Trial Outcomes & Findings for YF476 and Type II Gastric Carcinoids (NCT NCT02454075)

NCT ID: NCT02454075

Last Updated: 2021-01-29

Results Overview

Regression is defined as a 25% reduction in the size / number of endoscopically evident type II gastric carcinoids. For each participant, three gastric carcinoids were identified and measured at baseline. The same gastric carcinoids were then measured at the Week 12 visit and the percentage difference in size from baseline calculated. The mean percentage change of the three gastric carcinoids per participant is recorded.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

3 participants

Primary outcome timeframe

Week 12 visit

Results posted on

2021-01-29

Participant Flow

Participant milestones

Participant milestones
Measure
Eligible Patients
Patients received 100 mg YF476 orally once daily for 12 weeks.
Overall Study
STARTED
3
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

YF476 and Type II Gastric Carcinoids

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Eligible Patients
n=3 Participants
The dose will be 100 mg YF476 once daily. When 6 patients have completed 12 weeks' treatment with that dose, it may be increased to 150 or 200 mg once daily. Patients will have type II gastric carcinoids and/or ECL cell hyperplasia/dysplasia. YF476: Gastrin receptor antagonist
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
Serum gastrin
Patient 01
587 pg/mL
n=5 Participants
Serum gastrin
Patient 02
11348 pg/mL
n=5 Participants
Serum gastrin
Patient 03
1393 pg/mL
n=5 Participants
Serum chromagraninA (CgA)
Patient 01
3410 ng/mL
n=5 Participants
Serum chromagraninA (CgA)
Patient 02
11200 ng/mL
n=5 Participants
Serum chromagraninA (CgA)
Patient 03
2430 ng/mL
n=5 Participants
Size of gastric carcinoids
Patient 01
54.79 mm^2
n=5 Participants
Size of gastric carcinoids
Patient 02
70.20 mm^2
n=5 Participants
Size of gastric carcinoids
Patient 03
24.77 mm^2
n=5 Participants

PRIMARY outcome

Timeframe: Week 12 visit

Population: The mean percentage decrease in three gastric carcinoids (measured at Week 12 visit) compared with baseline.

Regression is defined as a 25% reduction in the size / number of endoscopically evident type II gastric carcinoids. For each participant, three gastric carcinoids were identified and measured at baseline. The same gastric carcinoids were then measured at the Week 12 visit and the percentage difference in size from baseline calculated. The mean percentage change of the three gastric carcinoids per participant is recorded.

Outcome measures

Outcome measures
Measure
Eligible Patients
n=3 Participants
The dose will be 100 mg YF476 once daily. When 6 patients have completed 12 weeks' treatment with that dose, it may be increased to 150 or 200 mg once daily. Patients will have type II gastric carcinoids and/or ECL cell hyperplasia/dysplasia. YF476: Gastrin receptor antagonist
Regression of Gastric Carcinoids and/or ECL Cell Hyperplasia Defined by Physical Measurements Taken During Endoscopy
Patient 01, Week 12 visit
23.7 percentage decrease in carcinoid size
Standard Deviation 6.23
Regression of Gastric Carcinoids and/or ECL Cell Hyperplasia Defined by Physical Measurements Taken During Endoscopy
Patient 02, Week 12 visit
8.6 percentage decrease in carcinoid size
Standard Deviation 26.96
Regression of Gastric Carcinoids and/or ECL Cell Hyperplasia Defined by Physical Measurements Taken During Endoscopy
Patient 03, Week 12 visit
10.8 percentage decrease in carcinoid size
Standard Deviation 24.44

PRIMARY outcome

Timeframe: Week 12 visit

Population: Due to the early termination of the study, the data for this outcome measure were not collected.

A reduction of 25% in the gastric ECL cell density.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 12 visit

Population: Due to the early termination of the study, the data for this outcome measure were not collected.

Reduction in the histological grade of the carcinoids/hyperplasia when compared to baseline.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 6 visit, Week 12 visit, Follow-up (12 weeks after stopping YF476 treatment)

Population: The CgA data is provided for each participant at each visit

The level of a key biomarker chromogranin A (CgA) that is circulating in the blood was measured.

