Endoscopic Evidence of Maintenance of Healing With Oral NEXIUM in Patients 1 to 11 Years Old With Erosive Esophagitis.

NCT ID: NCT05267613

Last Updated: 2025-11-06

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-01

Study Completion Date

2027-09-06

Brief Summary

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The aim of the study is to compare the safety and efficacy of two doses of Nexium in maintaining healing of erosive esophagitis in patients 1 to 11 years of age.

Detailed Description

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Esomeprazole (NEXIUM™) is indicated for the maintenance of healing of endoscopy-verified erosive esophagitis (EE) in children 1 to 11 years of age in a number of countries worldwide, but not in the United States (US). The current study has been designed, in discussions with the Food and Drug Administration (FDA), to further evaluate the safety and efficacy of NEXIUM given as maintenance of healing of EE in children 1 to 11 years of age

Safety assessments will include the monitoring of adverse events throughout the study, clinical laboratory testing (including hematology, clinical chemistry, urinalysis), vital signs (including blood pressure and pulse), and physical examination including weight.

Conditions

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Erosive Esophagitis

Keywords

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Erosive Esophagitis Gastroesophageal Reflux Disease Healing Maintenance Esophagogastroduodenoscopy Endoscopy EGD GERD GERD in children

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Masking only applies to the double-blind, randomized maintenance phase of 16 weeks.

Study Groups

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Nexium - high dose

Arm 1 (High dose = Healing dose)

Group Type ACTIVE_COMPARATOR

Nexium 20mg

Intervention Type DRUG

Nexium® (Esomeprazole) gastro-resistant granules for oral suspension 10 or 20 mg taken once daily for 8 weeks, and then 10 or 5 mg taken once daily for 16 weeks.

Nexium - Low dose

Arm 2 (Low dose = ½ healing dose)

Group Type ACTIVE_COMPARATOR

Nexium 10mg

Intervention Type DRUG

Nexium® (Esomeprazole) gastro-resistant granules for oral suspension 10 or 20 mg taken once daily for 8 weeks, and then 10 or 5 mg taken once daily for 16 weeks.

Interventions

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Nexium 20mg

Nexium® (Esomeprazole) gastro-resistant granules for oral suspension 10 or 20 mg taken once daily for 8 weeks, and then 10 or 5 mg taken once daily for 16 weeks.

Intervention Type DRUG

Nexium 10mg

Nexium® (Esomeprazole) gastro-resistant granules for oral suspension 10 or 20 mg taken once daily for 8 weeks, and then 10 or 5 mg taken once daily for 16 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patient must be 1 to 11 years of age
2. Patients must have a clinical history of GERD for at least 3 months before the start of study
3. For the healing phase: Patients must have confirmed presence of EE at endoscopy performed within one week of the start of the healing phase.
4. For the maintenance phase: Patients must have completed the healing phase and have endoscopy-verified healed EE at the 8-week endoscopy visit.
5. Patients must weigh ≥ 10 kg.
6. Patients may be male or female.
7. All postmenarcheal female patients must have a negative pregnancy test (urine) before starting treatment.
8. Sexually active patients must be abstinent or maintain effective contraception from informed consent day up to the last day of study intervention.
9. Patient's guardian must be capable of giving signed informed consent

Exclusion Criteria

1. Presence of other diseases, such as severe heart, lung, liver, renal, blood, or neurological disease or similar
2. Significant clinical illness within 4 weeks prior to the start of treatment
3. Any conditions that are predicted to require a surgery during the study period (from the day of informed consent to the day of the last scheduled visit)
4. Previous total gastrectomy
5. Anticipated need for concomitant therapy with PPIs (except for the IMPs), H2-receptor antagonists and other drugs outlined in EC#5 after enrollment in this study
6. Participation in another clinical study with an IMP administered in the last 4 weeks before enrollment.
7. Patients with a known hypersensitivity to NEXIUM, or any other PPI, or any of the excipients of the product
8. Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site).
9. Judgment by the Investigator that the patient should not participate in the study if the patient or guardian is unlikely to comply with study procedures, restrictions, and requirements
10. Previous screening, or enrollment and randomization in the present study
Minimum Eligible Age

1 Year

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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IQVIA RDS Inc.

INDUSTRY

Sponsor Role collaborator

Calyx

UNKNOWN

Sponsor Role collaborator

Laboratory Corporation of America

INDUSTRY

Sponsor Role collaborator

Medidata Solutions

INDUSTRY

Sponsor Role collaborator

Thermo Fisher Scientific, Inc

INDUSTRY

Sponsor Role collaborator

CISCRP

INDUSTRY

Sponsor Role collaborator

Quipment Inc.

