6.3 | Therapy |  No  | 
| E.6.4 | Safety |  No  | 
| E.6.5 | Efficacy |  No  | 
| E.6.6 | Pharmacokinetic |  No  | 
| E.6.7 | Pharmacodynamic |  No  | 
| E.6.8 | Bioequivalence |  No  | 
| E.6.9 | Dose response |  No  | 
| E.6.10 | Pharmacogenetic |  No  | 
| E.6.11 | Pharmacogenomic |  No  | 
| E.6.12 | Pharmacoeconomic |  No  | 
| E.6.13 | Others |  No  | 
| E.7 | Trial type and phase | 
| E.7.1 | Human pharmacology (Phase I) |  No  | 
| E.7.1.1 | First administration to humans |  No  | 
| E.7.1.2 | Bioequivalence study |  No  | 
| E.7.1.3 | Other |  No  | 
| E.7.1.3.1 | Other trial type description |  | 
| E.7.2 | Therapeutic exploratory (Phase II) |  No  | 
| E.7.3 | Therapeutic confirmatory (Phase III) |  No  | 
| E.7.4 | Therapeutic use (Phase IV) |  Yes  | 
| E.8 Design of the trial | 
| E.8.1 | Controlled |  Yes  | 
| E.8.1.1 | Randomised |  No  | 
| E.8.1.2 | Open |  No  | 
| E.8.1.3 | Single blind |  Yes  | 
| E.8.1.4 | Double blind  |  No  | 
| E.8.1.5 | Parallel group |  No  | 
| E.8.1.6 | Cross over  |  No  | 
| E.8.1.7 | Other |  No  | 
| E.8.2 |  Comparator of controlled trial | 
| E.8.2.1 | Other medicinal product(s) |  No  | 
| E.8.2.2 | Placebo  |  No  | 
| E.8.2.3 | Other |  Yes  | 
| E.8.2.3.1 | Comparator description | 
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| E.8.2.4 | Number of treatment arms in the trial | 2 | 
| E.8.3 | 
                                The trial involves single site in the Member State concerned
                             |  No  | 
| E.8.4 |  The trial involves multiple sites in the Member State concerned  |  Yes  | 
| E.8.4.1 | Number of sites anticipated in Member State concerned | 2 | 
| E.8.5 | The trial involves multiple Member States |  Yes  | 
| E.8.5.1 | Number of sites anticipated in the EEA | 5 | 
| E.8.6 Trial involving sites outside the EEA | 
| E.8.6.1 | Trial being conducted both within and outside the EEA |  No  | 
| E.8.6.2 | Trial being conducted completely outside of the EEA |  No  | 
| E.8.7 | Trial has a data monitoring committee |  No  | 
| E.8.8 | 
                        Definition of the end of the trial and justification where it is not the last
                        visit of the last subject undergoing the trial
                     | 
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| E.8.9 Initial estimate of the duration of the trial | 
| E.8.9.1 | In the Member State concerned years | 0 | 
| E.8.9.1 | In the Member State concerned months | 9 | 
| E.8.9.1 | In the Member State concerned days | 0 | 
| E.8.9.2 | In all countries concerned by the trial years | 0 | 
| E.8.9.2 | In all countries concerned by the trial months | 9 | 
| E.8.9.2 | In all countries concerned by the trial days | 0 |