Trial Outcomes & Findings for Compound Sodium Alginate Double Action Chewable Tablets 4-hour Esophageal pH Study in GERD Patients (NCT NCT01872897)

NCT ID: NCT01872897

Last Updated: 2025-04-29

Results Overview

The primary efficacy endpoint will be the percentage of time during the 4-hour post-dosing period with pH below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

45 participants

Primary outcome timeframe

0 to 4 hours post-dose

Results posted on

2025-04-29

Participant Flow

Participant milestones

Participant milestones
Measure
Group A
Participants in Group A received a single dose (four tablets) of Sodium Alginate Double Action Chewable Tablets at Visit 2, followed by 7 days of Compound Sodium Alginate Double Action Chewable Tablets (two tablets four times daily) and a single dose (four tablets) of Placebo tablets at Visit 3.
Group B
Participants in Group B received a single dose (four tablets) of placebo tablets at Visit 2, followed by 7 days of Compound Sodium Alginate Double Action Chewable Tablets (two tablets four times daily) and a single dose (four tablets) of Sodium Alginate Double Action Chewable Tablets at Visit 3.
Overall Study
STARTED
22
23
Overall Study
COMPLETED
21
23
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Group A
Participants in Group A received a single dose (four tablets) of Sodium Alginate Double Action Chewable Tablets at Visit 2, followed by 7 days of Compound Sodium Alginate Double Action Chewable Tablets (two tablets four times daily) and a single dose (four tablets) of Placebo tablets at Visit 3.
Group B
Participants in Group B received a single dose (four tablets) of placebo tablets at Visit 2, followed by 7 days of Compound Sodium Alginate Double Action Chewable Tablets (two tablets four times daily) and a single dose (four tablets) of Sodium Alginate Double Action Chewable Tablets at Visit 3.
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Compound Sodium Alginate Double Action Chewable Tablets 4-hour Esophageal pH Study in GERD Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A
n=22 Participants
Participants in Group A received a single dose (four tablets) of Sodium Alginate Double Action Chewable Tablets at Visit 2, followed by 7 days of Compound Sodium Alginate Double Action Chewable Tablets (two tablets four times daily) and a single dose (four tablets) of Placebo tablets at Visit 3.
Group B
n=23 Participants
Participants in Group B received a single dose (four tablets) of placebo tablets at Visit 2, followed by 7 days of Compound Sodium Alginate Double Action Chewable Tablets (two tablets four times daily) and a single dose (four tablets) of Sodium Alginate Double Action Chewable Tablets at Visit 3.
Total
n=45 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
21 Participants
n=5 Participants
23 Participants
n=7 Participants
44 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Continuous
41.6 years
STANDARD_DEVIATION 15.27 • n=5 Participants
39.3 years
STANDARD_DEVIATION 16.90 • n=7 Participants
40.4 years
STANDARD_DEVIATION 15.98 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
8 Participants
n=7 Participants
19 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
15 Participants
n=7 Participants
26 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
22 Participants
n=5 Participants
23 Participants
n=7 Participants
45 Participants
n=5 Participants
Race/Ethnicity, Customized
Afro-Caribbean
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
China
22 participants
n=5 Participants
23 participants
n=7 Participants
45 participants
n=5 Participants

PRIMARY outcome

Timeframe: 0 to 4 hours post-dose

The primary efficacy endpoint will be the percentage of time during the 4-hour post-dosing period with pH below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Outcome measures

Outcome measures
Measure
Sodium Alginate Double Action Chewable Tablets
n=44 Participants
Results from all subjects following dosing with Sodium Alginate Double Action Chewable Tablets
Placebo Tablets
n=44 Participants
Results from all subjects following dosing with placebo tablets
Percentage of Time During the 4-hour Post-dosing Period With pH Below pH 4
5.14 percentage of time with pH below pH 4
Interval -0.27 to 10.56
14.94 percentage of time with pH below pH 4
Interval 9.52 to 20.35

SECONDARY outcome

Timeframe: 0 to 4 hours post-dose

Percentage of time during the 4-hour post-dosing period with pH below pH 5 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Outcome measures

Outcome measures
Measure
Sodium Alginate Double Action Chewable Tablets
n=44 Participants
Results from all subjects following dosing with Sodium Alginate Double Action Chewable Tablets
Placebo Tablets
n=44 Participants
Results from all subjects following dosing with placebo tablets
Percentage of Time During the 4-hour Post-dosing Period With pH Below pH 5
10.40 percentage of time with pH below pH 5
Interval 3.4 to 17.4
26.16 percentage of time with pH below pH 5
Interval 19.16 to 33.16

