Acid Pocket: Position and Aspiration

NCT ID: NCT02199002

Last Updated: 2023-02-10

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2017-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Gastroesophageal reflux disease (GERD) is a very common condition affecting up to 30% of adults. To date, therapy consists of powerful acid suppression with proton pump inhibitors (PPI). Nevertheless, only 60-70% of GERD patients report complete symptom relief with this therapy. As the mechanisms underlying symptom perception in PPI resistant patients are not fully understood, there is currently no adequate therapy available.

It is becoming increasingly clear that reflux, especially in the postprandial period, occurs from a reservoir of acid floating on top of the meal: the so-called "acid pocket". In this study, we aim to investigate further the acid pocket by determining its exact position and chemical contents between healthy volunteers, GERD patient who respond well and bad to PPI therapy and GERD patients with barrett's esophagus.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

A costume made multi-pH-impedance manometry catheter will be placed in the esophagus and clipped to the Z-line. Patients then will be given a standardized meal and the position of the acid pocket will be measured. After two hours the pocket will be aspirated through a gastric catheter. Then, patients will be allowed to return home and the study will be continued for another 22 hours.

The special catheter will be removed at the end of the study. Collected acid pockets will be used to analyze content and perform permeability experiments.

Data of the 24-hour experiment will be used to evaluate the position of the acid pocket and number of reflux episodes.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

GERD - PPI Responders GERD - PPI Non-responders Barrett Esophagus Healthy Volunteers

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

healthy volunteers

healthy volunteers (no gastric complains)

Group Type OTHER

multi-pH-impedance manometry catheter

Intervention Type DEVICE

a special catheter will be placed in the esophagus of all study groups. Measurment of pH, impedance and pressure will be performed.

PPI responders

proven reflux, good symptom relief upon PPI therapy

Group Type OTHER

multi-pH-impedance manometry catheter

Intervention Type DEVICE

a special catheter will be placed in the esophagus of all study groups. Measurment of pH, impedance and pressure will be performed.

PPI non-responders

proven reflux disease, poor symptom control (less then 50% symptom reduction) upon PPI therapy (2x40mg omeprazole)

Group Type OTHER

multi-pH-impedance manometry catheter

Intervention Type DEVICE

a special catheter will be placed in the esophagus of all study groups. Measurment of pH, impedance and pressure will be performed.

Barrett - no dysplasia

proven barrett with no dysplasia on biopsies

Group Type OTHER

multi-pH-impedance manometry catheter

Intervention Type DEVICE

a special catheter will be placed in the esophagus of all study groups. Measurment of pH, impedance and pressure will be performed.

barrett - high grade dysplasia

proven barrett with high grade dysplasia on biopsies

Group Type OTHER

multi-pH-impedance manometry catheter

Intervention Type DEVICE

a special catheter will be placed in the esophagus of all study groups. Measurment of pH, impedance and pressure will be performed.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

multi-pH-impedance manometry catheter

a special catheter will be placed in the esophagus of all study groups. Measurment of pH, impedance and pressure will be performed.

Intervention Type DEVICE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* signed informed consent
* older than 18 years
* fit to criteria of 'study population' (HV, PPI responder, PPI non-responder, Barrett)

Exclusion Criteria

* pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

KU Leuven

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Guy Boeckxstaens

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Guy Boeckxstaens, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Catholic University Leuven

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Catholic University Leuven

Leuven, , Belgium

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Belgium

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

S55731

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Barrett's Esophagus in Patients with GERD
NCT06897540 NOT_YET_RECRUITING NA