Trial Outcomes & Findings for Safety and Efficacy of Dexlansoprazole Modified Release Formulation to Treat Heartburn (NCT NCT00251758)

NCT ID: NCT00251758

Last Updated: 2010-05-18

Results Overview

The percentage was calculated as the days that were heartburn-free out of the total number of days for which either a daytime or nighttime result was marked.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

908 participants

Primary outcome timeframe

4 weeks

Results posted on

2010-05-18

Participant Flow

Subjects enrolled at 157 sites in the United States (75 in Study T-GD04-082 \[NCT00251745\] and 82 in Study T-GD04-083 \[this posting, NCT00251758\]; date of first dose: 07 December 2005; date of last procedure: 23 May 2006).

Subjects with endoscopically documented normal esophageal mucosa were enrolled in Dexlansoprazole Modified Release (MR) or Placebo once daily (QD) treatment group; subjects were instructed that lifestyle or behavioral modifications designed to treat their symptoms of Gastroesophageal Reflux Disease (GERD) should not be altered throughout the study.

Participant milestones

Participant milestones
Measure
Placebo QD
Placebo capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 60 mg QD
Dexlansoprazole MR 60 mg, capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 90 mg QD
Dexlansoprazole MR 90 mg, capsules, orally, once daily for up to 4 weeks.
Overall Study
STARTED
292
312
304
Overall Study
COMPLETED
264
285
277
Overall Study
NOT COMPLETED
28
27
27

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo QD
Placebo capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 60 mg QD
Dexlansoprazole MR 60 mg, capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 90 mg QD
Dexlansoprazole MR 90 mg, capsules, orally, once daily for up to 4 weeks.
Overall Study
Adverse Event
7
9
11
Overall Study
Lost to Follow-up
4
2
5
Overall Study
Withdrawal by Subject
13
7
3
Overall Study
Unmet Inclusion/Exclusion Criteria
0
6
5
Overall Study
Lack of Efficacy
3
0
0
Overall Study
Noncompliant
0
2
2
Overall Study
Pregnancy
0
1
0
Overall Study
Per Subject Request
0
0
1
Overall Study
Per Investigator Request
1
0
0

Baseline Characteristics

Safety and Efficacy of Dexlansoprazole Modified Release Formulation to Treat Heartburn

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo QD
n=292 Participants
Placebo capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 60 mg QD
n=312 Participants
Dexlansoprazole MR 60 mg, capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 90 mg QD
n=304 Participants
Dexlansoprazole MR 90 mg, capsules, orally, once daily for up to 4 weeks.
Total
n=908 Participants
Total of all reporting groups
Age Continuous
49.0 years
STANDARD_DEVIATION 13.60 • n=5 Participants
48.0 years
STANDARD_DEVIATION 13.55 • n=7 Participants
46.7 years
STANDARD_DEVIATION 13.64 • n=5 Participants
47.9 years
STANDARD_DEVIATION 13.61 • n=4 Participants
Age, Customized
<45 years
107 participants
n=5 Participants
125 participants
n=7 Participants
135 participants
n=5 Participants
367 participants
n=4 Participants
Age, Customized
45 - <65 years
146 participants
n=5 Participants
155 participants
n=7 Participants
139 participants
n=5 Participants
440 participants
n=4 Participants
Age, Customized
≥65 years
39 participants
n=5 Participants
32 participants
n=7 Participants
30 participants
n=5 Participants
101 participants
n=4 Participants
Sex: Female, Male
Female
216 Participants
n=5 Participants
214 Participants
n=7 Participants
213 Participants
n=5 Participants
643 Participants
n=4 Participants
Sex: Female, Male
Male
76 Participants
n=5 Participants
98 Participants
n=7 Participants
91 Participants
n=5 Participants
265 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
14 Participants
n=4 Participants
Race (NIH/OMB)
Asian
9 Participants
n=5 Participants
12 Participants
n=7 Participants
7 Participants
n=5 Participants
28 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
34 Participants
n=5 Participants
46 Participants
n=7 Participants
41 Participants
n=5 Participants
121 Participants
n=4 Participants
Race (NIH/OMB)
White
240 Participants
n=5 Participants
246 Participants
n=7 Participants
245 Participants
n=5 Participants
731 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
9 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
60 Participants
n=5 Participants
58 Participants
n=7 Participants
61 Participants
n=5 Participants
179 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
232 Participants
n=5 Participants
254 Participants
n=7 Participants
243 Participants
n=5 Participants
729 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 4 weeks

Population: Analysis was conducted on an intent-to-treat (ITT) population that included all randomized subjects who received at least 1 dose of study drug and completed at least 1 diary entry for heartburn during treatment. All ITT populations excluded subjects with confirmed Barrett's esophagus and/or definite dysplastic changes.

The percentage was calculated as the days that were heartburn-free out of the total number of days for which either a daytime or nighttime result was marked.

Outcome measures

Outcome measures
Measure
Placebo QD
n=290 Participants
Placebo capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 60 mg QD
n=306 Participants
Dexlansoprazole MR 60 mg, capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 90 mg QD
n=298 Participants
Dexlansoprazole MR 90 mg, capsules, orally, once daily for up to 4 weeks.
Percentage of Days With Neither Daytime Nor Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Median
17.0 percentage of days
Interval 0.0 to 42.9
45.7 percentage of days
Interval 11.1 to 75.0
52.7 percentage of days
Interval 15.8 to 79.2

PRIMARY outcome

Timeframe: 4 weeks

Population: Analysis was conducted on an intent-to-treat (ITT) population that included all randomized subjects who received at least 1 dose of study drug and completed at least 1 diary entry for heartburn during treatment. All ITT populations excluded subjects with confirmed Barrett's esophagus and/or definite dysplastic changes.