SECONDARY outcome

Timeframe: 0 to 4 hours post-dose

Number of occasions during the 4-hour post-dosing period when pH falls below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Outcome measures

Outcome measures
Measure
Sodium Alginate Double Action Chewable Tablets
n=44 Participants
Results from all subjects following dosing with Sodium Alginate Double Action Chewable Tablets
Placebo Tablets
n=44 Participants
Results from all subjects following dosing with placebo tablets
Number of Occasions During the 4-hour Post-dosing Period When pH Falls Below pH 4
11.5 Number of occasions pH fell below 4
Interval 3.4 to 19.6
30.9 Number of occasions pH fell below 4
Interval 22.8 to 39.1

SECONDARY outcome

Timeframe: 0 to 4 hours post-dose

Number of occasions during the 4-hour post-dosing period when pH falls below pH 5 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Outcome measures

Outcome measures
Measure
Sodium Alginate Double Action Chewable Tablets
n=44 Participants
Results from all subjects following dosing with Sodium Alginate Double Action Chewable Tablets
Placebo Tablets
n=44 Participants
Results from all subjects following dosing with placebo tablets
Number of Occasions During the 4-hour Post-dosing Period When pH Falls Below pH 5
17.3 Number of occasions pH fell below 5
Interval 9.5 to 25.1
33.6 Number of occasions pH fell below 5
Interval 25.8 to 41.4

SECONDARY outcome

Timeframe: 0 to 4 hours post-dose

Number of reflux episodes during the 4-hour post-dosing period with pH below pH 4 for at least 5 minutes for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Outcome measures

Outcome measures
Measure
Sodium Alginate Double Action Chewable Tablets
n=44 Participants
Results from all subjects following dosing with Sodium Alginate Double Action Chewable Tablets
Placebo Tablets
n=44 Participants
Results from all subjects following dosing with placebo tablets
Number of Reflux Episodes During the 4-hour Post-dosing Period With pH Below pH 4 for at Least 5 Minutes
0.6 Number of reflux episodes
Interval -0.1 to 1.3
1.4 Number of reflux episodes
Interval 0.7 to 2.1

SECONDARY outcome

Timeframe: 0 to 1 hour post-dose

Percentage of time during the first hour post-dosing with pH below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Outcome measures

Outcome measures
Measure
Sodium Alginate Double Action Chewable Tablets
n=44 Participants
Results from all subjects following dosing with Sodium Alginate Double Action Chewable Tablets
Placebo Tablets
n=44 Participants
Results from all subjects following dosing with placebo tablets
Percentage of Time During the First Hour Post-dosing With pH Below pH 4
2.00 percentage of time with pH below pH 4
Interval -3.43 to 7.44
16.41 percentage of time with pH below pH 4
Interval 10.98 to 21.84

SECONDARY outcome

Timeframe: 0 to 1 hour post-dose

Percentage of time during the first hour post-dosing with pH below pH 5 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Outcome measures

Outcome measures
Measure
Sodium Alginate Double Action Chewable Tablets
n=44 Participants
Results from all subjects following dosing with Sodium Alginate Double Action Chewable Tablets
Placebo Tablets
n=44 Participants
Results from all subjects following dosing with placebo tablets
Percentage of Time During the First Hour Post-dosing With pH Below pH 5
4.23 percentage of time with pH below pH 5
Interval -2.82 to 11.29
27.60 percentage of time with pH below pH 5
Interval 20.55 to 34.65

SECONDARY outcome

Timeframe: 0 to 1 hour post-dose

Number of occasions during the first hour post-dosing when pH falls below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Outcome measures

Outcome measures
Measure
Sodium Alginate Double Action Chewable Tablets
n=44 Participants
Results from all subjects following dosing with Sodium Alginate Double Action Chewable Tablets
Placebo Tablets
n=44 Participants
Results from all subjects following dosing with placebo tablets
Number of Occasions During the First Hour Post-dosing When pH Falls Below pH 4
1.7 Number of occasions pH fell below 4
Interval -0.6 to 4.0
9.1 Number of occasions pH fell below 4
Interval 6.7 to 11.4

SECONDARY outcome

Timeframe: 0 to 1 hour post-dose

Number of occasions during the first hour post-dosing when pH falls below pH 5 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Outcome measures