UNKNOWN

Sponsor Role collaborator

Little Journey Ltd.

UNKNOWN

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Mobile, Alabama, United States

Site Status RECRUITING

Research Site

Fontana, California, United States

Site Status NOT_YET_RECRUITING

Research Site

Orange, California, United States

Site Status NOT_YET_RECRUITING

Research Site

Sacramento, California, United States

Site Status RECRUITING

Research Site

Miami, Florida, United States

Site Status NOT_YET_RECRUITING

Research Site

Orlando, Florida, United States

Site Status RECRUITING

Research Site

Downers Grove, Illinois, United States

Site Status NOT_YET_RECRUITING

Research Site

Carmel, Indiana, United States

Site Status RECRUITING

Research Site

Springfield, Massachusetts, United States

Site Status NOT_YET_RECRUITING

Research Site

The Bronx, New York, United States

Site Status NOT_YET_RECRUITING

Research Site

Akron, Ohio, United States

Site Status RECRUITING

Research Site

Cleveland, Ohio, United States

Site Status RECRUITING

Research Site

Knoxville, Tennessee, United States

Site Status NOT_YET_RECRUITING

Research Site

Dallas, Texas, United States

Site Status NOT_YET_RECRUITING

Research Site

Salt Lake City, Utah, United States

Site Status NOT_YET_RECRUITING

Research Site

Milwaukee, Wisconsin, United States

Site Status RECRUITING

Research Site

Córdoba, , Argentina

Site Status RECRUITING

Research Site

Córdoba, , Argentina

Site Status RECRUITING

Research Site

Paraná, , Argentina

Site Status RECRUITING

Research Site

Rosario, , Argentina

Site Status RECRUITING

Research Site

Clayton, , Australia

Site Status RECRUITING

Research Site

North Adelaide, , Australia

Site Status WITHDRAWN

Research Site

Brussels, , Belgium

Site Status WITHDRAWN

Research Site

Namur, , Belgium

Site Status RECRUITING

Research Site

Athens, , Greece

Site Status RECRUITING

Research Site

Thessaloniki, , Greece

Site Status RECRUITING

Research Site

Thessaloniki, , Greece

Site Status RECRUITING

Research Site

Messina, , Italy

Site Status RECRUITING

Research Site

Napoli, , Italy

Site Status RECRUITING

Research Site

Napoli, , Italy

Site Status RECRUITING

Research Site

Roma, , Italy

Site Status RECRUITING

Research Site

Roma, , Italy

Site Status RECRUITING

Research Site

Kaunas, , Lithuania

Site Status WITHDRAWN

Research Site

Vilnius, , Lithuania

Site Status RECRUITING

Research Site

Braga, , Portugal

Site Status RECRUITING

Research Site

Coimbra, , Portugal

Site Status RECRUITING

Research Site

Lisbon, , Portugal

Site Status RECRUITING

Research Site

Lisbon, , Portugal

Site Status RECRUITING

Research Site

Lisbon, , Portugal

Site Status RECRUITING

Research Site

Porto, , Portugal

Site Status RECRUITING

Research Site

Porto, , Portugal

Site Status RECRUITING

Research Site

Viana do Castelo, , Portugal

Site Status RECRUITING

Research Site

Novosibirsk, , Russia

Site Status WITHDRAWN

Research Site

Pyatigorsk, , Russia

Site Status WITHDRAWN

Research Site

Saint Petersburg, , Russia

Site Status WITHDRAWN

Research Site

Saint Petersburg, , Russia

Site Status WITHDRAWN

Research Site

Tomsk, , Russia

Site Status WITHDRAWN

Research Site

Badalona, , Spain

Site Status RECRUITING

Research Site

Santiago de Compostela, , Spain

Site Status RECRUITING

Research Site

Seville, , Spain

Site Status RECRUITING

Research Site

Seville, , Spain

Site Status RECRUITING

Research Site

Hanoi, , Vietnam

Site Status RECRUITING

Research Site

Hanoi, , Vietnam

Site Status RECRUITING

Research Site

Hà Nội, , Vietnam

Site Status RECRUITING

Research Site

Hochiminh, , Vietnam

Site Status RECRUITING

Countries

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United States Argentina Australia Belgium Greece Italy Lithuania Portugal Russia Spain Vietnam

Central Contacts

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AstraZeneca Clinical Study Information Center

Role: CONTACT

Phone: 1-877-240-9479

Email: [email protected]

Other Identifiers

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2023-505454-18-00

Identifier Type: OTHER

Identifier Source: secondary_id

2020-002515-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D9612C09998

Identifier Type: -

Identifier Source: org_study_id