Gastro Esophageal RefluxNCT04202692
Effect of a Combination Oral Formulation of Hyaluronic Acid, Chondroitin Sulphate and Magnesium Trisilicate in Patients With Gastro-Esophageal Reflux Disease Not Fully Satisfied With Their Treatment
A study testing Hyaluronic acid with chondroitin sulphate and magnesium trisilicate, 1100 mg melt in mouth tablet in people with Gastro Esophageal Reflux, run by SOFAR S.p.A. at 2 sites in Germany.
Trial summary
This is a post-market, multi-center, double-blind, placebo-controlled, randomized, cross-over study with GERDOff Plus added on top of the current PPI treatment in patients with GERD. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Gastro Esophageal Reflux
- What is being tested?
- Hyaluronic acid with chondroitin sulphate and magnesium trisilicate, 1100 mg melt in mouth tablet
- Type of treatment
- Pill or oral medicine, Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 40 participants
- Where
- 2 sitesGermany
- Study dates
- 5 Nov 2019to 23 Nov 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed and dated informed consent (ICF): a written informed consent must be obtained prior to any study related procedure being performed
- Male and female out-patients aged 18 to 80 years
- GERD diagnosis confirmed through a validated questionnaire (GERDQ score ≥ 8).
- EGD endoscopy performed within 1 year before screening
- Patients in continuous or intermittent treatment with PPI for at least 1 year and continuously for at least 4 weeks prior to study entry
- Patients not fully satisfied with current PPI treatment (1-3 score on 5-points Likert scale)
Who cannot join
- Dyspeptic patients or patients with overlapping symptoms with GI diseases other than GERD
- Histological evidence of Barrett's oesophagus > 1 cm in EGD endoscopy
- Peptic stricture in EGD endoscopy
- Concurrent findings in the EGD endoscopy that might interfere with the participation to the study (e.g cancer, peptic ulcer) as judged by the investigator
- Known impaired kidney or liver function at screening
- Presence of any relevant severe condition or clinically relevant abnormal parameters that in the opinion of the investigator may interfere with the participation to the study
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- Medication use (including H2 antagonists, alginates, baclofen, NSAIDS, prokinetics, antidepressants) that may interfere with GERD symptom assessment within 2 weeks before the start of the study or during the study
- Pregnancy or breast-feeding
- Females of childbearing potential not employing adequate contraceptive methods
- Active malignancy of any type, or history of a malignancy (patients with a history of other malignancies that have been surgically removed and who have no evidence of recurrence for at least five years before study enrolment are also acceptable)
- History of/or current psychiatric illness that would interfere with ability to comply with protocol requirements or give informed consent
- History of alcohol or drug abuse that would interfere with ability to comply with protocol requirements
- Treatment with any investigational drug within the previous 30 days
Trial locations and contacts
2 sites in 1 country.
Germany2 sites
Klinikum Region Hannover (KRH) Klinikum Siloah
Hanover, 30459
Diakonie Klinikum GmbH - Jung- Stilling Krankenhaus
Siegen, North Rhine-Westphalia, 57074
About this study
Official title: Evaluation of the Performance and Safety of an Oral Formulation of Hyaluronic Acid With Chondroitin Sulphate and Magnesium Trisilicate (GERDOff® Plus) in Patients With Gastro-Esophageal Reflux Disease: A Double-blind, Placebo-controlled, Randomized, Cross-over Study
This is a post-market, multi-center, double-blind, placebo-controlled, randomized, cross-over study with GERDOff Plus added on top of the current PPI treatment in patients with GERD. The aim of the study is to evaluate the performance of GERDOff Plus, a class III medical device, consisting in a hyaluronic acid, chondroitin sulphate and magnesium trisilicate, in addition to the PPIs, in patients with GERD not fully satisfied with their current treatment with PPIs.
