Study to Investigate the Safety, Tolerability and Efficacy of YH4808 in Patients With Reflux Esophagitis

NCT ID: NCT01538849

Last Updated: 2014-07-10

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

154 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-31

Study Completion Date

2014-05-31

Brief Summary

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This study is to investigate the optimal clinical dose and administration methods of YH4808 in patients with reflux esophagitis by evaluating the safety and efficacy after YH4808 oral administration.

Detailed Description

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In the result of recent meta-analysis, there was no improvement in symptoms with the first administration of PPI in about 75% of GERD patients, and symptoms were still sustained in about 50% of patients after administration of more than 3 days. Especially the nocturnal secretion of gastric acid was not effectively inhibited, and about 25% of GERD patients could not achieve the proper therapeutic effects even after PPI treatment twice daily for 4-8 weeks.

YH4808, as a selective K+- competitive acid blocker (P-CAB), is no need for activation by gastric acid since it competitively inhibits proton pump with K+. Thus, the inhibition of gastric acid secretion by YH4808 is prompt and effective. In addition, the inhibitive effect of gastric acid secretion by stimulation of histamine is proved to be more powerful than PPI (esomeprazole) and sustained in in-vitro/in-vivo model, and 24-h inhibition of gastric acid secretion and especially nocturnal inhibition of gastric acid secretion was observed to be superior to esomeprazole with repeat doses for 7 days in healthy volunteers.

Based on these nonclinical and clinical outcomes, an exploratory phase-II clinical trial is to be conducted to determine the proper treatment dose and administration method of YH48084 for GERD patients.

Conditions

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Reflux Esophagitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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YH4808 A mg (Twice daily)

YH4808 A mg (Twice daily, Oral administration)

Group Type EXPERIMENTAL

YH4808 A mg

Intervention Type DRUG

1 tablet = YH4808 A mg

YH4808 B mg (Once daily)

YH4808 B mg (Once daily, Oral administration)

Group Type EXPERIMENTAL

YH4808 B mg

Intervention Type DRUG

1 tablet = YH4808 B mg

YH4808 B mg (Twice daily)

YH4808 B mg (Twice daily, Oral administration)

Group Type EXPERIMENTAL

YH4808 B mg

Intervention Type DRUG

1 tablet = YH4808 B mg

YH4808 C mg (Once daily)

YH4808 C mg (Once daily, Oral administration)

Group Type EXPERIMENTAL

YH4808 C mg

Intervention Type DRUG

YH4808 C mg = 2 x YH4808 B mg

Esomeprazole 40mg (Once daily)

Esomeprazole 40mg (Once daily, Oral administration)

Group Type ACTIVE_COMPARATOR

Esomeprazole 40mg

Intervention Type DRUG

1 tablet = Esomeprazole 40 mg

Interventions

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Esomeprazole 40mg

1 tablet = Esomeprazole 40 mg

Intervention Type DRUG

YH4808 A mg

1 tablet = YH4808 A mg

Intervention Type DRUG

YH4808 B mg

1 tablet = YH4808 B mg

Intervention Type DRUG

YH4808 C mg

YH4808 C mg = 2 x YH4808 B mg

Intervention Type DRUG

Other Intervention Names

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Nexium Undecided Undecided Undecided

Eligibility Criteria

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Inclusion Criteria

1. Subject who has signed on the written consent
2. Male and female aged 20 and over
3. Endoscopically verified Reflux Esophagitis classified into Los Angeles classification Grade A, B, C or D within 2 weeks before randomisation

Exclusion Criteria

1. History or presence of upper gastrointestinal anatomic or motor disorders
2. Other exclusions apply.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yuhan Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Myung Gyy Choi, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Catholic Univ. Seoul St. Mary Hospital

Locations

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Seoul ST.MARY'S HOSPITAL

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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YH4808-201

Identifier Type: -

Identifier Source: org_study_id

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