Gastroesophageal Reflux DiseasePhase 3NCT00321984
Safety and Efficacy of Dexlansoprazole Modified Release Formulation to Treat Gastroesophageal Reflux Disease
A Phase 3 study testing Dexlansoprazole MR in people with Gastroesophageal Reflux Disease, run by Takeda at 153 sites in United States.
Trial summary
The purpose of this study is to assess the efficacy and safety of Dexlansoprazole modified release (MR) (30 mg once daily [QD] or 60 mg QD) compared to placebo in relief of daytime and nighttime heartburn over 4 weeks in subjects with symptomatic, nonerosive gastroesophageal reflux disease (GERD). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Gastroesophageal Reflux Disease
- What is being tested?
- Dexlansoprazole MR
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 947 participants
- Where
- 153 sitesUnited States
- Study dates
- Jun 2006to Dec 2006
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects identifying their main symptom as a burning feeling in the mid epigastric area and/or chest area (ie, heartburn).
- Subject has a history of episodes of heartburn for 6 months or longer prior to Screening.
- Subject must have a history of episodes of heartburn for 4 or more days during the 7 days prior to Day -1.
Who cannot join
- Endoscopic Barrett's esophagus and/or definite dysplastic changes. History of dilatation of esophageal strictures.
- Subjects with erosive esophagitis (EE) as shown by endoscopy.
- Evidence of uncontrolled systemic disease. Co-existing diseases affecting the esophagus. Current or history of Zollinger-Ellison syndrome.
- Subject has abnormal laboratory values.
- Subjects with active gastric or duodenal ulcers within 4 weeks of the first dose.
- Subject known to have acquired immunodeficiency syndrome (AIDS).
Show all 18Show fewer
- Known hypersensitivity to any proton pump inhibitor (PPI), any component of Dexlansoprazole MR, or antacid.
- Use of prescription or non-prescription PPIs, histamine (H2) receptor antagonists, or sucralfate.
- Chronic (>12 doses per month) use of nonsteroidal anti-inflammatory drugs (NSAIDs) or cyclo-oxygenase-2 (COX-2) inhibitors.
- Use of antacids (except for study-supplied Gelusil® ).
- Use of drugs with significant anticholinergic effects.
- Subjects who cannot discontinue the use of misoprostol or prokinetics
- Need for continuous anticoagulant therapy.
- Females who are pregnant or lactating.
- History of gastrointestinal surgery except for simple oversew of ulcer.
- History of cancer within 3 years prior to screening.
- Subject has participated in a previous Dexlansoprazole study.
- Subjects who, in the opinion of the investigator, are unable to comply with the requirements of the study or are unsuitable for any reason.
Trial locations and contacts
153 sites in 1 country.
153 sites in 1 country
United States153 sites
Study site
Alabaster, Alabama
Study site
Albuquerque, New Mexico
Study site
Amarillo, Texas
Study site
Anaheim, California
Study site
Anderson, South Carolina
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Atlanta, Georgia
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Austin, Texas
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Azusa, California
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Baltimore, Maryland
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Baton Rouge, Louisiana
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Beaumont, Texas
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Bellaire, Texas
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Binghamton, New York
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Birmingham, Alabama
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Bismarck, North Dakota
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Boise, Idaho
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Boulder, Colorado
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Boynton Beach, Florida
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Bristol, Connecticut
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Bristol, Tennessee
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Bryan, Texas
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Butte, Montana
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Carmichael, California
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Carollton, Texas
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Chandler, Arizona
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Charleston, South Carolina
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Charlotte, North Carolina
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Charlottesville, Virginia
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Chaska, Minnesota
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Chattanooga, Tennessee
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Chesapeake, Virginia
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Chevy Chase, Maryland
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Chula Vista, California
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Cincinnati, Ohio
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Clearwater, California
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Clearwater, Florida
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Cleveland, Ohio
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Clive, Iowa
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Colorado Springs, Colorado
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Columbus, Ohio
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Conroe, Texas
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Conyers, Georgia
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Corsicana, Texas
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Cypress, California
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Dallas, Texas
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Dayton, Ohio
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Dubuque, Iowa
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Duncansville, Pennsylvania
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Dunwoody, Georgia
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Egg Harbor Town, New Jersey
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El Paso, Texas
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Fort Worth, Texas
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Fountain Valley, California
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Franklin, Ohio
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Fullerton, California
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Garden Grove, California
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Germantown, Tennessee
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Great Neck, New York
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Greensboro, North Carolina
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Harleysville, Pennsylvania
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Harrisburg, North Carolina
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Hermitage, Tennessee
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High Point, North Carolina
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Holly Hill, Florida
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Hollywood, Maryland
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Honolulu, Hawaii
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Houston, Texas
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Hueytown, Alabama
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Huntsville, Alabama
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Indianapolis, Indiana
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Irvine, California
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Jackson, Mississippi
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Jackson, Tennessee
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Jefferson City, Missouri
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Johnson City, Tennessee
