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Gastroesophageal Reflux Disease (GERD)Phase 3NCT00468559

Phase 3/Safety & Efficacy of Esomeprazole in Infants

A Phase 3 study testing Open Label Run In Esomeprazole and Double Blind Esomeprazole in people with Gastroesophageal Reflux Disease (GERD), run by AstraZeneca at 25 sites in 4 countries.

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 purpose of this study is to look at the improvement of a once a day dose of esomeprazole for reducing the signs and symptoms of infants with gastroesophageal reflux disease (GERD). This research study consists of a screening, open-label, and double-blind treatment withdrawal phase. Read more about this study

Who is it for?
Ages 1 month to 11 months
Conditions the study is for
Gastroesophageal Reflux Disease (GERD)
What is being tested?
Open Label Run In Esomeprazole and Double Blind Esomeprazole
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
98 participants
Where
25 sitesin 4 countries
Study dates
Apr 2007to Jun 2008
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 month to 11 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • patients' parents must sign the informed consent prior to the beginning of any study-related procedures (according to local regulations)
  • patients must have symptoms at study entry and have a clinical diagnosis of suspected GERD, symptomatic GERD, or GERD proven by a test called an endoscopy, a test using a long tube inserted in the body for diagnostic exams

Who cannot join

  • patients who have used a PPI (proton pump inhibitors; used to reduce the amount of acid in the stomach) within 7 days before enrollment in the open label treatment phase (Day 0)
  • patients with a history of acute life-threatening event

Trial locations and contacts

25 sites in 4 countries.

25 sites in 4 countries

United States14 sites
  • Research Site

    Akron, Ohio

  • Research Site

    Atlanta, Georgia

  • Research Site

    Brooklyn, New York

  • Research Site

    Chattanooga, Tennessee

  • Research Site

    Dayton, Ohio

  • Research Site

    Las Vegas, Nevada

  • Research Site

    Louisville, Kentucky

  • Research Site

    Marrero, Louisiana

  • Research Site

    New York, New York

  • Research Site

    Newton, Massachusetts

  • Research Site

    Park Ridge, Illinois

  • Research Site

    Phoenix, Arizona

  • Research Site

    Roanoke, Virginia

  • Research Site

    Southfield, Michigan

Other trials in United States

Germany5 sites
  • Research Site

    Bochum

  • Research Site

    Greifswald

  • Research Site

    Nurberg

  • Research Site

    Potsdam

  • Research Site

    Wuppertal

Other trials in Germany

Poland4 sites
  • Research Site

    Bialystok

  • Research Site

    Krakow

  • Research Site

    Warsaw

  • Research Site

    Wroclaw

Other trials in Poland

France2 sites
  • Research Site

    Lille

  • Research Site

    Paris

Other trials in France

About this study

Official title: A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Treatment-withdrawal Study to Evaluate the Efficacy and Safety of Esomeprazole for the Treatment of Gastroesophageal Reflux (GERD) in Infants Aged 1 to 11 Months, Inclusive

The purpose of this study is to look at the improvement of a once a day dose of esomeprazole for reducing the signs and symptoms of infants with gastroesophageal reflux disease (GERD). This research study consists of a screening, open-label, and double-blind treatment withdrawal phase. The screening phase ensures the patient eligibility. No study medication is dispensed during the screening phase. During the open-label phase, patients are administered esomeprazole 2.5mg, 5.0mg or 10.0mg based on his/her weight. During the double-blind phase, the patients are administered either his/her open-label dose or placebo. Double-blind means neither the physician, parent, or patient will know if patient is taking esomeprazole or placebo. The patient will have an equal chance of receiving esomeprazole or placebo.

Being tested
Open Label Run In Esomeprazole, Double Blind Esomeprazole, Double Blind Placebo
Keywords
pediatrics, neonates
Medical subject headings
Gastroesophageal Reflux

What participants receive

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

  • Open Label Run In EsomeprazoleDrug

    Esomeprazole magnesium in capsules dosing weight-dependent (2.5 mg - 10 mg)

  • Double Blind EsomeprazoleDrug

    Esomeprazole magnesium in capsules dosing weight-dependent (2.5 mg - 10 mg)

  • Double Blind PlaceboDrug

    Double Blind Placebo

Study groups in NCT00468559
Study groupRoleWhat they receive
Open Label EsomeprazoleExperimentalThis is an open label, run-in phase. All patients received Esomeprazole.
Receives: Drug: Open Label Run In Esomeprazole
Double Blind EsomeprazoleExperimentalThis is the double blind withdrawal phase. Patients are randomized to active drug or placebo.
Receives: Drug: Double Blind Esomeprazole
Double Blind PlaceboPlacebo comparatorThis is the double blind withdrawal phase. Patients are randomized to active drug or placebo.
Receives: Drug: Double Blind Placebo

What is being measured

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

  1. Number of Participants Discontinuing Due to Symptom Worsening in the Randomized Treatment Withdrawal Phase (Treatment Withdrawal Phase Endpoint)

    Number of participants discontinuing during the 4-week of randomized double-blind withdrawal phase that met the pre-set definition of symptom worsening criteria.

