NCT07379645

Brief Summary

This decentralized, randomized, double-blind, placebo-controlled, two-period crossover study will evaluate whether PepZinGI® (zinc-L-carnosine) reduces food-triggered heartburn compared with placebo. Participants (N=50) complete two 1-week treatment periods (PepZinGI® and placebo) separated by a 2-week washout, for a total of 29 days. Primary outcomes are heartburn severity and frequency measured by the NutriScience Heartburn Questionnaire; secondary outcomes include PROMIS GI Reflux-13a, time to relief, rescue medication use, wearable-derived sleep metrics, Karolinska Sleep Scale, sleep diary entries, and satisfaction. All activities are remote through Alethios; no in-person visits.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
2mo left

Started Jan 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress68%
Jan 2026Jul 2026

First Submitted

Initial submission to the registry

January 9, 2026

Completed
6 days until next milestone

Study Start

First participant enrolled

January 15, 2026

Completed
15 days until next milestone

First Posted

Study publicly available on registry

January 30, 2026

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2026

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2026

Expected
Last Updated

April 13, 2026

Status Verified

April 1, 2026

Enrollment Period

4 months

First QC Date

January 9, 2026

Last Update Submit

April 6, 2026

Conditions

Keywords

PepZinGIheartburnrefluxcrossoverwearable sleep metrics

Outcome Measures

Primary Outcomes (3)

  • Heartburn frequency measured by PROMIS-Gastroesophageal Reflux 13a

    Participant will select the frequency (Never, One Day, 2-6 days, Once a day, More than once a day) of heartburn related symptoms, if any. The data will be compared to baseline and day after hurdle meals for active and placebo. A lower frequency corresponds with a better outcome.

    Baseline, Day 8, and Day 29

  • Participant sleep quality measured by Karolinska Sleep Scale

    The validated 9-point scale will measure a participant's current level of sleepiness. The data will be compared to baseline and day after hurdle meal for active and placebo. The minimum value 1 denotes "extremely alert" whereas a 9 denotes "very sleepy". A lower score corresponds with a better outcome.

    Baseline, Day 8, and Day 29

  • Heartburn severity measured by NutriScience Heartburn Questionnaire

    Participants will rank severity of heartburn related symptoms (1: None, 2: A little bit, 3: Quite a bit, 4: A lot, 5: Extremely), if any. Participant data will be compared to PepZinGI and placebo supplementation. A lower value will correspond with a better outcome.

    Day 8 and Day 29

Secondary Outcomes (6)

  • Sleep duration measured by wearable sleep devices

    Baseline through Day 29

  • Sleep quality measured by wearable sleep devices

    Baseline through Day 29

  • Resting heart rate measured by wearable sleep devices

    Baseline through Day 29

  • Heart rate variability measured by wearable sleep devices

    Baseline through Day 29

  • Awake/restlessness moments measured by wearable sleep devices

    Baseline through Day 29

  • +1 more secondary outcomes

Study Arms (2)

Arm 1: PepZinGI

EXPERIMENTAL

Participants will take PepZinGI for 1 week and consume a hurdle meal. This will be followed by a 2-week washout period.

Dietary Supplement: PepZinGI

Arm 2: Placebo

EXPERIMENTAL

Participants will take placebo for 1 week and consume a hurdle meal. This will be followed by a 2-week washout period.

Dietary Supplement: Placebo

Interventions

PepZinGIDIETARY_SUPPLEMENT

75 mg patented zinc-L-carnosine complex

Arm 1: PepZinGI
PlaceboDIETARY_SUPPLEMENT

\<0.1 mg zinc-L-carnosine

Arm 2: Placebo

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥21 years
  • Self-reported food-triggered heartburn with known trigger foods
  • Heartburn at least once per week
  • Willing to avoid OTC/supplement heartburn treatments during study (calcium-carbonate rescue allowed but must be logged and not used during hurdle-meal day/night)
  • Able to complete electronic surveys and adhere to procedures
  • Access to or willingness to use a compatible wearable device

You may not qualify if:

  • Clinician-diagnosed GERD, UC, Crohn's, or IBD
  • Prescribed drugs for heartburn/digestive conditions
  • Heartburn less than once per week or daily throughout the month
  • More than 1 alcoholic drink/day on average during study
  • Recreational drug use during study
  • Known allergy to zinc, L-carnosine, or study ingredients
  • Pregnant or breastfeeding

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Alethios, Inc

San Francisco, California, 94104, United States

RECRUITING

MeSH Terms

Conditions

HeartburnGastroesophageal Reflux

Condition Hierarchy (Ancestors)

Signs and Symptoms, DigestiveSigns and SymptomsPathological Conditions, Signs and SymptomsEsophageal Motility DisordersDeglutition DisordersEsophageal DiseasesGastrointestinal DiseasesDigestive System Diseases

Central Study Contacts

Zoe Benham, B.S

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
OTHER
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 9, 2026

First Posted

January 30, 2026

Study Start

January 15, 2026

Primary Completion

May 1, 2026

Study Completion (Estimated)

July 1, 2026

Last Updated

April 13, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share

Locations