Efficacy of Dexlansoprazole MR on Heartburn Control in Participants Previously Receiving Twice Daily Proton Pump Inhibitor Therapy

NCT ID: NCT00847808

Last Updated: 2012-02-03

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

178 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-02-28

Study Completion Date

2010-04-30

Brief Summary

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The purpose of this study is to determine if patients with well-controlled heartburn symptoms on twice-daily proton pump inhibitor therapy remain well-controlled after stepping down to once-daily (QD) dexlansoprazole modified release (MR) 30 mg.

Detailed Description

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Gastroesophageal reflux disease is recognized as a common and persistent medical problem in the US adult population. Gastroesophageal reflux disease comprises a spectrum of acid-related disorders including symptomatic nonerosive gastroesophageal reflux disease and erosive esophagitis. It affects men and women in nearly equal proportions, and the severity and intensity of heartburn symptoms may be similar in both types of patients.

Dexlansoprazole modified release is a dual delayed release formulation that consists of two types of granules contained in a single capsule. This dual delayed release formulation is designed to extend the duration of drug exposure and maintain pharmacologically active levels over a longer time period.

The purpose of this study is to demonstrate that participants with gastroesophageal reflux disease whose symptoms are well-controlled on twice daily proton pump inhibitors, remain well-controlled when switched to dexlansoprazole MR.

Conditions

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Gastroesophageal Reflux

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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1

Group Type EXPERIMENTAL

Dexlansoprazole MR QD

Intervention Type DRUG

Dexlansoprazole MR 30 mg, capsules and dexlansoprazole MR placebo-matching capsules, orally, each once daily for up to 6 weeks.

Interventions

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Dexlansoprazole MR QD

Dexlansoprazole MR 30 mg, capsules and dexlansoprazole MR placebo-matching capsules, orally, each once daily for up to 6 weeks.

Intervention Type DRUG

Other Intervention Names

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TAK-390 T-168390 TAK-390MR Kapidex Dexilant

Eligibility Criteria

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Inclusion Criteria

1. Prior to any study-specific procedures being performed, the participant voluntarily signs an Investigational Review Board-approved informed consent form (ICF) and any privacy statement/authorization form required (eg, The Health Insurance Portability and Accountability Act (HIPAA) authorization)
2. Has a history of gastroesophageal reflux disease symptom, including heartburn, prior to therapy, who are currently being treated with twice daily proton pump inhibitors, excluding Dexilant (dexlansoprazole).
3. Taking a stable dose of any twice daily proton pump inhibitors for less than or equal to 1 year and greater than 8 weeks prior to Screening.
4. Participant is well-controlled on their current twice daily proton pump inhibitors.
5. Females cannot be nursing and must have a negative urine pregnancy test at Day -1 or be of non-childbearing potential. If females are of child bearing potential, must have a negative serum human chorionic gonadotropin (hCG) pregnancy test during Screening and on an acceptable form of contraception, or have had bilateral tubal ligation if performed a minimum of 90 days prior to Day 1.

Exclusion Criteria

1. Has a history of co-existing diseases affecting the esophagus, history of radiation therapy or cryotherapy to the esophagus, caustic or physiochemical trauma such as sclerotherapy to the esophagus.
2. Has active gastric or duodenal ulcers during the 30 days prior to Screening.
3. Has acute upper gastrointestinal hemorrhage during the 30 days prior to Screening.
4. Has current or historical evidence of Zollinger-Ellison syndrome or other hypersecretory condition.
5. Has known hypersensitivity to any proton pump inhibitor or any component of dexlansoprazole MR.
6. Use of any Histamine type-2 receptor antagonist or antacids during Screening or anticipated use during the study treatment period.
7. Use of the following medications 7 days prior to Screening or anticipated use during the study:

