Clinical trial • Phase II • Gastroenterology
DEXLANSOPRAZOLE for Nonerosive gastroesophageal reflux disease
Phase II trial of DEXLANSOPRAZOLE for Nonerosive gastroesophageal reflux disease. Randomised, none/not specified-controlled. 50 participants.
Overview
- Trial Therapeutic Area
- Gastroenterology
- Trial Disease
- Nonerosive gastroesophageal reflux disease
- Trial Stage
- Phase II
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 13-02-2024
- First CTIS Authorization Date
- 05-04-2024
Trial design
Randomised, none/not specified-controlled Phase II trial in Poland.
- Randomised
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 50
- Trial Duration For Participant
- 112
Stratification factors
- weight (<=30 kg vs >30 kg)
Eligibility
Recruits 50 paediatric patients.
- Vulnerable Population
- Pediatric subjects aged 2 to 11 years are included. The trial documentation lists parent/guardian subject information and informed consent forms (L1_SIS and ICF_Parent) and age-appropriate assent forms (L1_SIS and ICF_Assent Screening 6-11_PL_san; L1_SIS and ICF_Assent 6-11_PL_san; L1_SIS and ICF_Assent Picture Book under 6 yrs_PL_san; L1_SIS and ICF_Assent over 12 yrs_PL_san), indicating parental/guardian informed consent is required and assent procedures are provided for children, with specific materials for younger children (picture book under 6) and assent forms for ages 6-11. Documents listed are Polish (_PL), indicating country/language-specific materials.
Inclusion criteria
- {"criterion_text":"- Medical history of GERD symptoms for at least 3 months prior to Screening.\n- Reported symptoms of hurting or burning in the stomach, chest, or throat on at least 3 out of any 7 consecutive days as recorded in the eDiary during screening.\n- No evidence of erosive esophagitis according to the LA Classification of Esophagitis and, in the investigator's clinical judgment, the symptoms are suggestive of acid-related disease. A 24-hour pH-metry (with or without impedance) may be performed during Screening or within 6 months prior to Screening for similar symptoms as those identified during Screening if, in the investigator's judgment, this procedure would aid in the determination of whether the subject's symptoms are acid related."}
Exclusion criteria
- {"criterion_text":"- Erosive esophagitis.\n- History of hypersensitivity or allergies to dexlansoprazole or any component of dexlansoprazole or antacid or any PPI (including lansoprazole, omeprazole, rabeprazole, pantoprazole, or esomeprazole).\n- Evidence of cardiovascular, pulmonary, central nervous system, hepatic, hematopoietic, renal, or metabolic disorder, severe allergy, asthma, or allergic skin rash that suggests any uncontrolled, clinically significant underlying disease or condition (other than the disease being studied), which may impact the ability of the subject to participate or potentially confound the study results.\n- Any findings in medical history, physical examination, or safety clinical laboratory tests giving reasonable suspicion of underlying disease that might interfere with the conduct of the trial.\n- Known history of Barrett's esophagus with dysplastic changes in the esophagus.\n- History of the following: eosinophilic esophagitis (EoE) or histologic findings suggestive of EoE (>15 eosinophils per high-powered field [HPF]); a history of celiac disease or tests positive for tissue transglutaminase (tTG) antibody or confirmed disease by histology; inflammatory bowel disease; or irritable bowel syndrome.\n- Active gastric or duodenal ulcers within 4 weeks prior to Day -1.\n- Subjects who are required to take prescription or nonprescription medications as listed in Excluded Medications and Treatment Section of the protocol (Section 7.3)."}
Endpoints
Primary endpoints
- {"endpoint_text":"- The percentage of days without hurting or burning in the stomach, chest or throat over the 12 weeks of treatment.","definition_or_measurement_approach":"Measured as the percentage of days over the 12-week treatment period without reported hurting or burning in the stomach, chest, or throat (assessment period = 12 weeks)."}
Secondary endpoints
- {"endpoint_text":"- Percentage of days without hurting or burning in the stomach, chest or throat in children aged 9 to 11 years over the 12 weeks of treatment.","definition_or_measurement_approach":"Measured as the percentage of days over the 12-week treatment period without reported hurting or burning, analyzed in the 9–11 year age subgroup."}
- {"endpoint_text":"- Percentage of days without hurting or burning in the stomach, chest or throat in children aged 2 to 8 years over the 12 weeks of treatment.","definition_or_measurement_approach":"Measured as the percentage of days over the 12-week treatment period without reported hurting or burning, analyzed in the 2–8 year age subgroup."}
- {"endpoint_text":"- Percentage of days without vomiting over the 12 weeks of treatment.","definition_or_measurement_approach":"Measured as the percentage of days with no vomiting reported during the 12-week treatment period."}
- {"endpoint_text":"- Percentage of days food did not come up from stomach to mouth over the 12 weeks of treatment.","definition_or_measurement_approach":"Measured as the percentage of days during the 12-week period when reflux of food to the mouth did not occur, as reported."}
- {"endpoint_text":"- Percentage of days without trouble eating over the 12 weeks of treatment.","definition_or_measurement_approach":"Measured as the percentage of days during the 12-week treatment period without reported difficulty eating."}
- {"endpoint_text":"- Comparison of the difference of the mean percentage of days without hurting or burning in the stomach, chest, or throat over the 12 weeks of treatment between the high dose and the low dose within each weight strata.","definition_or_measurement_approach":"Statistical comparison of mean percentage of days without hurting/burning between high- and low-dose arms within predefined weight strata over the 12-week treatment period."}
Recruitment
- Planned Sample Size
- 50
- Recruitment Window Months
- 65
- Consent Approach
- Parental/guardian informed consent is required (parent information and ICF documents available). Age-appropriate assent materials are provided: assent for ages 6-11, a picture-book assent for under 6, and assent forms for older children as listed. The available subject information/ICF and recruitment documents in the dossier are labelled with _PL, indicating Polish-language materials for the Poland sites.