Patients will receive either GERDOff Plus or placebo q.i.d. for 21 days followed by a wash-out period of 3 weeks. After the wash-out period, the patients will receive either placebo or GERDOff Plus respectively
- Conditions
- Gastro Esophageal Reflux
- Being tested
- Hyaluronic acid with chondroitin sulphate and magnesium trisilicate, 1100 mg melt in mouth tablet, Placebo 1100 mg, identically-looking melt in mouth tablet
- Medical subject headings
- Gastroesophageal Reflux
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Hyaluronic acid with chondroitin sulphate and magnesium trisilicate, 1100 mg melt in mouth tabletDevice
Also called GERDOff Plus
1 tablet q.i.d. (three after meals, one before resting) for 3 consecutive weeks
Placebo 1100 mg, identically-looking melt in mouth tabletDevice
Also called GERDOff Plus placebo
1 tablet q.i.d. (three after meals, one before resting) for 3 consecutive weeks
| Study group | Role | What they receive |
|---|---|---|
| GERDOff Plus | Experimental | Hyaluronic acid + chondroitin sulphate + magnesium trisilicate melt in mouth tablets (1100 mg). 1 tablet q.i.d. (three after meals, one before resting) for 3 consecutive weeks. After three weeks of wash-out period,patients will take either placebo or GERDOff Plus q.i.d. (three after meals, one before resting) for another three weeks. Receives: Device: Hyaluronic acid with chondroitin sulphate and magnesium trisilicate, 1100 mg melt in mouth tablet; Device: Placebo 1100 mg, identically-looking melt in mouth tablet |
| Placebo | Placebo comparator | Placebo melt in mouth tablets (1100 mg). 1 tablet q.i.d. (three after meals, one before resting) for three consecutive weeks. After three weeks of wash-out period, patients will take either placebo or GERDOff Plus q.i.d. (three after meals, one before resting) for another three weeks. Receives: Device: Hyaluronic acid with chondroitin sulphate and magnesium trisilicate, 1100 mg melt in mouth tablet; Device: Placebo 1100 mg, identically-looking melt in mouth tablet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall patient satisfaction
The percentage of patients with an improvement of at least 2 points in the patient satisfaction measured with a 1 to 5 Likert scale (1 worst satisfaction, 5 best satisfaction)
Measured: From baseline to the end of the respective 3-week treatment period
Secondary outcomes (6)
Change of weekly frequency of each symptom using the Gastro Esophageal Reflux Disease Questionnaire (GERDQ) questionnaire
The reduction of weekly frequency score (points) for each symptom (score from 0 to 3, where higher scores mean a worse outcome) assessed by GERDQ questionnaire.
Frequency score (points) for symptom: 0=0 day, 1=1 day, 2=2-3 days, 3=4-7 days;
- How often did you have a burning feeling behind your breastbone (heartburn)? 0 1 2 3
- How often did you have stomach contents (liquid or food) moving upwards to your throat or mouth (regurgitation)? 0 1 2 3
- How often did you have a pain in the centre of the upper stomach? 3 2 1 0
- How often did you have nausea? 3 2 1 0
- How often did you have difficulty getting a good night's sleep because of your heartburn and ⁄ or regurgitation? 0 1 2 3
- How often did you take additional medication for your heartburn and ⁄ or regurgitation, other than what the physician told you to take? (such as Tums, Rolaids, Maalox?) 0 1 2 3
Measured: From baseline to the end of the respective 3-week treatment period
Change of weekly global score of symptoms using the Gastro Esophageal Reflux Disease Questionnaire (GERDQ) questionnaire
The reduction of global score of GERQ questionnaire (score from 0 to 18, where higher scores mean a worse outcome). Global score is obtained as sum score of the 6 items detailed in Outcome 2.
Measured: From baseline to the end of the respective 3-week treatment period
Change of the intensity of each symptom using the Reflux Symptom Index (RSI) questionnaire
The reduction of score of each symptom (from 0 to 5, where 0 = No problem and 5 = Severe Problem) assessed by RSI questionnaire
- Hoarseness or a problem with voice
- Cleaning throat
- Excess throat mucus or postnasal drip
- Difficulty swallowing food, liquids, or pills
- Coughing after eating or after lying down
- Breathing difficulties or chocking episodes
- Troublesome or annoying cough
- Sensations of something sticking or a lump in the throat
- Heartburn, chest pain, indigestion or stomach acid coming up
Measured: From baseline to the end of the respective 3-week treatment period
Change of the global score using the Reflux Symptom Index (RSI) questionnaire
The reduction of global score of RSI questionnaire (from 0 to 45, where higher scores mean a worse outcome). Global score is obtained as sum score of the 9 items detailed in Outcome 4.
Measured: From baseline to the end of the respective 3-week treatment period
Assessment of palatability
The score of taste through a 4-point qualitative scale (where 1 - taste as bad as possible, and 4 - taste as good as possible)
Measured: At the end of 3-week treatment period
Evaluation of the intake of rescue medications
The amount of rescue medications taken
Measured: From V1 (randomization) to V4 (Day 63 +/- 2 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2019
- Study start5 Nov 2019
- Primary completion23 Nov 2022
- Study completion23 Nov 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Gastro Esophageal RefluxStudies of the same condition, open and under way.
- 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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- SOFAR S.p.A.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04202692
- Sponsor's protocol ID
- PSC-DS MATRIX 19
- Status last verified
- Apr 2023
- First submitted
- 12 Dec 2019
- Last updated
- 12 Apr 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Apr 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Performance and Safety of an Oral Formulation of Hyaluronic Acid With Chondroitin Sulphate and Magnesium Trisilicate (GERDOff® Plus) in Patients With Gastro-Esophageal Reflux Disease: A Double-blind, Placebo-controlled, Randomized, Cross-over Study
- ClinicalTrials.gov ID
- NCT04202692
- Acronym / sponsor ID
- PSC-DS MATRIX 19
- Conditions
- Gastro Esophageal Reflux
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- SOFAR S.p.A.Industry (pharma, biotech, devices)
- Study start
- 5 Nov 2019 (actual)
- Primary completion
- 23 Nov 2022 (actual)
- Study completion
- 23 Nov 2022 (actual)
- First posted
- 17 Dec 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a post-market, multi-center, double-blind, placebo-controlled, randomized, cross-over study with GERDOff Plus added on top of the current PPI treatment in patients with GERD. The aim of the study is to evaluate the performance of GERDOff Plus, a class III medical device, consisting in a hyaluronic acid, chondroitin sulphate and magnesium trisilicate, in addition to the PPIs, in patients with GERD not fully satisfied with their current treatment with PPIs.
