Trial Outcomes & Findings for Investigate the Effect of Different Doses of Lesogaberan (AZD3355) as add-on to PPI in GERD Patients With Partial Response to PPI (NCT NCT01005251)

NCT ID: NCT01005251

Last Updated: 2011-04-25

Results Overview

Symptom intensity rated by participants twice daily on a six-graded Likert scale (Did not have; Very mild; Mild; Moderate; Moderately severe; Severe) using an electronic Reflux Symptom Questionnaire diary. (GERD = Gastroesophageal Reflux Disease)

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

661 participants

Primary outcome timeframe

The 7 days before randomisation (baseline) and during 26-30 days of treatment

Results posted on

2011-04-25

Participant Flow

Participant milestones

Participant milestones
Measure
AZD3355 60 mg
PPI+AZD3355 60 mg twice daily (bid)
AZD3355 120 mg
PPI+AZD3355 120 mg twice daily (bid)
AZD3355 180 mg
PPI+AZD3355 180 mg twice daily (bid)
AZD3355 240 mg
PPI+AZD3355 240 mg twice daily (bid)
Placebo
PPI+Placebo
Overall Study
STARTED
134
125
136
126
140
Overall Study
COMPLETED
121
109
114
114
122
Overall Study
NOT COMPLETED
13
16
22
12
18

Reasons for withdrawal

Reasons for withdrawal
Measure
AZD3355 60 mg
PPI+AZD3355 60 mg twice daily (bid)
AZD3355 120 mg
PPI+AZD3355 120 mg twice daily (bid)
AZD3355 180 mg
PPI+AZD3355 180 mg twice daily (bid)
AZD3355 240 mg
PPI+AZD3355 240 mg twice daily (bid)
Placebo
PPI+Placebo
Overall Study
Withdrawal by Subject
2
5
3
4
9
Overall Study
Eligibility criteria not fulfilled
4
0
4
1
0
Overall Study
Adverse Event
2
6
8
5
4
Overall Study
Protocol Violation
1
0
0
0
2
Overall Study
Developed study-specific withdrawal crit
2
0
3
0
1
Overall Study
Lost to Follow-up
1
4
2
0
0
Overall Study
Physician Decision
0
0
0
0
2
Overall Study
Patient moved
1
0
0
0
0
Overall Study
Wrong drug dispensed
0
1
0
0
0
Overall Study
Randomized in error
0
0
1
1
0
Overall Study
Lack of Efficacy
0
0
1
1
0

Baseline Characteristics

Investigate the Effect of Different Doses of Lesogaberan (AZD3355) as add-on to PPI in GERD Patients With Partial Response to PPI

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AZD3355 60 mg
n=134 Participants
PPI+AZD3355 60 mg twice daily (bid)
AZD3355 120 mg
n=125 Participants
PPI+AZD3355 120 mg twice daily (bid)
AZD3355 180 mg
n=136 Participants
PPI+AZD3355 180 mg twice daily (bid)
AZD3355 240 mg
n=126 Participants
PPI+AZD3355 240 mg twice daily (bid)
Placebo
n=140 Participants
PPI+Placebo
Total
n=661 Participants
Total of all reporting groups
Age Continuous
47.4 years
STANDARD_DEVIATION 12.3 • n=5 Participants
46.1 years
STANDARD_DEVIATION 13.5 • n=7 Participants
48.0 years
STANDARD_DEVIATION 12.3 • n=5 Participants
48.5 years
STANDARD_DEVIATION 12.1 • n=4 Participants
48.3 years
STANDARD_DEVIATION 12.0 • n=21 Participants
47.7 years
STANDARD_DEVIATION 12.4 • n=8 Participants
Sex: Female, Male
Female
84 Participants
n=5 Participants
75 Participants
n=7 Participants
75 Participants
n=5 Participants
75 Participants
n=4 Participants
67 Participants
n=21 Participants
376 Participants
n=8 Participants
Sex: Female, Male
Male
50 Participants
n=5 Participants
50 Participants
n=7 Participants
61 Participants
n=5 Participants
51 Participants
n=4 Participants
73 Participants
n=21 Participants
285 Participants
n=8 Participants

PRIMARY outcome

Timeframe: The 7 days before randomisation (baseline) and during 26-30 days of treatment

Symptom intensity rated by participants twice daily on a six-graded Likert scale (Did not have; Very mild; Mild; Moderate; Moderately severe; Severe) using an electronic Reflux Symptom Questionnaire diary. (GERD = Gastroesophageal Reflux Disease)