Outcome measures

Outcome measures
Measure
Eligible Patients
n=3 Participants
The dose will be 100 mg YF476 once daily. When 6 patients have completed 12 weeks' treatment with that dose, it may be increased to 150 or 200 mg once daily. Patients will have type II gastric carcinoids and/or ECL cell hyperplasia/dysplasia. YF476: Gastrin receptor antagonist
Level of Chromogranin A (CgA) Biomarkers Measured in Blood Samples
Patient 01, Week 6 visit
2600 ng/mL
Level of Chromogranin A (CgA) Biomarkers Measured in Blood Samples
Patient 01, Week 12 visit
2700 ng/mL
Level of Chromogranin A (CgA) Biomarkers Measured in Blood Samples
Patient 01, Follow-up
12300 ng/mL
Level of Chromogranin A (CgA) Biomarkers Measured in Blood Samples
Patient 02, Week 6 visit
11950 ng/mL
Level of Chromogranin A (CgA) Biomarkers Measured in Blood Samples
Patient 02, Week 12 visit
15350 ng/mL
Level of Chromogranin A (CgA) Biomarkers Measured in Blood Samples
Patient 02, Follow up
24100 ng/mL
Level of Chromogranin A (CgA) Biomarkers Measured in Blood Samples
Patient 03, Week 6 visit
213 ng/mL
Level of Chromogranin A (CgA) Biomarkers Measured in Blood Samples
Patient 03, Week 12 visit
NA ng/mL
Sample taken but source documentation not provided
Level of Chromogranin A (CgA) Biomarkers Measured in Blood Samples
Patient 03, Follow-up
NA ng/mL
Sample taken but source documentation not provided

SECONDARY outcome

Timeframe: Week 2 visit (baseline) and Week 6 visit

Population: Patients had the volume of gastric aspirate measured at Week 2 and Week 6 visit, by either nasogastric tube (NGT; Patient 01 and Patient 02) or endoscopic gastric analysis (EGA; Patient 03). Data is provided for each visit and participant.

Assessed by changes in drug-controlled gastric acid analysis. A nasogastric tube (NGT) was placed through one nare and into the stomach. Gastric secretions were suctioned and discarded at T = 0 and then aspirated for 1 h in 15 min increments to measure the control acid output. Patients who could not tolerate NGT placement had endoscopic gastric analysis (EGA) performed during upper endoscopy. During EGA, a single 10 - 15 min collection was aspirated under direct visualization. Patients 01 and 02 had acid measured via NGT, whereas Patient 03 had acid measured via EGA. At the Week 2 visit, the baseline acid control was measured. At the Week 6 visit, the acid control was measured after a dose of netazepide. Results are provided for three acid control measures: 1. Volume of aspirate (mL) 2. Acid in aspirate (mEq) 3. Acid output (mEq)

Outcome measures

Outcome measures
Measure
Eligible Patients
n=3 Participants
The dose will be 100 mg YF476 once daily. When 6 patients have completed 12 weeks' treatment with that dose, it may be increased to 150 or 200 mg once daily. Patients will have type II gastric carcinoids and/or ECL cell hyperplasia/dysplasia. YF476: Gastrin receptor antagonist
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 02, Week 2 visit, Day 1, 15 - 30 min
5 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 02, Week 2 visit, Day 1, 45 - 60 min
25 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 02, Week 6 visit, Day 1, 0 - 15 min
30 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 02, Week 6 visit, Day 1, 15 - 30 min
50 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 02, Week 6 visit, Day 1, 30 - 45 min
10 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 02, Week 6 visit, Day 1, 45 - 60 min
10 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 02, Week 6 visit, Day 1, 60 - 75 min
49 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 03, Week 2 visit, Day 1, 0 - 15 min
15 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 03, Week 6 visit, Day 1, 0 - 15 min
17 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 01, Week 2 visit, Day 1, 0 - 15 min
12 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 01, Week 2 visit, Day 1, 15 - 30 min
10 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 01, Week 2 visit, Day 1, 30 - 45 min
4 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 01, Week 2 visit, Day 1, 45 - 60 min
15 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 01, Week 6 visit, Day 1, 0 - 15 min
5 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 01, Week 6 visit, Day 1, 15 - 30 min
7 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 01, Week 6 visit, Day 1, 30 - 45 min
17 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 01, Week 6 visit, Day 1, 45 - 60 min
7 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 02, Week 2 visit, Day 1, 0 - 15 min
10 mL
Acid Control Study 1, Control of Gastric Acid Secretion Assessed by Changes in Drug-controlled Gastric Acid Analysis, Volume of Gastric Aspirate
Patient 02, Week 2 visit, Day 1, 30 - 45 min
40 mL

SECONDARY outcome

Timeframe: Week 2 visit (baseline), Week 6 visit, Week 12 visit, Follow-up (12 weeks after stopping YF476 treatment)

Population: Data was not collect due to early termination of the study.

