Protonix Treatment of Maintenance of Healing in Pediatric Participants Aged 1-11 Years and 12-17 Years

NCT ID: NCT04821310

Last Updated: 2025-12-24

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

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

43 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-13

Study Completion Date

2025-12-16

Brief Summary

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The purpose of this study is to explore the outcomes, tolerability and safety of 2 different doses of oral pantoprazole (full healing dose, half healing dose), assigned based upon weight, for the maintenance of healing of erosive esophagitis in pediatric participants aged 1 to 17 years with endoscopically-confirmed, healed erosive esophagitis.

Detailed Description

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Explore the outcomes, tolerability and safety of 2 different doses of oral pantoprazole (full healing dose, half healing dose), assigned based upon weight, for the maintenance of healing of erosive esophagitis in pediatric participants aged 1 to 17 years with endoscopically-confirmed, healed erosive esophagitis.

Conditions

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Esophagitis

Keywords

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Erosive esophagitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized, double-blind
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Arm 1 Full Dose Pantoprazole and matching placebo

Full Healing Dose of pantoprazole

Group Type ACTIVE_COMPARATOR

Full dose Pantoprazole plus matching placebo

Intervention Type DRUG

Full healing dose of pantoprazole plus matching placebo

Arm 2 Half Dose Pantoprazole and matching placebo

Half Healing Dose of pantoprazole

Group Type ACTIVE_COMPARATOR

Half Dose Pantoprazole plus matching placebo

Intervention Type DRUG

Half healing dose of pantoprazole plus matching placebo

Interventions

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Full dose Pantoprazole plus matching placebo

Full healing dose of pantoprazole plus matching placebo

Intervention Type DRUG

Half Dose Pantoprazole plus matching placebo

Half healing dose of pantoprazole plus matching placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants must have a documented erosive lesion with an Los Angeles (LA) Grade of A to D prior to starting Proton Pump Inhibitor treatment:
* Capable of giving signed informed consent/assent
* Willingness and ability of the participant or parent/legal guardian to complete the eDiary
* Willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures, including the use of the eDiary.
* Male and female participants aged 1 to 17 years.
* Minimum body weight 7 kilogram and weight at least at the 5th percentile per the Center for Disease Control standard age and weight chart, for the participant's age.
* To be considered a female of non childbearing potential, the participant must meet at least 1 of the following criteria :
* Premenarchal: The investigator (or other appropriate staff) must discuss the participant's premenarchal status with the participant and parent/legal guardian at office visits and during telephone contacts, as participants who achieve menarche during the study would no longer be considered "female participants of non childbearing potential" and must comply with the protocol requirements applicable to women of childbearing potential.

Exclusion Criteria

* Previous administration of an investigational drug or vaccine within 30 days (or as determined by the local requirement) or 5 half-lives preceding the first dose of study intervention used in this study (whichever is longer).
* Children that may be at high risk from procedural sedation should be carefully evaluated. Participants with a history of complications during prior procedural sedation
* History or presence of upper gastrointestinal anatomic or motor disorders
* Family history of malignant hyperthermia
* Known hypersensitivity to any Proton Pump Inhibitor, including pantoprazole or to any substituted benzimidazole or to any of the excipients.
* Any disorder requiring chronic (daily) use of warfarin, heparin, other anticoagulants, methotrexate, atazanavir or nelfinavir, clopidogrel, or potent inhibitors or inducers of CYP2C19 (eg, phenytoin, sulfamethoxazole, valproic acid, carbamazepine, and griseofulvin).
* Serum creatine kinase levels \>3 x upper limit of normal.
* Known history of human immunodeficiency virus or clinical manifestations of acquired immune deficiency syndrome.
* Active malignancy of any type, or history of a malignancy. Participants with a history of malignancies that have been surgically removed or eradicated by irradiation or chemotherapy and who have no evidence of recurrence for at least 5 years before Screening are acceptable.
* Diagnosed as having or has received treatment for esophageal, gastric, pyloric channel, or duodenal ulceration within 30 days before the Screening visit.
* Alanine aminotransferase or blood urea nitrogen \>2.0 upper limit of normal or estimated creatinine \>1.5 X upper limit of normal for age or any other laboratory abnormality considered by the Investigator to be clinically significant within 14 days before the Baseline Visit (Day 1).
* Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or study intervention administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
* Has, in the Investigator's opinion, a serious chronic condition (eg, diabetes, epilepsy), which is either not stable or not well controlled and may interfere with the conduct of the study.
* Has any condition possibly affecting drug absorption (eg, gastrectomy).

