Clinical trial • Phase IV • Gastroenterology
PRUCALOPRIDE for Gastro-oesophageal reflux disease
Phase IV trial of PRUCALOPRIDE for Gastro-oesophageal reflux disease.
Overview
- Trial Therapeutic Area
- Gastroenterology
- Trial Disease
- Gastro-oesophageal reflux disease
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 07-10-2024
- First CTIS Authorization Date
- 10-10-2024
Trial design
Randomised, placebo tablet manufactured by laboratoria wolfs, zwijndrecht (composition provided: lactose monohydrate 320mg; carmellose sodium 10mg; corn starch 70mg; cellulose microcrystalline 55mg; silicium dioxide anhydrous 20mg; magnesium stearate 13mg).-controlled Phase IV trial across 3 sites in Belgium.
- Randomised
- Yes
- Comparator
- Placebo tablet manufactured by Laboratoria Wolfs, Zwijndrecht (composition provided: Lactose monohydrate 320mg; Carmellose sodium 10mg; Corn starch 70mg; Cellulose microcrystalline 55mg; Silicium dioxide anhydrous 20mg; Magnesium stearate 13mg).
- Target Sample Size
- 60
- Trial Duration For Participant
- 28
Eligibility
Recruits 60 No vulnerable populations selected. Subjects must be capable of understanding and provide signed and dated written voluntary informed consent before any protocol-specific screening procedures. Subject information sheet and informed consent forms are provided in Dutch (NL) and French (FR)..
- Vulnerable Population
- No vulnerable populations selected. Subjects must be capable of understanding and provide signed and dated written voluntary informed consent before any protocol-specific screening procedures. Subject information sheet and informed consent forms are provided in Dutch (NL) and French (FR).
Inclusion criteria
- {"criterion_text":"- 18 to 65 years old."}
- {"criterion_text":"- Patients must have proven reflux, documented either by the presence of esophagitis (≥ grade B) at upper endoscopy (“on” PPI b.i.d.) in the 24 months prior to inclusion or pathological reflux parameters (acid exposure time >4% or number of reflux episodes >40) on a 24 hour impedance-pH monitoring (“on” PPI b.i.d.) in the 6 months prior to inclusion."}
- {"criterion_text":"- History of typical GERD symptoms during PPI treatment, at least 3 times per week for 12 weeks."}
- {"criterion_text":"- Daily intake of PPI treatment 12 weeks prior to inclusion, with at least 8 weeks of b.i.d. therapy (at least 2*20mg of omeprazole or equivalent)."}
- {"criterion_text":"- Sexually active women of child bearing potential participating in the study must use a medically acceptable form of contraception. Medically acceptable forms of contraception do not include oral contraceptives, due to expected diarrhea as side effect of prucalopride. Injectable or implantable methods, intrauterine devices, or properly used barrier contraception are acceptable forms of contraception."}
- {"criterion_text":"- Subjects must be capable of understanding and be willing to provide signed and dated written voluntary informed consent before any protocol-specific screening procedures are performed."}
Exclusion criteria
- {"criterion_text":"- Systemic diseases, known to affect esophageal motility."}
- {"criterion_text":"- Colitis ulcerosa, Crohn’s disease, toxic megacolon."}
- {"criterion_text":"- Have a cardiovascular disease or QTc >450 ms"}
- {"criterion_text":"- Severely decreased kidney function."}
- {"criterion_text":"- Severely decreased liver function."}
- {"criterion_text":"- Surgery in the thorax or in the upper part of the abdomen (appendectomy and cholecystectomy are allowed)."}
- {"criterion_text":"- Number of stools >3 per day."}
- {"criterion_text":"- Treatment with prucalopride prior to the start of the study."}
- {"criterion_text":"- Concomitant use of medications such as: anticholinergics, baclofen or prokinetics."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Change in acid exposure time assessed by 24 hour impedance-pH monitoring","definition_or_measurement_approach":"Assessed by 24 hour impedance-pH monitoring (change in acid exposure time)."}
Secondary endpoints
- {"endpoint_text":"- Change in number of reflux episodes assessed by 24 hour impedance-pH monitoring","definition_or_measurement_approach":"Assessed by 24 hour impedance-pH monitoring (change in number of reflux episodes)."}
- {"endpoint_text":"- Change in motility patterns in the esophagus assessed by high resolution and impedance manometry","definition_or_measurement_approach":"Assessed by high resolution and impedance manometry (change in esophageal motility patterns)."}
- {"endpoint_text":"- Change in symptom severity assessed by a reflux questionnaire (Request)","definition_or_measurement_approach":"Assessed using a reflux questionnaire (REQUEST) to measure change in symptom severity."}
Recruitment
- Planned Sample Size
- 60
- Recruitment Window Months
- 98
- Consent Approach
- Participants must be capable of understanding and provide signed and dated written voluntary informed consent before any protocol-specific screening procedures. Informed consent forms and subject information sheets available in Dutch (NL) and French (FR). No assent procedures described (minors excluded).
Geography
- Total Number Of Sites
- 3
- Total Number Of Participants
- 60
Belgium
- Earliest CTIS Part Ii Submission Date
- 09-10-2024
- Latest Decision Or Authorization Date
- 10-10-2024
- Processing Time Days
- 1
- Number Of Sites
- 3
- Number Of Participants
- 60
Sites
- Site Name
- Antwerp University Hospital
- Department Name
- Gastroenterology and Hepatology
- Principal Investigator Name
- Heiko De Schepper
- Principal Investigator Email
- heiko.deschepper@uza.be
- Contact Person Name
- Heiko De Schepper
- Contact Person Email
- heiko.deschepper@uza.be
- Site Name
- UZ Brussel
- Department Name
- Gastroenterology
- Principal Investigator Name
- Sebastien Kindt
- Principal Investigator Email
- sebastien.kindt@uzbrussel.be
- Contact Person Name
- Sebastien Kindt
- Contact Person Email
- sebastien.kindt@uzbrussel.be
- Site Name
- UZ Leuven
- Department Name
- Gastroenterology and Hepatology
- Principal Investigator Name
- Jan Tack
- Principal Investigator Email
- jan.tack@kuleuven.be
- Contact Person Name
- Jan Tack
- Contact Person Email
- jan.tack@kuleuven.be
Sponsor
Primary sponsor
- Full Name
- UZ Leuven
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Belgium
Investigational products
- Investigational Product Name
- Prucalopride Prolepha 2 mg filmomhulde tabletten
- Active Substance
- PRUCALOPRIDE
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- Marketing authorisation present (RVG 130940, Netherlands)
- Starting Dose
- 2 mg
- Dose Levels
- 2 mg
- Frequency
- Once daily
- Maximum Dose
- 2 mg daily
- Investigational Product Name
- Placebo tablet manufactured by Laboratoria Wolfs, Zwijndrecht. Ingredients (1 tablet, 488mg): Lactose monohydrate 320mg Carmellose sodium 10mg Corn starch 70mg Cellulose microcrystalline 55mg Silicium dioxide anhydrous 20mg Magnesium stearate 13mg
- Modality
- Other
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- Not authorised (placebo)
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