A Randomized, Double-Blind, Multicenter Study to Evaluate the Acid-inhibitory and Dose-response Efficacy of TAK-438 (20 mg, 40 mg) in Patients With Proton Pump Inhibitor (PPI) - Resistant Erosive Esophagitis
3 other identifiers
interventional
19
1 country
11
Brief Summary
The purpose of this study is to evaluate the acid-inhibitory and dose-response efficacy of TAK-438 (20 mg, 40 mg) in patients with PPI-resistant erosive esophagitis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Jul 2012
Shorter than P25 for phase_3
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 26, 2012
CompletedFirst Posted
Study publicly available on registry
June 28, 2012
CompletedStudy Start
First participant enrolled
July 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2013
CompletedFebruary 10, 2014
February 1, 2014
1.2 years
June 26, 2012
February 7, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Time-course of changes in 24-hour gastroesophageal pH
Gastric and esophageal pH4 HTR (pH 4 Holding Time Ratio) will be calculated based on 24-hour gastroesophageal pH monitoring.
Week 8
Study Arms (2)
TAK-438 20 mg/day
EXPERIMENTALTAK-438 40 mg/day
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- The participant has been treated with standard-dose or higher-than-standard-dose PPI until immediately before the start of the Observation Phase.
- Outpatient (in principle)
- At the endoscopy scheduled for the Observation Phase (Visit 2), the participant must have endoscopically confirmed reflux esophagitis of Grade A to D, as defined by the LA classification grading system, which remains insufficiently controlled with standard-dose or higher-than-standard-dose PPI therapy.
- The participant showed good compliance to the study medication in the Observation Phase (compliance rate 80% or more).
You may not qualify if:
- Participants with an esophagus-related complication (eosinophilic esophagitis, esophageal varices, scleroderma, viral or fungal infection, esophageal stenosis, etc.), a history of radiotherapy or cryotherapy of the esophagus, a caustic or physiochemical trauma (esophageal sclerotherapy, etc.). However, participants with Schatzki's ring (mucosal tissue ring around inferior esophageal sphincter) or Barrett's esophagus are allowed to be included.
- Participants who have received surgery or treatment affecting gastroesophageal reflux (cardioplasty, dilation of esophageal stenosis \[excluding Schatzki's ring\], etc.), or who have a history of surgery of stomach or duodenum (excluding removal of benign polyp under endoscopy)
- Participants who have acute upper gastrointestinal bleeding, gastric or duodenal ulcer (mucosal defect with white coating) at the start of the Observation Phase (Visit 1) or at endoscopy during the Observation Phase (Visit 2) . However, participants with gastric or duodenal erosions are allowed to be included.
- Participants with a previous or current history of Zollinger-Ellison syndrome, or other gastric acid hypersecretion disorders.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Takedalead
Study Sites (11)
Unknown Facility
Gifu, Gifu, Japan
Unknown Facility
Sapporo, Hokkaido, Japan
Unknown Facility
Hitachi-shi, Ibaraki, Japan
Unknown Facility
Kochi, Kochi, Japan
Unknown Facility
Sendai, Miyagi, Japan
Unknown Facility
Osaka, Osaka, Japan
Unknown Facility
Saga, Saga-ken, Japan
Unknown Facility
Izumo-shi, Shimane, Japan
Unknown Facility
Hamamatsu, Shizuoka, Japan
Unknown Facility
Bunkyo-ku, Tokyo, Japan
Unknown Facility
Mitaka-shi, Tokyo, Japan
MeSH Terms
Interventions
Study Officials
- STUDY DIRECTOR
Medical Director
Takeda
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Purpose
- TREATMENT
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 26, 2012
First Posted
June 28, 2012
Study Start
July 1, 2012
Primary Completion
September 1, 2013
Study Completion
September 1, 2013
Last Updated
February 10, 2014
Record last verified: 2014-02