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Jupitor, Florida
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Kettering, Ohio
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Kingsport, Tennessee
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Kissimmee, Florida
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Lake Jackson, Texas
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Lakewood, Washington
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Lancaster, California
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Lansdale, Pennsylvania
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Las Vegas, Nevada
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Levittown, Pennsylvania
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Lexington, Kentucky
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Littleton, Colorado
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Lone Tree, Colorado
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Louisville, Kentucky
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Lutherville, Maryland
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Lyndhurst, Ohio
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Medford, Oregon
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Metairie, Louisiana
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Mexico, Missouri
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Miami, Florida
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Midvale, Utah
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Milwaukee, Wisconsin
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Mission Hills, California
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Mogadore, Ohio
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Moline, Illinois
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Monroe, Wisconsin
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Mt. Pleasant, South Carolina
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Naples, Florida
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Nashville, Tennessee
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New Smyma Beach, Florida
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Norfold, Virginia
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North Little Rock, Arizona
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Northport, Alabama
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Oak Forrest, Illinois
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Oakland, California
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Ocala, Florida
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Ogden, Utah
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Oklahoma City, Oklahoma
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Olive Branch, Mississippi
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Orange, California
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Overland, Kansas
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Pahrump, Nevada
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Palm Springs, California
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Pasadena, California
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Pembroke Pines, Florida
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Portland, Oregon
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Prince Frederick, Maryland
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Raleigh, North Carolina
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Redwood City, California
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Richmond, Virginia
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Rochester, New York
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Rockford, Illinois
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Salt Lake City, Utah
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San Antonio, Texas
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San Diego, California
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San Francisco, California
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San Luis Obispo, California
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Sioux Falls, South Dakota
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Spokane, Washington
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St. Petersburg, Florida
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Statesville, North Carolina
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Stockbridge, Georgia
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Sun City, Arizona
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Sylvania, Ohio
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Tacoma, Washington
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Tallassee, Alabama
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Tempe, Arizona
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Troy, Michigan
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Tucson, Arizona
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Varnville, South Carolina
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Vista, California
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Washington, Missouri
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Waterbury, Connecticut
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West Palm Beach, Florida
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Westlake Village, California
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Wheat Ridge, Colorado
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Wichita, Kansas
Study site
Zephyrhills, Florida
About this study
Official title: A Phase 3 Study to Evaluate the Efficacy and Safety of Dexlansoprazole MR (30 mg QD and 60 mg QD) Compared to Placebo on Symptom Relief in Subjects With Symptomatic Nonerosive Gastroesophageal Reflux Disease (GERD)
The purpose of this study is to assess the efficacy and safety of Dexlansoprazole modified release (MR) (30 mg once daily [QD] or 60 mg QD) compared to placebo in relief of daytime and nighttime heartburn over 4 weeks in subjects with symptomatic, nonerosive gastroesophageal reflux disease (GERD).
Read the detailed description
This is a Phase 3, randomized, double-blind, multicenter, placebo-controlled, 3-arm study with a 4 week treatment period. This study will compare the efficacy of Dexlansoprazole MR (30 mg QD and 60 mg QD) with that of placebo when administered orally as a single daily dose in the morning, before breakfast. The study is designed to evaluate symptom relief in subjects with symptomatic nonerosive GERD. Approximately 900 subjects will be enrolled at approximately 200 United States (US) and potentially ex-US sites. The study consists of two periods: a screening period, which will last a minimum of 7 days and a maximum of 21 days, and a treatment period, which will last 4 weeks.
- Conditions
- Gastroesophageal Reflux Disease
- Being tested
- Dexlansoprazole MR, Placebo
- Keywords
- Gastroesophageal Reflux Disease(GERD), Heartburn
- Medical subject headings
- Gastroesophageal Reflux, Heartburn
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dexlansoprazole MRDrug
Also called TAK-390MR, Kapidex, Dexilant
Dexlansoprazole MR 30 mg, capsules, orally, once daily for 4 weeks.
Dexlansoprazole MRDrug
Also called TAK-390MR, Kapidex, Dexilant
Dexlansoprazole MR 60 mg, capsules, orally, once daily for 4 weeks.
PlaceboDrug
Dexlansoprazole placebo-matching capsules, orally, once daily for 4 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Dexlansoprazole MR 30 mg QD | Experimental | Not described Receives: Drug: Dexlansoprazole MR |
| Dexlansoprazole MR 60 mg QD | Experimental | Not described Receives: Drug: Dexlansoprazole MR |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Days With Neither Daytime Nor Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Median
The percentage was calculated as the days that were heartburn-free out of the total number of days for which either a daytime or nighttime result was marked.
