Effect of Dexlansoprazole on Bone Homeostasis

NCT ID: NCT01216293

Last Updated: 2024-03-18

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

PHASE1

Total Enrollment

115 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-01

Study Completion Date

2015-02-01

Brief Summary

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The purpose of this study is to evaluate the effect of dexlansoprazole modified release (MR), once daily (QD), on bone homeostasis.

Detailed Description

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Research on drugs that affect bone homeostasis have shown changes in levels of bone formation and resorption biomarkers. This study will evaluate the effect of dexlansoprazole on bone homeostasis by assessing changes in biochemical markers of bone formation and bone resorption. This study will also assess changes in bone mineral density by dual-energy x-ray absorptiometry scan and other markers of bone homeostasis.

The study will consist of a 12-week screening period, a 26-week treatment period with a total of 5 visits during the treatment period and a follow-up visit at Week 52 for bone mineral density assessment.

Conditions

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Homeostasis Bone and Bones

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Placebo-matching capsules, orally, once daily for up to 26 weeks. Participants had the option to participate in the calcium absorption sub study to receive calcium isotope 42 calcium (42 Ca) 3 milligram (mg), intravenously and 44 calcium (44 Ca) 8 mg, orally, once on Day-1 and Week 26.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo-matching capsules

Dexlansoprazole 60 mg

Dexlansoprazole 60 mg, capsules, orally, once daily for up to 26 weeks. Participants had the option to participate in the calcium absorption sub study to receive calcium isotope 42 Ca 3 mg, intravenously and 44 Ca 8 mg, orally, once on Day-1 and Week 26.

Group Type EXPERIMENTAL

Dexlansoprazole

Intervention Type DRUG

Dexlansoprazole 60 mg capsules

Esomeprazole 40mg

Esomeprazole 40 mg, capsules, orally, once daily for up to 26 weeks. Participants had the option to participate in the calcium absorption sub study to receive calcium isotope 42 Ca 3 mg, intravenously and 44 Ca 8 mg, orally, once on Day-1 and Week 26.

Group Type ACTIVE_COMPARATOR

Esomeprazole

Intervention Type DRUG

Esomeprazole 40 mg capsules

Interventions

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Dexlansoprazole

Dexlansoprazole 60 mg capsules

Intervention Type DRUG

Esomeprazole

Esomeprazole 40 mg capsules

Intervention Type DRUG

Placebo

Placebo-matching capsules

Intervention Type DRUG

Other Intervention Names

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Dexilant Kapidex Nexium

Eligibility Criteria

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Inclusion Criteria

* Is postmenopausal female in general good health with a body mass index of ≥18 and ≤30 kg/m2.
* Must have biochemical markers of bone formation, procollagen type 1 N-terminal propeptide and bone-specific alkaline phosphatase, and bone resorption, crosslinked β-C-terminal telopeptide of type 1 collagen and urine N-telopeptide within normal postmenopausal female ranges.
* Has not taken proton pump inhibitor medications within 6 months prior to screening and agrees to refrain from taking them through the last dose of study drug, except study-supplied dexlansoprazole or esomeprazole.

Exclusion Criteria

* Has parathyroid hormone or thyroid stimulating hormone levels outside of the reference range at Week -12 and has 25-OH-D level \<32 ng/mL at Week -2.
* Has baseline bone mineral density by dual-energy x-ray absorptiometry defined as a T-score lower than -2.0 at the total hip, spine, or femoral neck based on Caucasian reference values.
* Has a disorder strongly associated with osteoporosis
* Has a history of lumbar laminectomy, vertebroplasty, vertebral deformity or severe lumbar scoliosis that interferes with measurement or performance of the dual x-ray absorptiometry .
* Has a history or clinical manifestations of uncontrolled or significant metabolic, hematologic, pulmonary, cardiovascular, gastrointestinal, neurologic, hepatic, renal, urologic, immunologic, or psychiatric disorder as determined by the investigator which may affect the ability of the subject to participate or potentially confound the trial results.
* Has family history of genetic bone disorders.
Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

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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San Diego, California, United States

Site Status

Walnut Creek, California, United States

Site Status

Lakewood, Colorado, United States

Site Status

Hialeah, Florida, United States

Site Status

Jupiter, Florida, United States

Site Status

Bethesda, Maryland, United States

Site Status

Albuquerque, New Mexico, United States

Site Status

Spartanburg, South Carolina, United States

Site Status

Austin, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

Seattle, Washington, United States

Site Status

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Hansen KE, Nieves JW, Nudurupati S, Metz DC, Perez MC. Dexlansoprazole and Esomeprazole Do Not Affect Bone Homeostasis in Healthy Postmenopausal Women. Gastroenterology. 2019 Mar;156(4):926-934.e6. doi: 10.1053/j.gastro.2018.11.023. Epub 2018 Nov 13.

Reference Type DERIVED
PMID: 30445008 (View on PubMed)

Related Links

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Other Identifiers

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U1111-1116-1638

Identifier Type: REGISTRY

Identifier Source: secondary_id

TAK-390MR_104

Identifier Type: -

Identifier Source: org_study_id

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