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Gastric Ulcer (GU)Phase 3NCT02153398

A Phase I/III Study of D961H 10 mg and 20 mg in Japanese Paediatric Patients With Gastrointestinal Acid Related Diseases

A Phase 3 study testing D961H sachet 10 mg, D961H capsule 10mg and D961H capsule 20 mg in people with Gastric Ulcer (GU) and Duodenal Ulcer (DU), run by AstraZeneca at 15 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of this study is to assess the safety, pharmacokinetics, pharmacodynamics and efficacy of repeated once daily oral administration of D961H 10 mg and D961H 20 mg in Japanese paediatric patients aged 1 to 14 years old who either have a diagnosis of or are suspected to have gastric ulcer (GU), duodenal… Read more about this study

Who is it for?
Ages 1 year to 14 years
What is being tested?
D961H sachet 10 mg, D961H capsule 10mg and D961H capsule 20 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
55 participants
Where
15 sitesJapan
Study dates
Jun 2014to Apr 2016
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 1 year to 14 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Provision of signed written informed consent from the patient's guardian
  • Patients aged ≥ 1 year to 14 years old
  • Patients who have a diagnosis of or suspected to have GU, DU, AU, NERD, RE or Zollinger-Ellison syndrome.

Who cannot join

  • Patients less than 10 kg in weight.
  • Use of any other investigational compounds or participations in another clinical trial within 4 weeks prior to the randomisation/registration.
  • Significant clinical illness within 4 weeks prior to the registration
  • Presence of hepatic diseases or other conditions that could interfere with evaluation of the study as judged by the investigators.
  • Positive for pregnancy test by urinary or lactation for post-menarchal females.
  • Previous total gastrectomy

Trial locations and contacts

15 sites in 1 country.

15 sites in 1 country

Japan15 sites
  • Research Site

    Bunkyō City

  • Research Site

    Fukuoka

  • Research Site

    Hiroshima

  • Research Site

    Izumi-shi

  • Research Site

    Maebashi

  • Research Site

    Matsumoto-shi

  • Research Site

    Osaka

  • Research Site

    Saitama-shi

  • Research Site

    Sapporo

  • Research Site

    Setagaya-ku

  • Research Site

    Shimotsuke-shi

  • Research Site

    Shinjuku-ku

  • Research Site

    Suzaka-shi

  • Research Site

    Ureshino-shi

  • Research Site

    Yokohama

Other trials in Japan

About this study

Official title: An Open-label, Parallel-group, Multi-centre, Phase I/III Study to Assess the Safety, Pharmacokinetics, Pharmacodynamics and Efficacy of Repeated Once-daily Oral Administration of D961H 10 mg and D961H 20 mg in Japanese Paediatric Patients 1 to 14 Years Old With Gastrointestinal Acid Related Diseases

The objective of this study is to assess the safety, pharmacokinetics, pharmacodynamics and efficacy of repeated once daily oral administration of D961H 10 mg and D961H 20 mg in Japanese paediatric patients aged 1 to 14 years old who either have a diagnosis of or are suspected to have gastric ulcer (GU), duodenal ulcer (DU), anastomotic ulcer (AU), non-erosive reflux esophagitis disease (NERD), reflux esophagitis (RE) or Zollinger-Ellison syndrome.

Being tested
D961H sachet 10 mg, D961H capsule 10mg, D961H capsule 20 mg
Keywords
Gastric ulcer (GU), Duodenal ulcer (DU), Anastomotic ulcer (AU), Non-erosive reflux esophagitis disease (NERD), Reflux esophagitis (RE), Zollinger-Ellison syndrome
Medical subject headings
Stomach Ulcer, Duodenal Ulcer, Esophagitis, Peptic, Zollinger-Ellison Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • D961H sachet 10 mgDrug