Measured: 4 weeks
Percentage of Days With Neither Daytime Nor Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Mean
The percentage was calculated as the days that were heartburn-free out of the total number of days for which either a daytime or nighttime result was marked.
Measured: 4 weeks
Secondary outcomes (2)
Percentage of Days Without Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Median
The percentage was calculated as the nights that were heartburn-free out of the total number of days for which a nighttime result was marked.
Measured: 4 weeks
Percentage of Days Without Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Mean
The percentage was calculated as the nights that were heartburn-free out of the total number of days for which a nighttime result was marked.
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 May 2006 (estimated)
- Study startJun 2006
- Primary completionDec 2006
- Study completionDec 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Gastroesophageal Reflux DiseaseStudies of the same condition, open and under way.
- More trials run by TakedaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 947 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Medical Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00321984
- Sponsor's protocol ID
- T-GD05-137
- Other IDs
- 2006-000420-13, U1111-1114-1935
- Status last verified
- Apr 2011
- First submitted
- 2 May 2006
- Last updated
- 28 Apr 2011
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Fass R, Chey WD, Zakko SF, Andhivarothai N, Palmer RN, Perez MC, Atkinson SN. Clinical trial: the effects of the proton pump inhibitor dexlansoprazole MR on daytime and nighttime heartburn in patients with non-erosive reflux disease. Aliment Pharmacol Ther. 2009 Jun 15;29(12):1261-72. doi: 10.1111/j.1365-2036.2009.04013.x. Epub 2009 Apr 8.
PubMed 19392864Peura DA, Metz DC, Dabholkar AH, Paris MM, Yu P, Atkinson SN. Safety profile of dexlansoprazole MR, a proton pump inhibitor with a novel dual delayed release formulation: global clinical trial experience. Aliment Pharmacol Ther. 2009 Nov 15;30(10):1010-21. doi: 10.1111/j.1365-2036.2009.04137.x. Epub 2009 Sep 4.
PubMed 19735233Friedlander EA, Pallentino J, Miller SK, VanBeuge SS. The evolution of proton pump inhibitors for the treatment of gastroesophageal reflux disease. J Am Acad Nurse Pract. 2010 Dec;22(12):674-83. doi: 10.1111/j.1745-7599.2010.00578.x. Epub 2010 Nov 24.
PubMed 21129076Peura DA, Pilmer B, Hunt B, Mody R, Perez MC. Distinguishing the impact of dexlansoprazole on heartburn vs. regurgitation in patients with gastro-oesophageal reflux disease. Aliment Pharmacol Ther. 2013 Nov;38(10):1303-11. doi: 10.1111/apt.12504. Epub 2013 Sep 30.
PubMed 24118079Peura DA, Pilmer B, Hunt B, Mody R, Perez MC. The effects of increasing body mass index on heartburn severity, frequency and response to treatment with dexlansoprazole or lansoprazole. Aliment Pharmacol Ther. 2013 Apr;37(8):810-8. doi: 10.1111/apt.12270. Epub 2013 Mar 4.
PubMed 23451835
Study at a glance
From the registry record, last updated by the sponsor on 28 Apr 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Study to Evaluate the Efficacy and Safety of Dexlansoprazole MR (30 mg QD and 60 mg QD) Compared to Placebo on Symptom Relief in Subjects With Symptomatic Nonerosive Gastroesophageal Reflux Disease (GERD)
- ClinicalTrials.gov ID
- NCT00321984
- Acronym / sponsor ID
- T-GD05-137
- Conditions
- Gastroesophageal Reflux Disease
- Keywords
- Gastroesophageal Reflux Disease(GERD), Heartburn
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 947 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- Jun 2006
- Primary completion
- Dec 2006 (actual)
- Study completion
- Dec 2006 (actual)
- First posted
- 4 May 2006 (estimated)
- Results
- Posted 23 Mar 2009
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the efficacy and safety of Dexlansoprazole modified release (MR) (30 mg once daily [QD] or 60 mg QD) compared to placebo in relief of daytime and nighttime heartburn over 4 weeks in subjects with symptomatic, nonerosive gastroesophageal reflux disease (GERD).