Assessed by quantitative PCR.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 2 visit (baseline), Week 6 visit, Week 12 visit, Follow-up (12 weeks after stopping YF476 treatment)

Population: For each patient, the total score on the GERD-HRQL assessment questionnaire at each visit was summed and reported. Data is provided for each visit and participant.

Assessed by the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) instrument. Patients assessed a total of 10 symptoms on a scale of 0-5 where: 0 = no symptoms; 1 = symptoms noticeable, but not bothersome; 2 = symptoms noticeable and bothersome, but not every day; 3 = symptoms bothersome everyday; 4 = symptoms affect daily activities; and 5 = symptoms are incapacitating (unable to do daily activities). The total score was summed and reported. The maximum obtainable total score was 50 and minimum obtainable total score was 0, with higher scores indicating a worse outcome and lower scores indicating a better outcome.

Outcome measures

Outcome measures
Measure
Eligible Patients
n=3 Participants
The dose will be 100 mg YF476 once daily. When 6 patients have completed 12 weeks' treatment with that dose, it may be increased to 150 or 200 mg once daily. Patients will have type II gastric carcinoids and/or ECL cell hyperplasia/dysplasia. YF476: Gastrin receptor antagonist
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 1, Week 2 visit
3 score on a scale
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 1, Week 6 visit
3 score on a scale
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 1, Week 12 visit
2 score on a scale
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 1, Follow up visit
4 score on a scale
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 2, Week 2 visit
0 score on a scale
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 2, Week 6 visit
26 score on a scale
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 2, Week 12 visit
10 score on a scale
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 2, Follow up visit
19 score on a scale
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 3, Week 2 visit
0 score on a scale
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 3, Week 6 visit
0 score on a scale
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 3, Week 12 visit
0 score on a scale
Improvement in Reflux/Dyspepsia Symptoms Using the Gastroesophageal Reflux Disease Health Related Quality of Life (GERD-HRQL) Instrument
Patient 3, Follow up visit
0 score on a scale

SECONDARY outcome

Timeframe: Week 2 visit (baseline), Week 6 visit, Week 12 visit, Follow-up (12 weeks after stopping YF476 treatment)

Assessed by monitoring adverse events reported by patients

Outcome measures

Outcome measures
Measure
Eligible Patients
n=3 Participants
The dose will be 100 mg YF476 once daily. When 6 patients have completed 12 weeks' treatment with that dose, it may be increased to 150 or 200 mg once daily. Patients will have type II gastric carcinoids and/or ECL cell hyperplasia/dysplasia. YF476: Gastrin receptor antagonist
Safety and Tolerability
Week 2 visit: number of treatment related adverse events
0 adverse events
Safety and Tolerability
Week 6 visit: number of treatment related adverse events
0 adverse events
Safety and Tolerability
Week 12 visit: number of treatment related adverse events
0 adverse events
Safety and Tolerability
Follow up visit: number of treatment related adverse events
0 adverse events

SECONDARY outcome

Timeframe: Week 6 visit, Week 12 visit, Follow-up (12 weeks after stopping YF476 treatment)

Population: Data is provided for each visit of each patient. Follow up data is missing for Patient 03 (samples were taken but results not provided).

The level of gastrin biomarkers circulating in the blood was measured.

