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Gastroesophageal RefluxPhase 4NCT01135368

Safety and Efficacy of Lansoprazole in Patients With Reflux Disease

A Phase 4 study testing Lansoprazole in people with Gastroesophageal Reflux, run by Takeda.

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 measure the safety, efficacy and quality of life of lansoprazole in patients with reflux disease over a five year period. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Gastroesophageal Reflux
What is being tested?
Lansoprazole
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
506 participants
Where
No sites listed yet
Study dates
Jun 2002to Sep 2008
Phase
Phase 4
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Had Gastro Esophageal Reflux disease with or without oesophagitis.
  • Had a history of heartburn at least for 5 days per week during the past 6 months or was receiving long-term treatment with a proton pump inhibitor and during two weeks (without proton pump inhibitor treatment) prior to enrolment.

Who cannot join

  • History of surgery of stomach or oesophagus.
  • Gastric ulcer (can be included after healing of gastric ulcer).
  • Duodenal ulcer (can be included after healing of duodenal ulcer).
  • Bleeding (melena, hematemesis).
  • Severe concomitant disease (cancer, cardiovascular, renal, hepatic diseases).
  • Barrett oesophagus with dysplasia.
Show all 10Show fewer
  • Complicated esophagitis (oesophageal strictures or ulcers).
  • Treatment with proton pump inhibitor or Histamine receptor 2 (H2)antagonists within the previous two weeks.
  • Pregnancy, wish to become pregnant, breast feeding.
  • Treatment with non steroidal anti-inflammatory drugs, treatment with acetylsalicylic acid (aspirin) > 100 mg/day.

About this study

Official title: Safety and Efficacy of Lansoprazole in Patients With Reflux Disease. An Open, Single Arm, Long-term Study

The purpose of this study is to measure the safety, efficacy and quality of life of lansoprazole in patients with reflux disease over a five year period.

Read the detailed description

Lansoprazole is currently approved in Germany for the treatment of erosive reflux esophagitis and active duodenal and gastric ulcer disease, and for long-term treatment including maintenance of healed reflux esophagitis and duodenal ulcer disease and treatment of pathological hypersecretory conditions such as Zollinger-Ellison syndrome.

This study was conducted to evaluate the safety, efficacy and quality of life of patients receiving up to five years of treatment with lansoprazole.

Being tested
Lansoprazole
Keywords
GERD, Gastroesophageal Reflux Disease, Drug Therapy
Medical subject headings
Gastroesophageal Reflux

What participants receive

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

  • LansoprazoleDrug

    Also called Prevacid, Helicid, Zoton, Inhibitol

    Lansoprazole capsules

Study groups in NCT01135368
Study groupRoleWhat they receive
LansoprazoleExperimentalLansoprazole 30 mg, capsules, orally, once daily for up to 8 weeks. Depending on response, dosage could then be decreased to 15 mg, once daily, or increased to 30 mg, twice daily for up to 4 years and 10 months.
Receives: Drug: Lansoprazole

What is being measured

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

  1. Change From Baseline in Reflux Disease Symptom - Heartburn

    Heartburn symptoms were assessed by the Investigator at Baseline and the Week 8 visit. The shift table below summarizes the individual transitions in symptom intensity (mild, moderate, severe or none) between Baseline (depicted in the columns) and Week 8 (depicted in the rows) for all patients.

    Measured: Baseline and Week 8

  2. Change From Baseline in Reflux Disease Symptoms - Acid Regurgitation

    Acid regurgitation symptoms were assessed by the Investigator at Baseline and the Week 8 visit. The shift table below summarizes the individual transitions in symptom intensity (mild, moderate, severe or none) between Baseline (depicted in the columns) and Week 8 (depicted in the rows) for all patients.

    Measured: Baseline and Week 8

  3. Change From Baseline in Reflux Disease Symptom - Difficulty Swallowing

    Difficulty swallowing symptoms were assessed by the Investigator at Baseline and the Week 8 visit. The shift table below summarizes the individual transitions in symptom intensity (mild, moderate, severe or none) between Baseline (depicted in the columns) and Week 8 (depicted in the rows) for all patients.

    Measured: Baseline and Week 8

  4. Change From Baseline in Reflux Disease Symptom - Pain in Upper Abdomen

    Pain in the upper abdomen symptoms were assessed by the Investigator at Baseline and the Week 8 visit. The shift table below summarizes the individual transitions in symptom intensity (mild, moderate, severe or none) between Baseline (depicted in the columns) and Week 8 (depicted in the rows) for all patients.

    Measured: Baseline and Week 8

  5. Change From Baseline in Reflux Disease Symptom - Nausea & Vomiting

    Nausea and vomiting symptoms were assessed by the Investigator at Baseline and the Week 8 visit. The shift table below summarizes the individual transitions in symptom intensity (mild, moderate, severe or none) between Baseline (depicted in the columns) and Week 8 (depicted in the rows) for all patients.

    Measured: Baseline and Week 8

  6. Change From Baseline in Reflux Disease Symptom - Cough & Sore Throat

    Cough and sore throat symptoms were assessed by the Investigator at Baseline and the Week 8 visit. The shift table below summarizes the individual transitions in symptom intensity (mild, moderate, severe or none) between Baseline (depicted in the columns) and Week 8 (depicted in the rows) for all patients.

