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

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