Outcome measures

Outcome measures
Measure
Eligible Patients
n=3 Participants
The dose will be 100 mg YF476 once daily. When 6 patients have completed 12 weeks' treatment with that dose, it may be increased to 150 or 200 mg once daily. Patients will have type II gastric carcinoids and/or ECL cell hyperplasia/dysplasia. YF476: Gastrin receptor antagonist
Circulating Plasma Concentration of Gastrin
Patient 01, Week 6 visit
509 pg/mL
Circulating Plasma Concentration of Gastrin
Patient 01, Week 12 visit
355 pg/mL
Circulating Plasma Concentration of Gastrin
Patient 01, Follow-up
1105 pg/mL
Circulating Plasma Concentration of Gastrin
Patient 02, Week 6 visit
13049 pg/mL
Circulating Plasma Concentration of Gastrin
Patient 02, Week 12 visit
12846 pg/mL
Circulating Plasma Concentration of Gastrin
Patient 02, Follow-up
14113 pg/mL
Circulating Plasma Concentration of Gastrin
Patient 03, Week 6
706 pg/mL
Circulating Plasma Concentration of Gastrin
Patient 03, Week 12
718 pg/mL

SECONDARY outcome

Timeframe: Week 2 visit (baseline) and Week 6 visit

Population: Patients had the acid content in gastric aspirate measured at Week 2 and Week 6 visit, by either nasogastric tube (NGT; Patient 01 and Patient 02) or endoscopic gastric analysis (EGA; Patient 03). Data is provided for each visit and participant.

Assessed by changes in drug-controlled gastric acid analysis. A nasogastric tube (NGT) was placed through one nare and into the stomach. Gastric secretions were suctioned and discarded at T = 0 and then aspirated for 1 h in 15 min increments to measure the control acid output. Patients who could not tolerate NGT placement had endoscopic gastric analysis (EGA) performed during upper endoscopy. During EGA, a single 10 - 15 min collection was aspirated under direct visualization. Patients 01 and 02 had acid measured via NGT, whereas Patient 03 had acid measured via EGA. At the Week 2 visit, the baseline acid control was measured. At the Week 6 visit, the acid control was measured after a dose of netazepide. Results are provided for three acid control measures: 1. Volume of aspirate (mL) 2. Acid in aspirate (mEq) 3. Acid output (mEq)

Outcome measures

Outcome measures
Measure
Eligible Patients
n=3 Participants
The dose will be 100 mg YF476 once daily. When 6 patients have completed 12 weeks' treatment with that dose, it may be increased to 150 or 200 mg once daily. Patients will have type II gastric carcinoids and/or ECL cell hyperplasia/dysplasia. YF476: Gastrin receptor antagonist
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 01, Week 2 visit, Day 1, 15 - 30 min
4.9 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 01, Week 2 visit, Day 1, 30 - 45 min
5.1 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 01, Week 2 visit, Day 1, 45 - 60 min
4.9 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 01, Week 6 visit, Day 1, 30 - 45 min
6.6 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 02, Week 2 visit, Day 1, 0 - 15 min
6.7 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 02, Week 2 visit, Day 1, 15 - 30 min
7.4 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 02, Week 2 visit, Day 1, 30 - 45 min
7.0 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 02, Week 2 visit, Day 1, 45 - 60 min
7.6 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 02, Week 6 visit, Day 1, 0 - 15 min
1.2 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 02, Week 6 visit, Day 1, 15 - 30 min
1.2 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 02, Week 6 visit, Day 1, 30 - 45 min
1.2 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 02, Week 6 visit, Day 1, 45 - 60 min
1.2 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 02, Week 6 visit, Day 1, 60 - 75 min
1.2 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 03, Week 2 visit, Day 1, 0 - 15 min
4.9 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 03, Week 6 visit, Day 1, 0 - 15 min
1.1 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 01, Week 2 visit, Day 1, 0 - 15 min
5.6 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 01, Week 6 visit, Day 1, 0 - 15 min
6.9 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 01, Week 6 visit, Day 1, 15 - 30 min
6.5 mEq
Acid Control Study 2, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Content in Gastric Aspirate
Patient 01, Week 6 visit, Day 1, 45 - 60 min
6.7 mEq

SECONDARY outcome

Timeframe: Week 2 visit (baseline) and Week 6 visit

Population: Patients had acid output measured at Week 2 and Week 6 visit, by either nasogastric tube (NGT; Patient 01 and Patient 02) or endoscopic gastric analysis (EGA; Patient 03). Data is provided for each visit and participant.