Methods
- Parent brochure (K2_Recruitment material_Parent Brochure_PL_san) — parent/guardian-facing recruitment material listed for Poland.
- Parent flyer (K2_Recruitment material_Parent Flyer_PL_san) — parent/guardian-facing recruitment flyer listed for Poland.
- Study parent letter (K2_Recruitment material_Study Parent Letter_PL_san) — parent/guardian contact letter listed for Poland.
- Patient Recruitment Procedure (K1_Patient Recruitment Procedure_PL_san) — procedural document for recruitment activities (Poland).
Geography
- Total Number Of Sites
- 3
- Total Number Of Participants
- 50
Poland
- Earliest CTIS Part Ii Submission Date
- 23-02-2024
- Latest Decision Or Authorization Date
- 16-09-2024
- Processing Time Days
- 206
- Number Of Sites
- 3
- Number Of Participants
- 20
Sites
- Site Name
- In Vivo Sp. z o.o.
- Principal Investigator Name
- Piotr Korbal
- Principal Investigator Email
- pkorbal@cm.umk.pl
- Contact Person Name
- Piotr Korbal
- Contact Person Email
- pkorbal@cm.umk.pl
- Site Name
- Instytut Pomnik Centrum Zdrowia Dziecka
- Department Name
- Oddział Gastroenterologii, Hepatologii, Zaburzeń Odżywiania i Pediatrii
- Principal Investigator Name
- Jaroslaw Kierkus
- Principal Investigator Email
- j.kierkus@med-net.pl
- Contact Person Name
- Jaroslaw Kierkus
- Contact Person Email
- j.kierkus@med-net.pl
- Site Name
- Gabinet Lekarski Bartosz Korczowski
- Principal Investigator Name
- Bartosz Korczowski
- Principal Investigator Email
- korczowski@op.pl
- Contact Person Name
- Bartosz Korczowski
- Contact Person Email
- korczowski@op.pl
Sponsor
Primary sponsor
- Full Name
- Takeda Development Center Americas Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- IQVIA Limited
- Responsibilities
- Operational and clinical trial services (sponsorDuties codes: [1,11,12,2,6]); contact eu_clinical_trials_information@iqvia.com
- Name
- Ppd Inc. / PPD Global Central Labs
- Responsibilities
- Central lab and trial support (sponsorDuties codes: [4]); contact Cynthia.Edwards@ppd.com
- Name
- Endpoint Clinical Inc.
- Responsibilities
- IVRS/treatment randomisation (sponsorDuties code: [15]); contact ovalle@endpointclinical.com
- Name
- WCG Clinical Inc.
- Responsibilities
- Medical image analysis/review (sponsorDuties code: [15]); contact awilmer@wcgclinical.com
- Name
- Evidera Inc.
- Responsibilities
- ePRO Psychometric Analysis Plan (sponsorDuties code: [15]); contact miriam.kimel@evidera.com
Third parties
- {"country":"Belgium","full_name":"PPD Global Central Labs","duties_or_roles":"sponsorDuties codes: [4]; contact email: Cynthia.Edwards@ppd.com","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"Cambridge Cognition Limited","duties_or_roles":"sponsorDuties codes: [7]; contact email: Julie-Ann.Marshall@camcog.com","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"sponsorDuties codes: [1,11,12,2,6]; contact email: eu_clinical_trials_information@iqvia.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Neogenomics Laboratories Inc.","duties_or_roles":"sponsorDuties codes: [4]; contact email: sean.gemmill@neogenomics.com","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Evidera Inc.","duties_or_roles":"sponsorDuties codes: [15]; value: ePRO Psychometric Analysis Plan; contact email: miriam.kimel@evidera.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Ppd Inc.","duties_or_roles":"sponsorDuties codes: [4]; contact email: Cynthia.Edwards@ppd.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Ppd Inc.","duties_or_roles":"sponsorDuties codes: [4]; contact email: Cynthia.Edwards@ppd.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"sponsorDuties codes: [15]; value: IVRS30 – treatment randomisation; contact email: ovalle@endpointclinical.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"sponsorDuties codes: [15]; value: Medical image analysis/ review - X-ray, MRI,ultrasound, etc.; contact email: awilmer@wcgclinical.com","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- DEXLANSOPRAZOLE PEDIATRIC (15 mg)
- Active Substance
- DEXLANSOPRAZOLE
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- Authorised
- Starting Dose
- 15 mg
- Dose Levels
- 15 mg
- Frequency
- Once daily
- Maximum Dose
- 15 mg
- Investigational Product Name
- DEXLANSOPRAZOLE PEDIATRIC (30 mg)
- Active Substance
- DEXLANSOPRAZOLE
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- Authorised
- Starting Dose
- 30 mg
- Dose Levels
- 30 mg
- Frequency
- Once daily
- Maximum Dose
- 30 mg
- Investigational Product Name
- DEXLANSOPRAZOLE PEDIATRIC (60 mg)
- Active Substance
- DEXLANSOPRAZOLE
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- Authorised
- Starting Dose
- 60 mg
- Dose Levels
- 60 mg
- Frequency
- Once daily
- Maximum Dose
- 60 mg
Related trials
Other published trials that may interest you.