Endoscopic Fundoplication Versus Proton Pump Inhibitors for GERD Treatment

NCT ID: NCT00857597

Last Updated: 2018-03-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-31

Study Completion Date

2011-12-31

Brief Summary

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The study objective is to evaluate the relative merits, safety and effectiveness of Transoral Incisionless Fundoplication (TIF) in GERD patients currently treated with daily Proton Pump Inhibitors (PPIs).

Detailed Description

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Conditions

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Gastroesophageal Reflux Disease (GERD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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EsophyX

Group Type EXPERIMENTAL

Transoral Incisionless Fundoplication

Intervention Type PROCEDURE

The TIF procedure using the EsophyX system with SerosaFuse fasteners was designed to create full-thickness serosa-to-serosa plications and construct valves of 3-5 cm in length and 200-300° in circumference.

Proton Pump Inhibitors

Group Type ACTIVE_COMPARATOR

Proton Pump Inhibitors; active control

Intervention Type DRUG

Proton Pump Inhibitors; active control

Interventions

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Transoral Incisionless Fundoplication

The TIF procedure using the EsophyX system with SerosaFuse fasteners was designed to create full-thickness serosa-to-serosa plications and construct valves of 3-5 cm in length and 200-300° in circumference.

Intervention Type PROCEDURE

Proton Pump Inhibitors; active control

Proton Pump Inhibitors; active control

Intervention Type DRUG

Other Intervention Names

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TIF procedure ELF procedure Endoluminal fundoplication Endoscopic fundoplication Esomeprazole Lansomeprazole Omeprazole Pantoprazole Rabeprazole Nexium Prevacid Dakar Lanso Lanzor Prezal Lanzol Prilosec Losec Logastric Protonix Zurcal Pantozol Zurcale Aciphex Pariet

Eligibility Criteria

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Inclusion Criteria

* Age 18-75 years
* Proven gastroesophageal reflux (pH \< 4 for \> 4.3% time while off PPIs for 7-14 days)
* On daily PPIs for \> 1 year
* Recurrence of GERD symptoms (GERD-HRQL score difference of \> 10 between on and off PPIs)
* Normal or hypotonic LES resting pressure (5-40 mmHg)
* Patient willingness to cooperate with random group assignment, attend 4-5 office visits and comply with all tests in this protocol
* Signed informed consent

Exclusion Criteria

* BMI \> 35
* Hiatal hernia \> 2 cm
* Esophagitis grade D
* Barrett's esophagus
* Esophageal stricture
* Esophageal ulcer
* Esophageal motility disorder
* Gastric motility disorder
* Prior splenectomy
* Gastric paralysis
* Pregnancy (in females)
* Immunosuppression
* ASA \> 2
* Portal hypertension
* Coagulation disorders
* Previous antireflux procedure
* Any other health condition, which the investigator believes would prevent the patient from completing the study
* Lack of fluency in English
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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EndoGastric Solutions

INDUSTRY

Sponsor Role collaborator

Sandhill Scientific

INDUSTRY

Sponsor Role collaborator

Crospon

INDUSTRY

Sponsor Role collaborator

University of Pittsburgh

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Blair A Jobe, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh Medical Center

Nicole D Bouvy, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Maastricht, The Netherlands

Locations

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University Hospital Maastricht

Maastricht, Limburg, Netherlands

Site Status

Countries

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Netherlands

Related Links

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https://www.ncbi.nlm.nih.gov/pubmed/25823768

Data reported in Am J Gastroenterol. 2015 Apr;110(4):531-42. doi: 10.1038/ajg.2015.28. Epub 2015 Mar 31.

Other Identifiers

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PRO08110069

Identifier Type: OTHER

Identifier Source: secondary_id

D00668-01C

Identifier Type: -

Identifier Source: org_study_id

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