    Measured: Treatment-withdrawal phase (up to 4 weeks following randomization, or until earlier discontinuation from the study)

Secondary outcomes (12)
  1. Number of Participants Discontinuing Due to Any Reason, Including Symptom Worsening, in the Randomized Treatment Withdrawal Phase (Treatment Withdrawal Phase Endpoint)

    Number of participants discontinuing due to any reason was identical to the number of participants discontinuing due to symptom worsening (the primary assessment) when no participants discontinued due to reason other than symptom worsening.

    Measured: Treatment withdrawal phase (up to 4 weeks following randomization, or until earlier discontinuation from the study)

  2. Treatment Successes at the End of the 4-week Double-blind Treatment Withdrawal Phase (Treatment Withdrawal Phase Endpoint).

    The number of participants reaching the end of the treatment withdrawal phase without discontinuing from the study (for any reason) or showing symptom worsening in the physician global assessment of Gastroesophageal Reflux Disease (GERD) symptoms. Based on the severity of symptoms reported by the parent/guardian in IVRS, the investigator provided the overall clinical impression of the patient's GERD-related symptoms over the last 7 days as:

    None Mild Moderate Severe

    Measured: Treatment withdrawal phase (up to 4 weeks following randomization, or until earlier discontinuation from the study)

  3. Physician's Global Assessment (PGA) of Gastroesophageal Reflux Disease (GERD) Symptoms (Treatment Withdrawal Phase Endpoint)

    Percentage of participants with Physician's Global Assessment (PGA) score at the final treatment withdrawal assessment in following categories: None (no symptoms), Mild, Moderate or Severe. The worst post-randomization Physician's Global Assessment (PGA) assessment during double blind phase is taken into account.

    Measured: Treatment withdrawal phase (up to 4 weeks following randomization, or until earlier discontinuation from the study)

  4. Severity of Vomiting/Regurgitation Symptoms as Reported by the Parent/Guardian (Treatment Withdrawal Phase Endpoint)

    Change from baseline in symptom severity (Severity is scored as 0-4 [none, mild moderate, severe]). For each participant, final severity score is the mean severity in the final 7-days, while baseline is the mean severity in the 7-day period up to and including randomization. Changes less than zero indicate improved severity versus baseline. Participants needed baseline measure and one additional post baseline measure to be included in analysis.

    Measured: Treatment withdrawal phase (up to 4 weeks following randomization, or until earlier discontinuation from the study) Change was calculated from baseline to last measure obtained

  5. Severity of Irritability Crying/Fussing Symptoms as Reported by the Parent/Guardian (Treatment Withdrawal Phase Endpoint)

    Change from baseline in symptom severity (Severity is scored as 0-4 [none, mild moderate, severe]). For each participant, final severity score is the mean severity in the final 7-days, while baseline is the mean severity in the 7-day period up to and including randomization. Changes less than zero indicate improved severity versus baseline. Participants needed baseline measure and one additional post baseline measure to be included in analysis.

    Measured: Treatment withdrawal phase (up to 4 weeks following randomization, or until earlier discontinuation from the study) Change was calculated from baseline to last measure obtained

  6. Severity of Supraesophageal/Respiratory Disturbances (Coughing/Wheezing,Labored Breathing) as Reported by Parent/Guardian (Treatment Withdrawal Phase Endpoint)

    Change from baseline in symptom severity (Severity is scored as 0-4 [none, mild moderate, severe]). For each participant, final severity score is the mean severity in the final 7-days, while baseline is the mean severity in the 7-day period up to and including randomization. Changes less than zero indicate improved severity versus baseline. Participants needed baseline measure and one additional post baseline measure to be included in analysis.

    Measured: Treatment withdrawal phase (up to 4 weeks following randomization, or until earlier discontinuation from the study) Change was calculated from baseline to last measure obtained

  7. Severity of Feeding Difficulties Reported by Parent/Guardian (Treatment Withdrawal Phase Endpoint)

    Change from baseline in symptom severity (Severity is scored as 0-4 [none, mild moderate, severe]). For each participant, final severity score is the mean severity in the final 7-days, while baseline is the mean severity in the 7-day period up to and including randomization. Changes less than zero indicate improved severity versus baseline. Participants needed baseline measure and one additional post baseline measure to be included in analysis.

    Measured: Treatment withdrawal phase (up to 4 weeks following randomization, or until earlier discontinuation from the study) Change was calculated from baseline to last measure obtained

  8. Improvement in Physician's Global Assessment (PGA) Following Open-label Esomeprazole (Open-label Phase Endpoint)

    Number of patients who had an improvement of at least one category in the PGA at the end of open-label treatment with esomeprazole compared to baseline. Improvement in PGA was a pre-requisite for randomization into the randomized treatment withdrawal phase. Only patients with PGA at baseline and end of open-label are analyzed here.

    Measured: Open-label treatment period (2 weeks)

  9. Severity of Vomiting/Regurgitation Symptoms as Reported by the Parent/Guardian (Open-label Phase)

    Symptom severity (Severity is scored as 0-4 [none, mild moderate, severe]). For each participant, The score is the mean severity in each 7-day period.

    Measured: Open Label phase (Screening plus two weeks)

  10. Severity of Irritability Crying/Fussing Symptoms as Reported by the Parent/Guardian (Open-label Phase Endpoint)

    Symptom severity (Severity is scored as 0-4 [none, mild moderate, severe]). For each participant, The score is the mean severity in each 7-day period.

    Measured: Open Label Phase (Screening plus two weeks)

  11. Severity of Supraesophageal/Respiratory Disturbances (Coughing/Wheezing,Labored Breathing) as Reported by Parent/Guardian (Open-label Phase Endpoint)

    Symptom severity (Severity is scored as 0-4 [none, mild moderate, severe]). For each participant, The score is the mean severity in each 7-day period.

    Measured: Open Label Phase (Screening plus two weeks)

  12. Severity of Feeding Difficulties as Reported by Parent/Guardian (Open-label Phase Endpoint)

    Symptom severity (Severity is scored as 0-4 [none, mild moderate, severe]). For each participant, The score is the mean severity in each 7-day period.

    Measured: Open Label Phase (Screening plus two weeks)

Timeline

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

  1. First posted2 May 2007 (estimated)
  2. Study startApr 2007
  3. Primary completionJun 2008
  4. Study completionJun 2008

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
98 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00468559
Sponsor's protocol ID
D9614C00096
Status last verified
Apr 2014
First submitted
30 Apr 2007
Last updated
2 Jun 2014

Publications

  • Winter H, Gunasekaran T, Tolia V, Gottrand F, Barker PN, Illueca M. Esomeprazole for the Treatment of GERD in Infants Ages 1-11 Months. J Pediatr Gastroenterol Nutr. 2015 Jul;60 Suppl 1:S9-15. doi: 10.1097/MPG.0b013e3182496b35.

    PubMed 26422097
  • Winter H, Gunasekaran T, Tolia V, Gottrand F, Barker PN, Illueca M. Esomeprazole for the Treatment of GERD in Infants Ages 1-11 Months. J Pediatr Gastroenterol Nutr. 2015 Jul;60 Suppl 1:S9-15. doi: 10.1097/MPG.0b013e3182496b35.

    PubMed 26121349
  • Winter H, Gunasekaran T, Tolia V, Gottrand F, Barker PN, Illueca M. Esomeprazole for the treatment of GERD in infants ages 1-11 months. J Pediatr Gastroenterol Nutr. 2012 Jul;55(1):14-20. doi: 10.1097/MPG.0b013e3182496b35.

    PubMed 22241513

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Open Label Run In Esomeprazole and Double Blind Esomeprazole in people with Gastroesophageal Reflux Disease (GERD), run by AstraZeneca at 25 sites in 4 countries.

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 2 inclusion and 2 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 2 Jun 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United States, Germany, Poland, France. 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 2 Jun 2014). 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?

Number of Participants Discontinuing Due to Symptom Worsening in the Randomized Treatment Withdrawal Phase (Treatment Withdrawal Phase Endpoint) (time frame: Treatment-withdrawal phase (up to 4 weeks following randomization, or until earlier discontinuation from the study)). 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 NCT00468559, 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 2 Jun 2014.

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