Patients will receive either GERDOff Plus or placebo q.i.d. for 21 days followed by a wash-out period of 3 weeks. After the wash-out period, the patients will receive either placebo or GERDOff Plus respectively
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GERDOff Plus | Experimental | Device: Hyaluronic acid with chondroitin sulphate and magnesium trisilicate, 1100 mg melt in mouth tablet, Device: Placebo 1100 mg, identically-looking melt in mouth tabletHyaluronic acid + chondroitin sulphate + magnesium trisilicate melt in mouth tablets (1100 mg). 1 tablet q.i.d. (three after meals, one before resting) for 3 consecutive weeks. After three weeks of wash-out period,patients will take either placebo or GERDOff Plus q.i.d. (three after meals, one before resting) for another three weeks. |
| Placebo | Placebo comparator | Device: Hyaluronic acid with chondroitin sulphate and magnesium trisilicate, 1100 mg melt in mouth tablet, Device: Placebo 1100 mg, identically-looking melt in mouth tabletPlacebo melt in mouth tablets (1100 mg). 1 tablet q.i.d. (three after meals, one before resting) for three consecutive weeks. After three weeks of wash-out period, patients will take either placebo or GERDOff Plus q.i.d. (three after meals, one before resting) for another three weeks. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Signed and dated informed consent (ICF): a written informed consent must be obtained prior to any study related procedure being performed
- Male and female out-patients aged 18 to 80 years
- GERD diagnosis confirmed through a validated questionnaire (GERDQ score ≥ 8).
- EGD endoscopy performed within 1 year before screening
- Patients in continuous or intermittent treatment with PPI for at least 1 year and continuously for at least 4 weeks prior to study entry
Key exclusion criteria (13 listed)
- Dyspeptic patients or patients with overlapping symptoms with GI diseases other than GERD
- Histological evidence of Barrett's oesophagus > 1 cm in EGD endoscopy
- Peptic stricture in EGD endoscopy
- Concurrent findings in the EGD endoscopy that might interfere with the participation to the study (e.g cancer, peptic ulcer) as judged by the investigator
- Known impaired kidney or liver function at screening
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 |
|---|---|---|
| Hyaluronic acid with chondroitin sulphate and magnesium trisilicate, 1100 mg melt in mouth tabletAlso: GERDOff Plus1 tablet q.i.d. (three after meals, one before resting) for 3 consecutive weeks | Device | GERDOff Plus, Placebo |
| Placebo 1100 mg, identically-looking melt in mouth tabletAlso: GERDOff Plus placebo1 tablet q.i.d. (three after meals, one before resting) for 3 consecutive weeks | Device | GERDOff Plus, Placebo |
Primary outcome
Overall patient satisfaction
Time frame: From baseline to the end of the respective 3-week treatment period
The percentage of patients with an improvement of at least 2 points in the patient satisfaction measured with a 1 to 5 Likert scale (1 worst satisfaction, 5 best satisfaction)
6 secondary outcomes
Change of weekly frequency of each symptom using the Gastro Esophageal Reflux Disease Questionnaire (GERDQ) questionnaire
Time frame: From baseline to the end of the respective 3-week treatment period
Change of weekly global score of symptoms using the Gastro Esophageal Reflux Disease Questionnaire (GERDQ) questionnaire
Time frame: From baseline to the end of the respective 3-week treatment period
Change of the intensity of each symptom using the Reflux Symptom Index (RSI) questionnaire
Time frame: From baseline to the end of the respective 3-week treatment period
Change of the global score using the Reflux Symptom Index (RSI) questionnaire
Time frame: From baseline to the end of the respective 3-week treatment period
Assessment of palatability
Time frame: At the end of 3-week treatment period
Evaluation of the intake of rescue medications
Time frame: From V1 (randomization) to V4 (Day 63 +/- 2 days)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Apr 2023.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Hyaluronic acid with chondroitin sulphate and magnesium trisilicate, 1100 mg melt in mouth tablet in people with Gastro Esophageal Reflux, run by SOFAR S.p.A. at 2 sites in Germany.
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 6 inclusion and 13 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 12 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Germany. 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.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Overall patient satisfaction (time frame: From baseline to the end of the respective 3-week treatment period). 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 12 Apr 2023.