Efficacy and Safety of Dexlansoprazole in Healing and Maintaining Healing of Erosive Esophagitis

NCT ID: NCT02873702

Last Updated: 2019-02-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

37 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-21

Study Completion Date

2017-11-06

Brief Summary

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The purpose of this study is to determine the efficacy of dexlansoprazole compared to lansoprazole in healing erosive esophagitis (EE) in Chinese participants.

Detailed Description

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The drug being tested in this study is called dexlansoprazole. Dexlansoprazole is being tested to treat people who have EE. This study will look at erosive esophageal healing in people who take dexlansoprazole.

The study will enroll approximately 450 participants. Participants will be randomly assigned to one of the two treatment groups with 1:1 ratio-which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need):

* Dexlansoprazole 60 mg
* Lansoprazole 30 mg

After 8 weeks of treatment, participants will be evaluated to assess esophageal healing. If the EE is healed participants will be randomly assigned to one of two different treatment groups with 1:1 ratio:

* Dexlansoprazole 30 mg
* Placebo (dummy inactive pill) - this is a capsule that looks like the study drug but has no active ingredient.

All participants will be asked to take one capsule at the same time each day throughout the study.

This multi-center trial will be conducted in China. The overall time to participate in this study is up to 39 weeks. Participants will make 7 visits to the clinic, and will be contacted by telephone 5 to 10 days after last dose of study drug for a follow-up assessment.

Conditions

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Erosive Esophagitis

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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Healing Period: Dexlansoprazole 60 mg

Dexlansoprazole 60 milligram (mg), delayed-release capsules, orally, once daily for up to 8 weeks in the Healing Period.

Group Type EXPERIMENTAL

Dexlansoprazole

Intervention Type DRUG

Dexlansoprazole delayed-release capsules.

Healing Period: Lansoprazole 30 mg

Lansoprazole 30 mg, capsules, orally, once daily for up to 8 weeks in the Healing Period.

Group Type EXPERIMENTAL

Lansoprazole

Intervention Type DRUG

Lansoprazole capsules.

Maintenance Period: Dexlansprazole 30 mg

Participants who will be healed at Week 8 will be randomized to receive dexlansoprazole 30 mg, delayed-release capsules, orally, once daily for up to 6 months in the Maintenance period.

Group Type EXPERIMENTAL

Dexlansoprazole

Intervention Type DRUG

Dexlansoprazole delayed-release capsules.

Maintenance Period: Placebo

Participants who will be healed at Week 8 will be randomized to receive dexlansoprazole placebo-matching capsules, orally, once daily for up to 6 months in the Maintenance period.

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Dexlansoprazole placebo-matching capsules.

Interventions

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Dexlansoprazole

Dexlansoprazole delayed-release capsules.

Intervention Type DRUG

Lansoprazole

Lansoprazole capsules.

Intervention Type DRUG

Placebo

Dexlansoprazole placebo-matching capsules.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1\. Has endoscopically confirmed EE as defined by the LA Classification Grading System (A-D).

Exclusion Criteria

1. Participant is required to take excluded medications, or it is anticipated that the participant will require treatment with at least 1 of the disallowed concomitant medications during the study evaluation period.
2. Has a hypersensitivity to any proton pump inhibitor (PPI) (including, but not limited to, lansoprazole, omeprazole, rabeprazole, pantoprazole, esomeprazole or ilaprazole), any component of dexlansoprazole, or antacid (example, magnesium trisilicate or similar antacid).
3. Had a history of cancer, (except basal cell carcinoma of the skin), that has not been in remission for at least 5 years prior to Screening.
4. Has a known history or any suspicious Barrett's esophagus with dysplastic changes seen during screening endoscopy.
5. Developed acute upper gastrointestinal bleeding, gastric ulcer (a mucosal defect with white coating) or duodenal ulcer (a mucosal defect with white coating), within 30 days before the start of the Screening Visit (with the possible inclusion of those with gastric or duodenal erosion). The participant requires chronic use (\>12 doses per month) of non steroidal anti-inflammatory drugs (NSAIDs) including cyclooxygenase-2 (COX-2) NSAIDs within 30 days prior to the Screening Period and throughout the study.
6. Has comorbidities that could affect the esophagus (eosinophilic esophagitis, esophageal varices, scleroderma, viral or fungal infection, esophageal strictures); a history of radiotherapy or cryotherapy of the esophagus; and a history of corrosive or physiochemical injury (with the possible inclusion in the study of those with Schatzki's ring).
7. Has a history of surgical procedures that may affect the esophagus (example, fundoplication and mechanical dilatation for esophageal strictures) or a history of gastric or duodenal surgery other than endoscopic removal of benign polyps.
8. Participant is known to have the acquired immunodeficiency syndrome (AIDS) or hepatitis, including hepatitis virus carriers (that is, hepatitis B surface antigen HBs-antigen (HBsAg) positive or hepatitis C virus (HCV)-antibody positive).
9. Has current Zollinger-Ellison syndrome (gastric acid hyper secretion) or a history of gastric acid hypersecretion.
10. Participant is scheduled for surgery that requires hospitalization or requires surgical treatment during his/her participation in the study.
11. Has donated or lost \>300 milliliter (mL) blood volume, undergone plasmapheresis, or has had a transfusion of any blood product within 90 days prior to the first dose of study drug.
12. Has a history of alcohol or drug abuse (defined as any illicit drug use), or drug addiction in the 12 months prior to Screening.
13. The participant with positive serology result of Helicobacter pylori (H. pylori) that needs eradication therapy during the study participation period as anticipated by the investigator.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Takeda

Locations

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Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status

Chongqing Three Gorges Central Hospital

Chongqing, Chong Qing, China

Site Status

Zhongshan Hospital Xiamen University

Xiamen, Fujian, China

Site Status

The People's Hospital of Guangxi Zhuang Autonomous Region

Nanning, Guangxi, China

Site Status

Affilicated Hospital of Guilin Medical University

Haikou, Gui Lin, China

Site Status

Hebei General Hospital

Shijiazhuang, Hebei, China

Site Status

Taihe Hospital

Shiyan, Hubei, China

Site Status

Central Hospital of Wuhan

Wuhan, Hubei, China

Site Status

Puai Hospital Of Wuhan City

Wuhan, Hubei, China

Site Status

The Third Hospital of Changsha

Changsha, Hunan, China

Site Status

Zhongda Hospital Southeast

Nanjing, Jiangsu, China

Site Status

Affiliated Hospital of Jiangsu University

Wuxi, Jiangsu, China

Site Status

Wuxi people's hospital

Wuxi, Jiangsu, China

Site Status

The First Hospital of Jilin University

Changchun, Jilin, China

Site Status

Shengjing Hospital of China Medical University

Shenyang, Liaoning, China

Site Status

Binzhou Medical University Hospital

Binzhou, Shandong, China

Site Status

Jinan Central Hospital

Jinan, Shandong, China

Site Status

Liaocheng Hospital

Liaocheng, Shandong, China

Site Status

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Site Status

Renji Hospital Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status

The First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status

The Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status

West China Hospital,Sichuan University

Chengdu, Si Chuang, China

Site Status

Tianjin People's Hospital

Tianjin, Tianjin Municipality, China

Site Status

Countries

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China

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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U1111-1142-0320

Identifier Type: REGISTRY

Identifier Source: secondary_id

TAK-390MR_301

Identifier Type: -

Identifier Source: org_study_id

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