NCT04400136

Brief Summary

The trial would to try to establish:

  • The best post-operative PPI prescription protocol after Sleeve Gastrectomy
  • The impact of PPI therapy on postoperative peptic diseases (erosive gastropathies, ulcers, duodenitis, esophagitis and/or Barrett)
  • The impact of PPI therapy on post-operative GERD symptoms (assessed with the use of two standard tests: MRGE-HRQL and GERDQ

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
45

participants targeted

Target at P50-P75 for early_phase_1

Timeline
Completed

Started Jul 2020

Typical duration for early_phase_1

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 13, 2020

Completed
9 days until next milestone

First Posted

Study publicly available on registry

May 22, 2020

Completed
1 month until next milestone

Study Start

First participant enrolled

July 1, 2020

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2021

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2022

Completed
Last Updated

May 22, 2020

Status Verified

May 1, 2020

Enrollment Period

1 year

First QC Date

May 13, 2020

Last Update Submit

May 20, 2020

Conditions

Keywords

reflux, PPI, sleeve gastrectomy

Outcome Measures

Primary Outcomes (1)

  • Percentage of post-operative GERD based on the trial protocol. Clinical evaluation

    Questionnaire evaluation (GERD-HRQL score from 0 (no symptoms) to 5 (symptoms worsening daily activity) and GERD-Q (score A \<8 no GERD, score A \>8 and B \> 3 GERD worsening normal life)

    12 months

Secondary Outcomes (1)

  • evaluate in each group of the study (arm type) the endoscopic finding of peptic lesions of the esophagus-gastro-duodenal mucosa at 24 months of follow-up

    24 months

Study Arms (3)

GROUP A - no PPI

NO INTERVENTION

no PPI treatment (control group)

GROUP B PPI 1/day for 6 months

EXPERIMENTAL

(standard dose-long term): Lansoprazole oral tablets 30 mg once daily (before breakfast on an empty stomach) for 6 months

Drug: Lansoprazole oral tablets 30 mg

GROUP C PPI 1/day for 3 months

EXPERIMENTAL

(standard dose-short term): Lansoprazole oral tablets 30 mg once daily (before breakfast on an empty stomach) for 3 months

Drug: Lansoprazole oral tablets 30 mg

Interventions

Post operative prescription

Also known as: PPI tablet
GROUP B PPI 1/day for 6 monthsGROUP C PPI 1/day for 3 months

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients candidates for primary SG
  • Patients adhering to the follow-up protocol
  • Age between 18 and 65 years
  • No BMI limits

You may not qualify if:

  • Gastric and/or esophageal diseases (routine preoperative endoscopy)
  • Patients candidate for revisional bariatric surgery
  • Chronic preoperative PPI therapy
  • Using of PPI treatment for postoperative complications
  • Conversion to open surgery
  • Patients allergic to PPI
  • Patients undergoing concomitant surgery
  • Patients with hiatal hernia undergoing concomitant cruroplasty

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Rome "la sapienza"

Latina, 04100, Italy

Location

MeSH Terms

Conditions

Gastroesophageal RefluxBarrett Esophagus

Interventions

Lansoprazole

Condition Hierarchy (Ancestors)

Esophageal Motility DisordersDeglutition DisordersEsophageal DiseasesGastrointestinal DiseasesDigestive System DiseasesPrecancerous ConditionsNeoplasms

Intervention Hierarchy (Ancestors)

2-PyridinylmethylsulfinylbenzimidazolesSulfoxidesSulfur CompoundsOrganic ChemicalsPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsBenzimidazolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-Ring

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
DIAGNOSTIC
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD PhD

Study Record Dates

First Submitted

May 13, 2020

First Posted

May 22, 2020

Study Start

July 1, 2020

Primary Completion

July 1, 2021

Study Completion

September 1, 2022

Last Updated

May 22, 2020

Record last verified: 2020-05

Locations