Detailed description
This is a Phase 3, randomized, double-blind, multicenter, placebo-controlled, 3-arm study with a 4 week treatment period. This study will compare the efficacy of Dexlansoprazole MR (30 mg QD and 60 mg QD) with that of placebo when administered orally as a single daily dose in the morning, before breakfast. The study is designed to evaluate symptom relief in subjects with symptomatic nonerosive GERD. Approximately 900 subjects will be enrolled at approximately 200 United States (US) and potentially ex-US sites. The study consists of two periods: a screening period, which will last a minimum of 7 days and a maximum of 21 days, and a treatment period, which will last 4 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Dexlansoprazole MR 30 mg QD | Experimental | Drug: Dexlansoprazole MR |
| Dexlansoprazole MR 60 mg QD | Experimental | Drug: Dexlansoprazole MR |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Subjects identifying their main symptom as a burning feeling in the mid epigastric area and/or chest area (ie, heartburn).
- Subject has a history of episodes of heartburn for 6 months or longer prior to Screening.
- Subject must have a history of episodes of heartburn for 4 or more days during the 7 days prior to Day -1.
Key exclusion criteria (18 listed)
- Endoscopic Barrett's esophagus and/or definite dysplastic changes. History of dilatation of esophageal strictures.
- Subjects with erosive esophagitis (EE) as shown by endoscopy.
- Evidence of uncontrolled systemic disease. Co-existing diseases affecting the esophagus. Current or history of Zollinger-Ellison syndrome.
- Subject has abnormal laboratory values.
- Subjects with active gastric or duodenal ulcers within 4 weeks of the first dose.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Dexlansoprazole MRAlso: TAK-390MR, Kapidex, DexilantDexlansoprazole MR 30 mg, capsules, orally, once daily for 4 weeks. | Drug | Dexlansoprazole MR 30 mg QD |
| Dexlansoprazole MRAlso: TAK-390MR, Kapidex, DexilantDexlansoprazole MR 60 mg, capsules, orally, once daily for 4 weeks. | Drug | Dexlansoprazole MR 60 mg QD |
| PlaceboDexlansoprazole placebo-matching capsules, orally, once daily for 4 weeks. | Drug | Placebo |
Primary outcome
Percentage of Days With Neither Daytime Nor Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Median
Time frame: 4 weeks
The percentage was calculated as the days that were heartburn-free out of the total number of days for which either a daytime or nighttime result was marked.
Percentage of Days With Neither Daytime Nor Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Mean
Time frame: 4 weeks
The percentage was calculated as the days that were heartburn-free out of the total number of days for which either a daytime or nighttime result was marked.
2 secondary outcomes
Percentage of Days Without Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Median
Time frame: 4 weeks
Percentage of Days Without Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Mean
Time frame: 4 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Apr 2011.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 19392864Fass R, Chey WD, Zakko SF, Andhivarothai N, Palmer RN, Perez MC, Atkinson SN. Clinical trial: the effects of the proton pump inhibitor dexlansoprazole MR on daytime and nighttime heartburn in patients with non-erosive reflux disease. Aliment Pharmacol Ther. 2009 Jun 15;29(12):1261-72. doi: 10.1111/j.1365-2036.2009.04013.x. Epub 2009 Apr 8.
- Results publication: PubMed 19735233Peura DA, Metz DC, Dabholkar AH, Paris MM, Yu P, Atkinson SN. Safety profile of dexlansoprazole MR, a proton pump inhibitor with a novel dual delayed release formulation: global clinical trial experience. Aliment Pharmacol Ther. 2009 Nov 15;30(10):1010-21. doi: 10.1111/j.1365-2036.2009.04137.x. Epub 2009 Sep 4.
- Results publication: PubMed 21129076Friedlander EA, Pallentino J, Miller SK, VanBeuge SS. The evolution of proton pump inhibitors for the treatment of gastroesophageal reflux disease. J Am Acad Nurse Pract. 2010 Dec;22(12):674-83. doi: 10.1111/j.1745-7599.2010.00578.x. Epub 2010 Nov 24.
- Derived from this study: PubMed 24118079Peura DA, Pilmer B, Hunt B, Mody R, Perez MC. Distinguishing the impact of dexlansoprazole on heartburn vs. regurgitation in patients with gastro-oesophageal reflux disease. Aliment Pharmacol Ther. 2013 Nov;38(10):1303-11. doi: 10.1111/apt.12504. Epub 2013 Sep 30.
- Derived from this study: PubMed 23451835Peura DA, Pilmer B, Hunt B, Mody R, Perez MC. The effects of increasing body mass index on heartburn severity, frequency and response to treatment with dexlansoprazole or lansoprazole. Aliment Pharmacol Ther. 2013 Apr;37(8):810-8. doi: 10.1111/apt.12270. Epub 2013 Mar 4.
- For the Dexilant package insert refer to this linkLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Takeda
153 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Dexlansoprazole MR in people with Gastroesophageal Reflux Disease, run by Takeda at 153 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Apr 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 153 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 23 Mar 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Days With Neither Daytime Nor Nighttime Heartburn During Treatment as Assessed by Daily Electronic Diary-Median (time frame: 4 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00321984, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Apr 2011.