* Sucralfate.
* Misoprostol.
* Systemic corticosteroids.
* Prokinetics (to include metoclopramide, cisapride, tegaserod).
* Bisphosphonates during the 6 months prior to Screening or anticipated use during the study.
* Chronic use (\> 12 doses per month) of nonsteroidal anti-inflammatory drugs
* Drugs with significant anticholinergic effects such as tricyclic antidepressants or drugs with central nervous system effects that could mask perception of symptoms.
* Any investigational drug(s) within 30 days of Screening.
8. Has received blood products within the 3 months prior to Screening.
9. History of alcohol abuse or illegal drug use or drug addiction in the 12 months prior to Screening.
10. Evidence of uncontrolled, clinically significant neurologic, cardiovascular, pulmonary, hepatic, renal, metabolic, gastrointestinal, or endocrine disease or other abnormality, which may impact the ability of the participant to participate or potentially confound the study results.
11. Atypical manifestations of gastroesophageal reflux disease.
12. Has abnormal screening laboratory values that suggest a clinically significant underlying disease or condition.
13. Cancer within 5 years prior to Screening.
14. Is known to have acquired immunodeficiency syndrome.
15. Has any condition that is likely to require inpatient surgery during the course of the study.
16. Surgery of the acute upper gastrointestinal tract, including bariatric.
17. Is in the opinion of the investigator unable to comply with the requirements of the study or are unsuitable for any reason.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director Clinical Science

Role: STUDY_DIRECTOR

Takeda

Locations

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Hueytown, Alabama, United States

Site Status

Chandler, Arizona, United States

Site Status

Sierra Vista, Arizona, United States

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Tucson, Arizona, United States

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Sherman, Arkansas, United States

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Sherwood, Arkansas, United States

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Carmichael, California, United States

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Garden Grove, California, United States

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Laguna Hills, California, United States

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Long Beach, California, United States

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Paramount, California, United States

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Rancho Cucamonga, California, United States

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Roseville, California, United States

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Sacramento, California, United States

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San Diego, California, United States

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San Ramon, California, United States

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Tustin, California, United States

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Westlake Village, California, United States

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Bristol, Connecticut, United States

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Boynton Beach, Florida, United States

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Hialeah, Florida, United States

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New Smyrna Beach, Florida, United States

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Winter Haven, Florida, United States

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Augusta, Georgia, United States

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Conyers, Georgia, United States

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Newnan, Georgia, United States

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Stockbridge, Georgia, United States

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Rockford, Illinois, United States

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Metairie, Louisiana, United States

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Prince Frederick, Maryland, United States

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Stevensville, Michigan, United States

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Olive Branch, Mississippi, United States

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Egg Harbor, New Jersey, United States

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Albuquerque, New Mexico, United States

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Rochester, New York, United States

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Wilmington, North Carolina, United States

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Columbus, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Yukon, Oklahoma, United States

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Portland, Oregon, United States

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Lansdale, Pennsylvania, United States

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Salisbury, South Carolina, United States

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Chattanooga, Tennessee, United States

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Johnson City, Tennessee, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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El Paso, Texas, United States

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Houston, Texas, United States

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South Ogden, Utah, United States

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Chesapeake, Virginia, United States

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Norfolk, Virginia, United States

Site Status

Lakewood, Washington, United States

Site Status

Countries

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United States

References

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Fass R, Inadomi J, Han C, Mody R, O'Neil J, Perez MC. Maintenance of heartburn relief after step-down from twice-daily proton pump inhibitor to once-daily dexlansoprazole modified release. Clin Gastroenterol Hepatol. 2012 Mar;10(3):247-53. doi: 10.1016/j.cgh.2011.11.021. Epub 2011 Dec 7.

Reference Type DERIVED
PMID: 22155561 (View on PubMed)

Related Links

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Other Identifiers

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U1111-1112-1761

Identifier Type: REGISTRY

Identifier Source: secondary_id

T-GD08-178

Identifier Type: -

Identifier Source: org_study_id

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