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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