  • D961H capsule 10mgDrug

  • D961H capsule 20 mgDrug

Study groups in NCT02153398
Study groupRoleWhat they receive
Group 1: D961H sachet 10 mgExperimentalAge: ≥1 year Weight: <20 kg
Receives: Drug: D961H sachet 10 mg
Group 2: D961H capsule 10mgExperimentalAge: ≥1 year to 11years Weight: ≥20 kg
Receives: Drug: D961H capsule 10mg
Group 3: D961H capsule 20 mgExperimentalAge: ≥1 year to 11years Weight: ≥20 kg
Receives: Drug: D961H capsule 20 mg
Group 4: D961H capsule 10 mgExperimentalAge: 12 to 14 years Weight: ≥20 kg
Receives: Drug: D961H capsule 10mg
Group 5: D961H capsule 20 mgExperimentalAge: 12 to 14 years Weight: ≥20 kg
Receives: Drug: D961H capsule 20 mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Disappearance of Heartburn at Week 8 by Patient Diaries

    The disappearance of heartburn was assessed by the intensity of the symptom at Week 8. Patients who recognized disappearance of heartburn were defined as those who selected "Mild", "Moderate", or "Severe" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "None" at Week 8.

    Measured: 8 weeks

  2. Disappearance of Epigastric Pain at Week 8 by Patient Diaries

    The disappearance of epigastric pain was assessed by the intensity of the symptom at Week 8. Patients who recognized disappearance of epigastric pain were defined as those who selected "Mild", "Moderate", or "Severe" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "None" at Week 8.

    Measured: 8 weeks

  3. Disappearance of Upper Abdominal Discomfort at Week 8 by Patient Diaries

    The disappearance of upper abdominal discomfort was assessed by the intensity of the symptom at Week 8. Patients who recognized disappearance of upper abdominal discomfort were defined as those who selected "Mild", "Moderate", or "Severe" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "None" at Week 8.

    Measured: 8 weeks

  4. Disappearance of Regurgitation at Week 8 by Patient Diaries

    The disappearance of regurgitation was assessed by the intensity of the symptom at Week 8. Patients who recognized disappearance of regurgitation were defined as those who selected "Mild", "Moderate", or "Severe" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "None" at Week 8.

    Measured: 8 weeks

  5. Aggravation of Heartburn at Week 8 by Patient Diaries

    The aggravation of heartburn was assessed by the intensity of the symptom at Week 8. Patients who recognized aggravation of heartburn were defined as those who selected "None" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "Mild", "Moderate" or "Severe" at Week 8.

    Measured: 8 weeks

  6. Aggravation of Epigastric Pain at Week 8 by Patient Diaries

    The aggravation of epigastric pain was assessed by the intensity of the symptom at Week 8. Patients who recognized aggravation of epigastric pain were defined as those who selected "None" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "Mild", "Moderate" or "Severe" at Week 8.

    Measured: 8 weeks

  7. Aggravation of Upper Abdominal Discomfort at Week 8 by Patient Diaries

    The aggravation of upper abdominal discomfort was assessed by the intensity of the symptom at Week 8. Patients who recognized aggravation of upper abdominal discomfort were defined as those who selected "None" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "Mild", "Moderate" or "Severe" at Week 8.

    Measured: 8 weeks

  8. Aggravation of Regurgitation at Week 8 by Patient Diaries

    The aggravation of regurgitation was assessed by the intensity of the symptom at Week 8. Patients who recognized aggravation of regurgitation were defined as those who selected "None" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "Mild", "Moderate" or "Severe" at Week 8.

    Measured: 8 weeks

  9. Disappearance of Heartburn at Week 8 by Investigators

    The investigators assessed the presence/absence and the intensity of heartburn at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized disappearance of heartburn were defined as those who had a heartburn at pre-dose and did not have the corresponding symptoms at Week 8 judged by investigators.

    Measured: 8 weeks

  10. Disappearance of Epigastric Pain at Week 8 by Investigators

    The investigators assessed the presence/absence and the intensity of epigastric pain at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized disappearance of epigastric pain were defined as those who had an epigastric pain at pre-dose and did not have the corresponding symptoms at Week 8 judged by investigators.

    Measured: 8 weeks

  11. Disappearance of Upper Abdominal Discomfort at Week 8 by Investigators

    The investigators assessed the presence/absence and the intensity of upper abdominal discomfort at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized disappearance of upper abdominal discomfort were defined as those who had an upper abdominal discomfort at pre-dose and did not have the corresponding symptoms at Week 8 judged by investigators.