Assessed by changes in drug-controlled gastric acid analysis. A nasogastric tube (NGT) was placed through one nare and into the stomach. Gastric secretions were suctioned and discarded at T = 0 and then aspirated for 1 h in 15 min increments to measure the control acid output. Patients who could not tolerate NGT placement had endoscopic gastric analysis (EGA) performed during upper endoscopy. During EGA, a single 10 - 15 min collection was aspirated under direct visualization. Patients 01 and 02 had acid measured via NGT, whereas Patient 03 had acid measured via EGA. At the Week 2 visit, the baseline acid control was measured. At the Week 6 visit, the acid control was measured after a dose of netazepide. Results are provided for three acid control measures: 1. Volume of aspirate (mL) 2. Acid in aspirate (mEq) 3. Acid output (mEq)

Outcome measures

Outcome measures
Measure
Eligible Patients
n=3 Participants
The dose will be 100 mg YF476 once daily. When 6 patients have completed 12 weeks' treatment with that dose, it may be increased to 150 or 200 mg once daily. Patients will have type II gastric carcinoids and/or ECL cell hyperplasia/dysplasia. YF476: Gastrin receptor antagonist
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 01, Week 2 visit, Day 1, 0 - 15 min
0.1 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 01, Week 2 visit, Day 1, 15 - 30 min
0 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 01, Week 2 visit, Day 1, 30 - 45 min
0 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 01, Week 2 visit, Day 1, 45 - 60 min
0.2 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 01, Week 6 visit, Day 1, 15 - 30 min
0 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 01, Week 6 visit, Day 1, 30 - 45 min
0 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 01, Week 6 visit, Day 1, 45 - 60 min
0 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 02, Week 2 visit, Day 1, 0 - 15 min
0.2 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 02, Week 2 visit, Day 1, 15 - 30 min
0 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 02, Week 2 visit, Day 1, 30 - 45 min
0.7 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 02, Week 2 visit, Day 1, 45 - 60 min
0.4 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 02, Week 6 visit, Day 1, 0 - 15 min
1.8 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 02, Week 6 visit, Day 1, 15 - 30 min
4.1 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 02, Week 6 visit, Day 1, 30 - 45 min
1.2 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 02, Week 6 visit, Day 1, 45 - 60 min
0.7 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 02, Week 6 visit, Day 1, 60 - 75 min
1.6 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 03, Week 2 visit, Day 1, 0 - 15 min
1.2 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 03, Week 6 visit, Day 1, 0 - 15 min
4.6 mEq
Acid Control Study 3, Control of Gastric Acid Secretion Assess by Changes in Drug-controlled Gastric Acid Analysis: Acid Output
Patient 01, Week 6 visit, Day 1, 0 - 15 min
0 mEq

Adverse Events

Eligible Patients

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Eligible Patients
n=3 participants at risk
The dose will be an oral dose of 100 mg YF476 once daily. for 12 weeks. When 6 patients have completed 12 weeks' treatment with that dose, it may be increased to 150 or 200 mg once daily. Patients will have type II gastric carcinoids and/or ECL cell hyperplasia/dysplasia. YF476: Gastrin receptor antagonist
Gastrointestinal disorders
Toothache
33.3%
1/3 • 12 weeks
Any untoward medical occurrence in a patient or clinical trial subject administered a medicinal product and which does not necessarily have a causal relationship with that treatment.
Gastrointestinal disorders
Stomach pain
33.3%
1/3 • 12 weeks
Any untoward medical occurrence in a patient or clinical trial subject administered a medicinal product and which does not necessarily have a causal relationship with that treatment.
Gastrointestinal disorders
Diarrhoea
33.3%
1/3 • 12 weeks
Any untoward medical occurrence in a patient or clinical trial subject administered a medicinal product and which does not necessarily have a causal relationship with that treatment.
Vascular disorders
Hypertension
33.3%
1/3 • Number of events 2 • 12 weeks
Any untoward medical occurrence in a patient or clinical trial subject administered a medicinal product and which does not necessarily have a causal relationship with that treatment.
Gastrointestinal disorders
Abdominal pain
33.3%
1/3 • Number of events 2 • 12 weeks
Any untoward medical occurrence in a patient or clinical trial subject administered a medicinal product and which does not necessarily have a causal relationship with that treatment.
Infections and infestations
Upper respiratory tract infections
33.3%
1/3 • Number of events 1 • 12 weeks
Any untoward medical occurrence in a patient or clinical trial subject administered a medicinal product and which does not necessarily have a causal relationship with that treatment.

Additional Information

Dr Malcolm Boyce

Trio Medicines

Phone: 020 8961 4130

Results disclosure agreements

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