The percentage was calculated as the days that were heartburn-free out of the total number of days for which either a daytime or nighttime result was marked.

Outcome measures

Outcome measures
Measure
Placebo QD
n=290 Participants
Placebo capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 60 mg QD
n=306 Participants
Dexlansoprazole MR 60 mg, capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 90 mg QD
n=298 Participants
Dexlansoprazole MR 90 mg, capsules, orally, once daily for up to 4 weeks.
Percentage of Days With Neither Daytime Nor Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Mean
24.9 percentage of days
Standard Deviation 25.7
44.8 percentage of days
Standard Deviation 33.8
49.1 percentage of days
Standard Deviation 34.2

SECONDARY outcome

Timeframe: 4 weeks

Population: Analysis was conducted on an ITT population (all randomized subjects who received at least 1 dose of study drug and completed at least 1 diary entry for heartburn during treatment), but excluded subjects without any morning diary entries on Day 1 or later.

The percentage was calculated as the nights that were heartburn-free out of the total number of days for which a nighttime result was marked.

Outcome measures

Outcome measures
Measure
Placebo QD
n=290 Participants
Placebo capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 60 mg QD
n=306 Participants
Dexlansoprazole MR 60 mg, capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 90 mg QD
n=298 Participants
Dexlansoprazole MR 90 mg, capsules, orally, once daily for up to 4 weeks.
Percentage of Days Without Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Median
51.0 percentage of days
Interval 18.5 to 81.3
72.3 percentage of days
Interval 34.6 to 92.9
76.6 percentage of days
Interval 37.0 to 92.6

SECONDARY outcome

Timeframe: 4 weeks

Population: Analysis was conducted on an ITT population (all randomized subjects who received at least 1 dose of study drug and completed at least 1 diary entry for heartburn during treatment), but excluded subjects without any morning diary entries on Day 1 or later.

The percentage was calculated as the nights that were heartburn-free out of the total number of days for which a nighttime result was marked.

Outcome measures

Outcome measures
Measure
Placebo QD
n=290 Participants
Placebo capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 60 mg QD
n=306 Participants
Dexlansoprazole MR 60 mg, capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 90 mg QD
n=298 Participants
Dexlansoprazole MR 90 mg, capsules, orally, once daily for up to 4 weeks.
Percentage of Days Without Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Mean
49.6 percentage of days
Standard Deviation 34.1
62.0 percentage of days
Standard Deviation 34.5
64.4 percentage of days
Standard Deviation 34.6

Adverse Events

Placebo QD

Serious events: 0 serious events
Other events: 37 other events
Deaths: 0 deaths

Dexlansoprazole MR 60 mg QD

Serious events: 2 serious events
Other events: 55 other events
Deaths: 0 deaths

Dexlansoprazole MR 90 mg QD

Serious events: 1 serious events
Other events: 54 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo QD
Placebo capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 60 mg QD
Dexlansoprazole MR 60 mg, capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 90 mg QD
Dexlansoprazole MR 90 mg, capsules, orally, once daily for up to 4 weeks.
Hepatobiliary disorders
Cholecystitis and Cholelithiasis
0.00%
0/292
0.00%
0/312
0.33%
1/304
Injury, poisoning and procedural complications
Non-site Specific Injuries Not Elsewhere Classified (NEC)
0.00%
0/292
0.32%
1/312
0.00%
0/304
Injury, poisoning and procedural complications
Poisoning and Toxicity
0.00%
0/292
0.32%
1/312
0.00%
0/304

Other adverse events

Other adverse events
Measure
Placebo QD
Placebo capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 60 mg QD
Dexlansoprazole MR 60 mg, capsules, orally, once daily for up to 4 weeks.
Dexlansoprazole MR 90 mg QD
Dexlansoprazole MR 90 mg, capsules, orally, once daily for up to 4 weeks.
Gastrointestinal disorders
Diarrhoea (Excl Infective)
4.5%
13/292
4.8%
15/312
2.6%
8/304
Gastrointestinal disorders
Gastrointestinal and Abdominal Pains (Excl Oral and Throat)
4.1%
12/292
7.4%
23/312
4.9%
15/304
Gastrointestinal disorders
Nausea and Vomiting Symptoms
3.4%
10/292
4.8%
15/312
3.0%
9/304
Infections and infestations
Upper Respiratory Tract Infections
1.4%
4/292
3.5%
11/312
7.9%
24/304
Nervous system disorders
Headaches NEC
5.1%
15/292
4.2%
13/312
3.6%
11/304

Additional Information

Sr. VP Clinical Sciences

Takeda Global Research & Development Center, Inc.

Phone: 800-778-2860

Results disclosure agreements

  • Principal investigator is a sponsor employee No publication related to study results will be published prior to publication of a multi-center report submitted for publication within 18 months after conclusion or termination of a study. Results publications will be submitted to sponsor for review 60 days in advance of publication. Sponsor can require removal of confidential information unrelated to study results. Sponsor can embargo a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER