Esophagitis, RefluxPhase 3NCT00255164
Efficacy and Safety of Dexlansoprazole MR on Maintaining Healing in Subjects With Healed Erosive Esophagitis
A Phase 3 study testing Dexlansoprazole MR in people with Esophagitis, Reflux and Esophagitis, Peptic, run by Takeda at 96 sites in United States.
Trial summary
The purpose of this study is to assess the ability of once-daily (QD) treatment with Dexlansoprazole modified-release (MR) 60 mg and 90 mg and placebo in maintaining healing of erosive esophagitis (EE). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Esophagitis, Reflux, Esophagitis, Peptic
- 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
- 451 participants
- Where
- 96 sitesUnited States
- Study dates
- Jan 2006to Nov 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 must have successfully completed the Phase 3 Study T-EE04-084 (NCT00251693) or TEE04-085 (NCT00251719); and have healed esophageal erosions proven by endoscopy. Complete healing was assessed for change in LA Esophagitis Classification grades A, B, C, or D to healed (defined as anything less than the criterion for Grade A). The subject was counted as healed if endoscopy findings did not meet the Grade A criterion.
Who cannot join
- Use of prescription or nonprescription proton pump inhibitors (PPIs), histamine (H2) receptor antagonists, sucralfate, misoprostol, or prokinetics throughout the study
- Use of antacids (except for study supplied) throughout the study.
- Subjects using drugs with significant anticholinergic effects such as tricyclics who cannot stay on a stable dose throughout the study.
- Need for continuous anticoagulant therapy.
Trial locations and contacts
96 sites in 1 country.
96 sites in 1 country
United States96 sites
Study site
Alabaster, Alabama
Study site
Anaheim, California
Study site
Arlington Heights, Illinois
Study site
Atlanta, Georgia
Study site
Austin, Texas
Study site
Beaumont, Texas
Study site
Beaver Falls, Pennsylvania
Study site
Bedford, Texas
Study site
Bingampton, New York
Study site
Birmingham, Alabama
Study site
Boulder, Colorado
Study site
Bountiful, Utah
Study site
Boynton Beach, Florida
Study site
Bristol, Tennessee
Study site
Brooklyn, New York
Study site
Bryan, Texas
Study site
Charlotte, North Carolina
Study site
Chaska, Minnesota
Study site
Chattanooga, Tennessee
Study site
Chesapeake, Virginia
Study site
Chicago, Illinois
Study site
Chula Vista, California
Study site
Cincinnati, Ohio
Study site
Clive, Iowa
Study site
Colorado Springs, Colorado
Study site
Corsicana, Texas
Study site
Danville, Virginia
Study site
Dubuque, Iowa
Study site
Duncansville, Pennsylvania
Study site
El Paso, Texas
Study site
Elkin, North Carolina
Study site
Fort Worth, Texas
Study site
Fullerton, California
Study site
Garden Grove, California
Study site
Great Neck, New York
Study site
Greensboro, North Carolina
Study site
Hermitage, Tennessee
Study site
Hickory, North Carolina
Study site
Hines, Illinois
Study site
Hollywood, Maryland
Study site
Honolulu, Hawaii
Study site
Houston, Texas
Study site
Huntsville, Alabama
Study site
Irvine, California
Study site
Jackson, Mississippi
Study site
Jacksonville, Florida
Study site
Jupiter, Florida
Study site
Kissimmee, Florida
Study site
Lakeland, Florida
Study site
Lancaster, California
Study site
Lansdale, Pennsylvania
Study site
Lone Tree, Colorado
Study site
Long Beach, California
Study site
Los Angeles, California
Study site
Lutherville, Maryland
Study site
Mayfield Heights, Ohio
Study site
Metairie, Louisiana
Study site
Mexico, Missouri
Study site
Milwaukee, Wisconsin
Study site
Mission Hills, California
Study site
Monroe, Wisconsin
Study site
Nashville, Tennessee
Study site
New Brunswick, New Jersey
Study site
New Port Richey, Florida
Study site
Newton, Kansas
Study site
Oak Park, Illinois
Study site
Ogden, Utah
Study site
Oklahoma City, Oklahoma
Study site
Omaha, Nebraska
Study site
Pahrump, Nevada
Study site
Palm Springs, California
Study site
Phoenix, Arizona
Study site
Portland, Oregon
Study site
Redwood City, California
Study site
Rochester, New York
Study site
Rockford, Illinois
Study site
Salisbury, North Carolina
Study site
Salt Lake City, Utah
Study site
San Antonio, Texas
Study site
San Diego, California
Study site
San Luis Obispo, California
Study site
Scottsdale, Arizona
Study site
Shawnee Mission, Kansas
Study site
Shreveport, Louisiana
Study site
Spokane, Washington
Study site
St Louis, Missouri
Study site
Statesville, North Carolina
Study site
Topeka, Kansas
Study site
Troy, Michigan
Study site
Tucson, Arizona
Study site
Warren, Ohio
Study site
Washington, Missouri
Study site
Waterbury, Connecticut
Study site
West Jordan, Utah
Study site
Wheat Ridge, Colorado
Study site
Winston-Salem, North Carolina
About this study
Official title: A Phase 3 Study to Evaluate the Safety and Efficacy of Dexlansoprazole MR (60 mg QD and 90 mg QD) Compared to Placebo in Maintenance of Healing in Subjects With Healed Erosive Esophagitis
The purpose of this study is to assess the ability of once-daily (QD) treatment with Dexlansoprazole modified-release (MR) 60 mg and 90 mg and placebo in maintaining healing of erosive esophagitis (EE).
Read the detailed description
This is a Phase 3, randomized, double-blind, multi-center, placebo-controlled, 6 month maintenance study. The study is designed to compare the efficacy and safety of daily Dexlansoprazole MR (60 mg and 90 mg) with that of placebo, in maintaining healing of erosive esophagitis.
Because the development plan for Dexlansoprazole MR formulation was revised, the results of 2 identical studies, T-EE04-086 (this study, NCT00255164) and T-EE04-087 (NCT00255151), were combined and analyzed as a single larger study referred to as study T-EE04-086. A total of 451 subjects were included in the combined analysis: 237 subjects were enrolled into Study T-EE04-086, and 214 subjects were enrolled into Study T-EE04-087.
- Conditions
- Esophagitis, Reflux, Esophagitis, Peptic
- Being tested
- Dexlansoprazole MR, Placebo
- Keywords
- Erosive Esophagitis
- Medical subject headings
- Esophagitis, Peptic
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 60 mg, capsules, orally, once daily for up to six months.
Dexlansoprazole MRDrug
Also called TAK-390MR, Kapidex, Dexilant
Dexlansoprazole MR 90 mg, capsules, orally, once daily for up to six months.
PlaceboDrug
Dexlansoprazole placebo-matching capsules, orally, once daily for up to six months.
| Study group | Role | What they receive |
|---|---|---|
| Dexlansoprazole MR 60 mg QD | Experimental | Not described Receives: Drug: Dexlansoprazole MR |
| Dexlansoprazole MR 90 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 Subjects Who Maintained Complete Healing of Erosive Esophagitis as Assessed by Endoscopy - Crude Rate Analysis.
Crude rates analyzed maintenance of healed EE from baseline of this study and considered prematurely discontinued subjects as relapsed.
Measured: 6 months
Percentage of Subjects Who Maintained Complete Healing of Erosive Esophagitis as Assessed by Endoscopy - Life Table Method
Percentage of subjects who maintained complete healing of erosive esophagitis as assessed by endoscopy. In the life table method, subjects without post-baseline endoscopy were included as censored; subjects who did not have a recurrence of EE and did not complete the study were also considered censored.
Measured: 6 months
Secondary outcomes (4)
Percentage of Days Without Daytime or Nighttime Heartburn as Assessed by Daily 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 reported.
Measured: 6 months
Percentage of Days Without Daytime or Nighttime Heartburn as Assessed by Daily 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: 6 months
Percentage of Days Without Nighttime Heartburn as Assessed by Daily 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: 6 months
Percentage of Days Without Nighttime Heartburn as Assessed by Daily 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: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Nov 2005 (estimated)
- Study startJan 2006
- Primary completionNov 2006
- Study completionNov 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 (3)Papers the sponsor has linked to this study.
- Other trials for Esophagitis, RefluxStudies 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
- 451 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00255164
- Sponsor's protocol ID
- T-EE04-086
- Other IDs
- U1111-1114-1355
- Status last verified
- Feb 2012
- First submitted
- 15 Nov 2005
- Last updated
- 3 Feb 2012
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Howden CW, Larsen LM, Perez MC, Palmer R, Atkinson SN. Clinical trial: efficacy and safety of dexlansoprazole MR 60 and 90 mg in healed erosive oesophagitis - maintenance of healing and symptom relief. Aliment Pharmacol Ther. 2009 Nov 1;30(9):895-907. doi: 10.1111/j.1365-2036.2009.04119.x. Epub 2009 Aug 14.
PubMed 19681809Peura 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 19735233Wyrwich KW, Mody R, Larsen LM, Lee M, Harnam N, Revicki DA. Validation of the PAGI-SYM and PAGI-QOL among healing and maintenance of erosive esophagitis clinical trial participants. Qual Life Res. 2010 May;19(4):551-64. doi: 10.1007/s11136-010-9620-x. Epub 2010 Feb 27.
PubMed 20195905
Study at a glance
From the registry record, last updated by the sponsor on 3 Feb 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Study to Evaluate the Safety and Efficacy of Dexlansoprazole MR (60 mg QD and 90 mg QD) Compared to Placebo in Maintenance of Healing in Subjects With Healed Erosive Esophagitis
- ClinicalTrials.gov ID
- NCT00255164
- Acronym / sponsor ID
- T-EE04-086
- Conditions
- Esophagitis, Reflux, Esophagitis, Peptic
- Keywords
- Erosive Esophagitis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 451 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- Jan 2006
- Primary completion
- Nov 2006 (actual)
- Study completion
- Nov 2006 (actual)
- First posted
- 17 Nov 2005 (estimated)
- Results
- Posted 28 Aug 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 ability of once-daily (QD) treatment with Dexlansoprazole modified-release (MR) 60 mg and 90 mg and placebo in maintaining healing of erosive esophagitis (EE).