Prior or Concomitant Therapy:

* Frequent, repeated use of oral or parenteral glucocorticoids (eg, prednisone, prednisolone, dexamethasone). Steroid inhalers and topical steroids may be used.
* Pregnant female participants; breastfeeding female participants.
* Is unwilling or unable to comply with the Lifestyle Considerations section
Minimum Eligible Age

1 Year

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Baptist/Wolfson's Children's Hospital

Jacksonville, Florida, United States

Site Status

Nemours Children's Health, Jacksonville

Jacksonville, Florida, United States

Site Status

University of Rochester

Rochester, New York, United States

Site Status

University of Rochester Medical Center Clinical Research Center

Rochester, New York, United States

Site Status

Board of Regents of the University of Wisconsin System

Madison, Wisconsin, United States

Site Status

UW Health E Terrace Dr Medical Center

Madison, Wisconsin, United States

Site Status

University Hospital and UW Health Clinics

Madison, Wisconsin, United States

Site Status

UW Health 2275 Deming Way Clinic

Middleton, Wisconsin, United States

Site Status

University clinical center of the Republic of Srpska

Banja Luka, , Bosnia and Herzegovina

Site Status

JSC Georgian Clinics

Tbilisi, , Georgia

Site Status

LTD Imedi Clinic

Tbilisi, , Georgia

Site Status

Georgian-American Family Medicine Clinic

Tbilisi, , Georgia

Site Status

Evex clinic after I. Tsitsishvili

Tbilisi, , Georgia

Site Status

SR Kalla Memorial Gastro & General Hospital

Jaipur, Rajasthan, India

Site Status

Medical college and Hospital

Kolkata, West Bengal, India

Site Status

Hospital HIMA San Pablo Caguas

Caguas, , Puerto Rico

Site Status

Chiara Biaggi de Casenave, MD

Guaynabo, , Puerto Rico

Site Status

University Children's Hospital

Belgrade, , Serbia

Site Status

University Clinical Center of Kragujevac

Kragujevac, , Serbia

Site Status

Univerzitna nemocnica Martin, Klinika deti a dorastu

Martin, , Slovakia

Site Status

KM Management, spol. s r.o.,

Nitra, , Slovakia

Site Status

MDX Klinik Arastirma Egitim ve Danismanlik Ltd

Istanbul, , Turkey (Türkiye)

Site Status

Izmir Saglik Bilimleri University Tepecik Training And Research Hospital

Izmir, , Turkey (Türkiye)

Site Status

T.C. Saglik Bakanligi - Izmir Sehir Hastanesi

Izmir, , Turkey (Türkiye)

Site Status

Evelina London Children's Hospital

London, , United Kingdom

Site Status

Guys & St Thomas Nhs Foundation

London, , United Kingdom

Site Status

King's College Hospital NHS Foundation Trust

London, , United Kingdom

Site Status

Great Ormond Street Hospital For Children NHS Foundation Trust

London, , United Kingdom

Site Status

Countries

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Belgium Hungary United States Bosnia and Herzegovina Georgia India Puerto Rico Serbia Slovakia Turkey (Türkiye) United Kingdom

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=B1791094

To obtain contact information for a study center near you, click here.

Other Identifiers

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2023-508770-28-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

B1791094

Identifier Type: -

Identifier Source: org_study_id