Outcome measures

Outcome measures
Measure
AZD3355 60 mg
n=134 Participants
PPI+AZD3355 60 mg twice daily (bid)
AZD3355 120 mg
n=125 Participants
PPI+AZD3355 120 mg twice daily (bid)
AZD3355 180 mg
n=136 Participants
PPI+AZD3355 180 mg twice daily (bid)
AZD3355 240 mg
n=126 Participants
PPI+AZD3355 240 mg twice daily (bid)
Placebo
n=140 Participants
PPI+Placebo
Number of Participants With a Change in GERD Symptoms Corresponding to at Least Three More Days of Not More Than Mild Symptoms on Average Per Week During Treatment (Approximately 4 Weeks) Than During Baseline (the 7 Days Before Randomisation)
28 Participants
32 Participants
32 Participants
33 Participants
25 Participants

SECONDARY outcome

Timeframe: The 7 days before randomisation (baseline) and during 26-30 days of treatment

Symptom intensity rated by participants twice daily on a six-graded Likert scale (Did not have; Very mild; Mild; Moderate; Moderately severe; Severe) using an electronic Reflux Symptom Questionnaire diary (GERD = Gastroesophageal Reflux Disease)

Outcome measures

Outcome measures
Measure
AZD3355 60 mg
n=132 Participants
PPI+AZD3355 60 mg twice daily (bid)
AZD3355 120 mg
n=117 Participants
PPI+AZD3355 120 mg twice daily (bid)
AZD3355 180 mg
n=133 Participants
PPI+AZD3355 180 mg twice daily (bid)
AZD3355 240 mg
n=123 Participants
PPI+AZD3355 240 mg twice daily (bid)
Placebo
n=135 Participants
PPI+Placebo
Absolute Change From Baseline to Treatment Period in Percent Days With at Most Mild GERD Symptoms.
10.7 Percent
Interval 0.0 to 35.7
17.2 Percent
Interval 0.0 to 46.4
11.9 Percent
Interval 0.0 to 40.9
12.5 Percent
Interval 0.0 to 47.1
0 Percent
Interval 0.0 to 30.8

Adverse Events

AZD3355 60 mg

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

AZD3355 120 mg

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

AZD3355 180 mg

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

AZD3355 240 mg

Serious events: 1 serious events
Other events: 20 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
AZD3355 60 mg
PPI+AZD3355 60 mg twice daily (bid)
AZD3355 120 mg
PPI+AZD3355 120 mg twice daily (bid)
AZD3355 180 mg
PPI+AZD3355 180 mg twice daily (bid)
AZD3355 240 mg
PPI+AZD3355 240 mg twice daily (bid)
Placebo
PPI+Placebo
General disorders
Non-Cardiac Chest Pain
0.00%
0/135
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
0.00%
0/124
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
0.00%
0/136
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
0.79%
1/126
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
0.00%
0/140
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic Gastric Cancer
0.00%
0/135
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
0.00%
0/124
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
0.00%
0/136
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
0.00%
0/126
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
0.71%
1/140
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.

Other adverse events

Other adverse events
Measure
AZD3355 60 mg
PPI+AZD3355 60 mg twice daily (bid)
AZD3355 120 mg
PPI+AZD3355 120 mg twice daily (bid)
AZD3355 180 mg
PPI+AZD3355 180 mg twice daily (bid)
AZD3355 240 mg
PPI+AZD3355 240 mg twice daily (bid)
Placebo
PPI+Placebo
Gastrointestinal disorders
Diarrhoea
3.7%
5/135
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
5.6%
7/124
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
4.4%
6/136
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
7.9%
10/126
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
0.71%
1/140
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
Nervous system disorders
Paraesthesia
5.9%
8/135
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
4.0%
5/124
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
7.4%
10/136
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
8.7%
11/126
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.
5.7%
8/140
As a consequence of the definition of the analysis set for efficacy analysis and safety analysis respectively, one patient was included in the 120 mg group for efficacy analyses and in the 60 mg group for safety analyses.

Additional Information

Gerard Lynch

AstraZeneca

Results disclosure agreements

  • Principal investigator is a sponsor employee There is an agreement between PI and Sponsor (AZ) or its agents that restricts the PI's right to discuss/publish trial results after the trial is completed.The PI agrees to collaborate in good faith with AZ with regards to content and formation of any publication or disclosure to be made by PI and to pay due consideration to opinions offered by AZ.
  • Publication restrictions are in place

Restriction type: OTHER