Outcome measures
Measure
Sodium Alginate Double Action Chewable Tablets
n=44 Participants
Results from all subjects following dosing with Sodium Alginate Double Action Chewable Tablets
Placebo Tablets
n=44 Participants
Results from all subjects following dosing with placebo tablets
Number of Occasions During the First Hour Post-dosing When pH Falls Below pH 5
3.1 Number of occasions pH fell below 5
Interval 0.8 to 5.4
9.5 Number of occasions pH fell below 5
Interval 7.2 to 11.8

SECONDARY outcome

Timeframe: 0 to 4 hours post-dose

The longest reflux time during the 4-hour post-dosing period (i.e. the longest period with pH below pH 4) for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Outcome measures

Outcome measures
Measure
Sodium Alginate Double Action Chewable Tablets
n=44 Participants
Results from all subjects following dosing with Sodium Alginate Double Action Chewable Tablets
Placebo Tablets
n=44 Participants
Results from all subjects following dosing with placebo tablets
The Longest Reflux Time During the 4-hour Post-dosing Period (i.e. the Longest Period With pH Below pH 4)
3.3 minutes
Interval -1.3 to 7.9
9.6 minutes
Interval 5.1 to 14.2

SECONDARY outcome

Timeframe: 0 to 4 hours post-dose

The DeMeester scores during the 4-hour post-dosing period for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets. The DeMeester score is a composite score of the acid exposure during a prolonged ambulatory pH monitoring. The parameters that constitute the score are number of reflux episodes, number of episodes longer than 5 minutes, longest reflux duration, total percentage of monitoring time with pH below 4, and the percentage of time with pH below 4 in an upright position and supine position, respectively. The DeMeester score is the sum of the scores calculated for each of the 6 parameters. A score more than 14.7 is considered abnormal acid reflux, scores between 14.7 and 100 are regarded as mild-to-moderate GERD, and a score greater than 100 is regarded as severe GERD.

Outcome measures

Outcome measures
Measure
Sodium Alginate Double Action Chewable Tablets
n=44 Participants
Results from all subjects following dosing with Sodium Alginate Double Action Chewable Tablets
Placebo Tablets
n=44 Participants
Results from all subjects following dosing with placebo tablets
The DeMeester Scores During the 4-hour Post-dosing Period
14.842 score on a scale
Interval 2.125 to 27.56
38.987 score on a scale
Interval 26.27 to 51.704

Adverse Events

Group A

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

Group B

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group A
n=22 participants at risk
Participants in Group A received a single dose (four tablets) of Sodium Alginate Double Action Chewable Tablets at Visit 2, followed by 7 days of Compound Sodium Alginate Double Action Chewable Tablets (two tablets four times daily) and a single dose (four tablets) of Placebo tablets at Visit 3.
Group B
n=23 participants at risk
Participants in Group B received a single dose (four tablets) of placebo tablets at Visit 2, followed by 7 days of Compound Sodium Alginate Double Action Chewable Tablets (two tablets four times daily) and a single dose (four tablets) of Sodium Alginate Double Action Chewable Tablets at Visit 3.
Investigations
White blood cell count decreased
0.00%
0/22 • Up to 19 days, from the time informed consent was provided until the Day 7 (+/- 2 days) visit
In both reported AEs, blood samples, from which the TEAEs of "White blood cell count decreased" were identified, were taken 1 week after administration of 4 placebo tablets followed by 7 days of Sodium Alginate Double Action Chewable Tablets (2 tablets 4times daily), and \~4 hours after administration of 4 Sodium Alginate Double Action Chewable Tablets. It was not possible to definitely attribute these AEs to one or other of the interventions, so AEs are reported by group, not by intervention.
8.7%
2/23 • Number of events 2 • Up to 19 days, from the time informed consent was provided until the Day 7 (+/- 2 days) visit
In both reported AEs, blood samples, from which the TEAEs of "White blood cell count decreased" were identified, were taken 1 week after administration of 4 placebo tablets followed by 7 days of Sodium Alginate Double Action Chewable Tablets (2 tablets 4times daily), and \~4 hours after administration of 4 Sodium Alginate Double Action Chewable Tablets. It was not possible to definitely attribute these AEs to one or other of the interventions, so AEs are reported by group, not by intervention.

Additional Information

Clinical Data Controller

Reckitt Benckiser

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place