    Measured: 8 weeks

  12. Disappearance of Regurgitation at Week 8 by Investigators

    The investigators assessed the presence/absence and the intensity of regurgitation at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized disappearance of regurgitation were defined as those who had a regurgitation at pre-dose and did not have the corresponding symptoms at Week 8 judged by investigators.

    Measured: 8 weeks

  13. Aggravation of Heartburn at Week 8 by Investigators

    The investigators assessed the presence/absence and the intensity of heartburn at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized aggravation of heartburn were defined as those who had no heartburn at pre-dose and did have any of the corresponding symptoms at Week 8 judged by investigators.

    Measured: 8 weeks

  14. Aggravation of Epigastric Pain at Week 8 by Investigators

    The investigators assessed the presence/absence and the intensity of epigastric pain at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized aggravation of epigastric pain were defined as those who had no epigastric pain at pre-dose and did have any of the corresponding symptoms at Week 8 judged by investigators.

    Measured: 8 weeks

  15. Aggravation of Upper Abdominal Discomfort at Week 8 by Investigators

    The investigators assessed the presence/absence and the intensity of upper abdominal discomfort at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized aggravation of upper abdominal discomfort were defined as those who had no upper abdominal discomfort at pre-dose and did have any of the corresponding symptoms at Week 8 judged by investigators.

    Measured: 8 weeks

  16. Aggravation of Regurgitation at Week 8 by Investigators

    The investigators assessed the presence/absence and the intensity of regurgitation at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized aggravation of regurgitation were defined as those who had no regurgitation at pre-dose and did have any of the corresponding symptoms at Week 8 judged by investigators.

    Measured: 8 weeks

Secondary outcomes (7)
  1. Area Under the Plasma Concentration-time Curve During a Dosing Interval (AUCtau) of Esomeprazole After at Least 5 Days of Repeated Dose

    Measured: 0, 0.5, 1, 1.5, 2, 3, 4 and 6 hours post-dose after at least 5 days of repeated dose

  2. AUC From Time Zero to Time of Last Quantifiable Concentration (AUC0-t) of Esomeprazole After at Least 5 Days of Repeated Dose

    Measured: 0, 0.5, 1, 1.5, 2, 3, 4 and 6 hours post-dose after at least 5 days of repeated dose

  3. Maximum Plasma Concentration (Cmax) of Esomeprazole After at Least 5 Days of Repeated Dose

    Measured: 0, 0.5, 1, 1.5, 2, 3, 4 and 6 hours post-dose after at least 5 days of repeated dose

  4. Time to Reach Maximum Plasma Concentration (Tmax) of Esomeprazole After at Least 5 Days of Repeated Dose

    Measured: 0, 0.5, 1, 1.5, 2, 3, 4 and 6 hours post-dose after at least 5 days of repeated dose

  5. Elimination Half-life (t1/2) of Esomeprazole After at Least 5 Days of Repeated Dose

    Measured: 0, 0.5, 1, 1.5, 2, 3, 4 and 6 hours post-dose after at least 5 days of repeated dose

  6. Apparent Total Clearance (CL/F) of Esomeprazole After at Least 5 Days of Repeated Dose

    Measured: 0, 0.5, 1, 1.5, 2, 3, 4 and 6 hours post-dose after at least 5 days of repeated dose

  7. Apparent Volume of Distribution (Vz/F) of Esomeprazole After at Least 5 Days of Repeated Dose

    Measured: 0, 0.5, 1, 1.5, 2, 3, 4 and 6 hours post-dose after at least 5 days of repeated dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Jun 2014 (estimated)
  2. Study startJun 2014
  3. Primary completionApr 2016
  4. Study completionApr 2016

Resources

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
None (open label)
Enrolment
55 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02153398
Sponsor's protocol ID
D961TC00002
Other IDs
26-022
Status last verified
Nov 2016
First submitted
30 May 2014
Last updated
19 Jan 2017
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing D961H sachet 10 mg, D961H capsule 10mg and D961H capsule 20 mg in people with Gastric Ulcer (GU) and Duodenal Ulcer (DU), run by AstraZeneca at 15 sites in Japan.

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 6 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 19 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in Japan. 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. 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 19 Jan 2017). 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?

Disappearance of Heartburn at Week 8 by Patient Diaries (time frame: 8 weeks). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 19 Jan 2017.

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