Detailed description
This is a Phase 3, randomized, double-blind, multi-center, placebo-controlled, 6 month maintenance study. The study is designed to compare the efficacy and safety of daily Dexlansoprazole MR (60 mg and 90 mg) with that of placebo, in maintaining healing of erosive esophagitis.
Because the development plan for Dexlansoprazole MR formulation was revised, the results of 2 identical studies, T-EE04-086 (this study, NCT00255164) and T-EE04-087 (NCT00255151), were combined and analyzed as a single larger study referred to as study T-EE04-086. A total of 451 subjects were included in the combined analysis: 237 subjects were enrolled into Study T-EE04-086, and 214 subjects were enrolled into Study T-EE04-087.
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 60 mg QD | Experimental | Drug: Dexlansoprazole MR |
| Dexlansoprazole MR 90 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 (1 listed)
- Subjects must have successfully completed the Phase 3 Study T-EE04-084 (NCT00251693) or TEE04-085 (NCT00251719); and have healed esophageal erosions proven by endoscopy. Complete healing was assessed for change in LA Esophagitis Classification grades A, B, C, or D to healed (defined as anything less than the criterion for Grade A). The subject was counted as healed if endoscopy findings did not meet the Grade A criterion.
Key exclusion criteria (4 listed)
- Use of prescription or nonprescription proton pump inhibitors (PPIs), histamine (H2) receptor antagonists, sucralfate, misoprostol, or prokinetics throughout the study
- Use of antacids (except for study supplied) throughout the study.
- Subjects using drugs with significant anticholinergic effects such as tricyclics who cannot stay on a stable dose throughout the study.
- Need for continuous anticoagulant therapy.
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 60 mg, capsules, orally, once daily for up to six months. | Drug | Dexlansoprazole MR 60 mg QD |
| Dexlansoprazole MRAlso: TAK-390MR, Kapidex, DexilantDexlansoprazole MR 90 mg, capsules, orally, once daily for up to six months. | Drug | Dexlansoprazole MR 90 mg QD |
| PlaceboDexlansoprazole placebo-matching capsules, orally, once daily for up to six months. | Drug | Placebo |
Primary outcome
Percentage of Subjects Who Maintained Complete Healing of Erosive Esophagitis as Assessed by Endoscopy - Crude Rate Analysis.
Time frame: 6 months
Crude rates analyzed maintenance of healed EE from baseline of this study and considered prematurely discontinued subjects as relapsed.
Percentage of Subjects Who Maintained Complete Healing of Erosive Esophagitis as Assessed by Endoscopy - Life Table Method
Time frame: 6 months
Percentage of subjects who maintained complete healing of erosive esophagitis as assessed by endoscopy. In the life table method, subjects without post-baseline endoscopy were included as censored; subjects who did not have a recurrence of EE and did not complete the study were also considered censored.
4 secondary outcomes
Percentage of Days Without Daytime or Nighttime Heartburn as Assessed by Daily Diary-Median.
Time frame: 6 months
Percentage of Days Without Daytime or Nighttime Heartburn as Assessed by Daily Diary-Mean.
Time frame: 6 months
Percentage of Days Without Nighttime Heartburn as Assessed by Daily Diary-Median.
Time frame: 6 months
Percentage of Days Without Nighttime Heartburn as Assessed by Daily Diary-Mean.
Time frame: 6 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Feb 2012.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 19681809Howden CW, Larsen LM, Perez MC, Palmer R, Atkinson SN. Clinical trial: efficacy and safety of dexlansoprazole MR 60 and 90 mg in healed erosive oesophagitis - maintenance of healing and symptom relief. Aliment Pharmacol Ther. 2009 Nov 1;30(9):895-907. doi: 10.1111/j.1365-2036.2009.04119.x. Epub 2009 Aug 14.
- 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 20195905Wyrwich KW, Mody R, Larsen LM, Lee M, Harnam N, Revicki DA. Validation of the PAGI-SYM and PAGI-QOL among healing and maintenance of erosive esophagitis clinical trial participants. Qual Life Res. 2010 May;19(4):551-64. doi: 10.1007/s11136-010-9620-x. Epub 2010 Feb 27.
- 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
96 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 Esophagitis, Reflux and Esophagitis, Peptic, run by Takeda at 96 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 1 inclusion and 4 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 3 Feb 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 96 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 28 Aug 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 Subjects Who Maintained Complete Healing of Erosive Esophagitis as Assessed by Endoscopy - Crude Rate Analysis. (time frame: 6 months). 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 NCT00255164, which also lists 3 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 3 Feb 2012.