Gastroesophageal Reflux Treatment in Scleroderma

NCT ID: NCT01878526

Last Updated: 2017-03-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2016-01-31

Brief Summary

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The investigators purposes are to define the prevalence of omeprazole resistance gastroesophageal reflux disease (GERD) in systemic sclerosis (SSc), to compare the efficacy of omeprazole in combination with algycon versus omeprazole in combination with domperidone on the severity of reflux symptoms in omeprazole resistant GERD in SSc, and to compare the efficacy of omeprazole in combination with algycon versus omeprazole in combination with domperidone on the frequency of symptoms in omeprazole- resistant GERD in SSc.

Detailed Description

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Conditions

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Gastroesophageal Reflux Disease Systemic Sclerosis Scleroderma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Omeprazole plus alginic acid and placebo of domperidone

Group Type EXPERIMENTAL

Alginic acid

Intervention Type DRUG

Algycon 1 tab chew tid after meal

placebo (for domperidone)

Intervention Type DRUG

placebo (for domperidone) 1 tab oral tid before meal

Omeprazole plus domperidone and placebo of alginic acid

Group Type EXPERIMENTAL

Domperidone

Intervention Type DRUG

domperidone (10 mg) 1 tab oral tid before meal

placebo (of alginic acid)

Intervention Type DRUG

placebo (for alginic acid) 1 tab chew tid after meal

Interventions

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Alginic acid

Algycon 1 tab chew tid after meal

Intervention Type DRUG

placebo (for domperidone)

placebo (for domperidone) 1 tab oral tid before meal

Intervention Type DRUG

Domperidone

domperidone (10 mg) 1 tab oral tid before meal

Intervention Type DRUG

placebo (of alginic acid)

placebo (for alginic acid) 1 tab chew tid after meal

Intervention Type DRUG

Other Intervention Names

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Algycon Molax

Eligibility Criteria

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Inclusion Criteria

1. SSc patients aged between 18 and 65 years.
2. Clinically diagnosed as GERD and GERD-questionnaire score \>3
3. Must not receive any proton pump inhibitor (PPI) or prokinetic drug within 2 weeks before baseline evaluation


1. SSc patients who completed the phase 1 study.
2. The subjects were defined as PPI-resistance.
3. The subject must be willing to continue phase 2 study.

Exclusion Criteria

1. Pregnancy or lactation
2. Previous history of gastroesophageal surgery or endoscopic therapy due to severe erosive esophagitis
3. Present of Barrett's esophagus
4. Bedridden and confined to no self-care
5. Evidence of active malignant disease
6. Present of uncontrolled or severe medical problems such as asthma, angina, hepatic or renal diseases
7. Present of active infection that needs systemic antibiotic
8. Allergic history of omeprazole
9. Receiving prohibit co-medications that may have drug interaction or attenuate GERD symptoms such as tetracycline, ferrous salt, digoxin, isoniacid, oral bisphosphonate



1. Pregnancy
2. Present of uncontrolled or severe medical problems
3. Present of active infection
4. Allergic history of alginic acid or domperidone
5. Receiving prohibit co-medications that may have drug interaction or attenuate GERD symptoms such as tetracycline, ferrous salt, digoxin, isoniacid, oral bisphosphonate
6. Chewing difficulty
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Khon Kaen University

OTHER

Sponsor Role lead

Responsible Party

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Chingching Foocharoen

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chingching Foocharoen, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

Locations

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123 Department of Medicine, Faculty of Medicine, Khon Kaen University

Khon Kaen, Changwat Khon Kaen, Thailand

Site Status

Countries

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Thailand

References

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Foocharoen C, Chunlertrith K, Mairiang P, Mahakkanukrauh A, Suwannaroj S, Namvijit S, Wantha O, Nanagara R. Effectiveness of add-on therapy with domperidone vs alginic acid in proton pump inhibitor partial response gastro-oesophageal reflux disease in systemic sclerosis: randomized placebo-controlled trial. Rheumatology (Oxford). 2017 Feb;56(2):214-222. doi: 10.1093/rheumatology/kew216. Epub 2016 May 13.

Reference Type DERIVED
PMID: 27179107 (View on PubMed)

Other Identifiers

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PPI in SSc-GERD

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

GERD therapy in scleroderma

Identifier Type: -

Identifier Source: org_study_id

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