The Efficacy of Potassium-competitive Acid Blocker in Patients With Laryngopharyngeal Reflux Disease

NCT ID: NCT05871398

Last Updated: 2023-06-01

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

PHASE3

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-01

Study Completion Date

2023-02-28

Brief Summary

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Background/Aims: Tegoprazan is a novel potassium-competitive acid blocker that has a fast onset of action and can control gastric pH for a prolonged period, which could offer clinical benefit in acid-related disorders. The investigators aimed to evaluate whether tegoprazan would be more effective in controlling symptoms than placebo in patients with laryngopharyngeal reflux disease (LPRD). Methods: This double-blind, randomized, placebo-controlled trial randomly assigned 35 patients suffering LPRD symptom to two groups: Tegoprazan50mg once daily and placebo. The primary end point was complete resolution rate of LPRD symptoms after 8-week medication, and the secondary endpoints were complete resolution rate of LPRD symptoms after 4-week medication, change of reflux symptom index (RSI) and reflux finding score (RFS) from baseline at 4- and 8-week medication.

Detailed Description

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Conditions

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Laryngopharyngeal Reflux Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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placebo group

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo

tegoprazan group

Group Type ACTIVE_COMPARATOR

Tegoprazan

Intervention Type DRUG

Novel, potent, and highly selective potassium-competitive acid blocker which was developed in Korea

Interventions

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Tegoprazan

Novel, potent, and highly selective potassium-competitive acid blocker which was developed in Korea

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* At least one symptom of LPRD (hoarseness, globus, persistent throat discomfort, and frequent throat clearing) for at least 4 weeks
* Reflux symptom index \> 13 and reflux finding score ≥ 7

Exclusion Criteria

* Viral or bacterial laryngopharyngitis at present
* History of malignancy of head and neck region, esophagus and stomach
* Previous radiotherapy or endotracheal intubation within three months
* Previous anti-reflux surgery or gastroesophageal surgery
* Diagnosis of depression, anxiety, panic, somatoform or other psychotic disorder
* Taking anti-psychotics, anti-depressants or anti-anxiety drugs
* Anti-reflux medication such as proton-pump inhibitors (within 4 weeks before screening), histamine receptor 2 blockers, antacids or prokinetics (within 2 weeks before screening)
* Need for continuous therapy with non-steroidal anti-inflammatory drugs
* Pregnant or breastfeeding women, as well as female patients who were not willing to use contraception for the duration of the clinical trial period
* Abnormal laboratory test values at screening (blood urea nitrogen and serum creatine level \>1.5 upper limit of normal \[ULN\]; total bilirubin levels and serum levels of alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase and gamma-glutamyl transferase \> 2 ULN) or
* Any other conditions or disease that an investigator considered not appropriate for this study
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pusan National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Pusan National University Hospital

Pusan, , South Korea

Site Status

Countries

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South Korea

References

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Lechien JR, Saussez S, Karkos PD. Laryngopharyngeal reflux disease: clinical presentation, diagnosis and therapeutic challenges in 2018. Curr Opin Otolaryngol Head Neck Surg. 2018 Dec;26(6):392-402. doi: 10.1097/MOO.0000000000000486.

Reference Type BACKGROUND
PMID: 30234664 (View on PubMed)

Katzka DA, Kahrilas PJ. Advances in the diagnosis and management of gastroesophageal reflux disease. BMJ. 2020 Nov 23;371:m3786. doi: 10.1136/bmj.m3786.

Reference Type BACKGROUND
PMID: 33229333 (View on PubMed)

Jeon HK, Kim GH, Cheon YI, Shin SC, Lee BJ. Efficacy of Tegoprazan in Patients with Laryngopharyngeal Reflux Disease: A Preliminary Feasibility Study. J Clin Med. 2023 Sep 22;12(19):6116. doi: 10.3390/jcm12196116.

Reference Type DERIVED
PMID: 37834761 (View on PubMed)

Other Identifiers

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H-1909-005-096

Identifier Type: -

Identifier Source: org_study_id

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