    Measured: Baseline and Week 8

  7. Change From Baseline in Endoscopic Healing of Erosive Reflux Disease as Assessed by Endoscopy

    Los Angeles Classification is used to grade the extension of changes in the oesophagus induced by reflux disease (Grade 0: normal aspect of mucosa; Grade A: ≥1 mucosal breaks no longer than 5 mm; Grade B: ≥1 mucosal breaks >5 mm long; Grade C: mucosal breaks extending between tops of two or more mucosal folds but are <75% of the circumference; Grade D: mucosal breaks ≥75% of the circumference). Healed defined as anything less than Grade A criteria. The shift table below summarizes the individual transitions in Los Angeles classification between Baseline (table columns) and Week 8 (table rows).

    Measured: Baseline and Week 8

Secondary outcomes (29)
  1. Change From Baseline in Enterochromaffin-like Cell Hyperplasia

    Enterochromaffin-like (ECL) cells were evaluated and classified by histopathological examinations as Normal, Simple (diffuse) hyperplasia, or Linear, chain producing hyperplasia.

    The shift table below summarizes the individual transitions in ECL-cell classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows) for all patients.

    Measured: Baseline and Year 5

  2. Change From Baseline in Antrum Atrophy

    Atrophy was assessed by histopathological examination of cells biopsied from the antrum and classified according to the Sydney classification as mild, moderate, severe or none. The shift table below summarizes the individual transitions in atrophy classification (mild, moderate, severe or none) between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  3. Change From Baseline in Corpus Atrophy

    Atrophy was assessed by histopathological examination of cells biopsied from the corpus and classified according to the Sydney classification as mild, moderate, severe or none. The shift table below summarizes the individual transitions in atrophy classification (mild, moderate, severe or none) between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  4. Change From Baseline in Average Antrum Chronic Inflammation Score

    Chronic inflammation of the antrum was assessed by histopathology and graded according to the Sydney classification: 0 = None; 1 = mild; 2 = moderate; 3 = Severe

    Measured: Baseline and Year 5

  5. Change From Baseline in Corpus Chronic Inflammation Score

    Chronic inflammation of the corpus was assessed by histopathology and graded according to the Sydney classification: 0 = None; 1 = mild; 2 = moderate; 3 = Severe.

    Measured: Baseline and Year 5

  6. Change From Baseline in Antrum Intestinal Metaplasia

    Intestinal metaplasia was assessed by biopsy and histopathological examination of the antrum and classified according to the Sydney classification as mild, moderate, severe or none. The shift table below summarizes the individual transitions in intestinal metaplasia classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  7. Change From Baseline in Corpus Intestinal Metaplasia

    Intestinal metaplasia was assessed by biopsy and histopathological examination of the corpus and classified according to the Sydney classification as mild, moderate, severe or none. The shift table below summarizes the individual transitions in intestinal metaplasia classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  8. Change From Baseline in Blood Analysis - Testosterone

    The change between testosterone measured at year 5 in males including final visit and Testosterone measured at baseline.

    Measured: Baseline and Year 5

  9. Change From Baseline in Blood Analysis - Luteinizing Hormone

    The change between luteinizing hormone measured at year 5 in males including final visit and luteinizing hormone measured at baseline.

    Measured: Baseline and Year 5

  10. Change From Baseline in Blood Analysis - Follicle Stimulating Hormone

    The change between follicle stimulating hormone (FSH) measured at year 5 in males including final visit and follicle stimulating hormone measured at baseline.

    Measured: Baseline and Year 5.

  11. Ophthalmologic Examination - Visual Acuity

    Visual Acuity was measured using the Snellen eye chart at a distance of 6 meters. Acuity is expressed as a ratio of the test distance (6 M) / the distance the average eye can see the letters on a certain line of the eye chart. Visual acuity of 1 is normal; an individual with acuity of 0.5 could only recognize an object at half the distance compared to an individual with normal acuity.

    Measured: Baseline and Year 5

  12. Change From Baseline in Ophthalmologic Examination - Adaptation Without Glare

    Adaptation is the ability of the eye to adjust to various levels of darkness and light. Normal and pathological status of adaptation without glare was defined as follows:

    • Normal status: Contrast between 1:0.05 and 1:23.5.
    • Pathological status: Contrast = 0 or contrast > 1:23.5.

    The shift table below summarizes the individual transitions in the classification of adaptation without glare between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  13. Change From Baseline in Ophthalmologic Examination - Adaptation With Glare

    Adaptation is the ability of the eye to adjust to various levels of darkness and light. Normal and pathological status of adaptation with glare was defined as follows:

    • Normal status: Contrast between 1:0.05 and 1:23.5.
    • Pathological status: Contrast = 0 or contrast > 1:23.5.

    The shift table below summarizes the individual transitions in the classification of adaptation with glare between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  14. Change From Baseline in Ophthalmologic Examination - Accommodation

    Accommodation is the adjustment of the focal length of the eye lens to keep an object in focus on the retina as its distance from the eye varies, and is measured in diopters: Diopters = 1/(focal length).

    Measured: Baseline and Year 5

  15. Change From Baseline in Ophthalmologic Examination - Color Vision

    Color vision was assessed by an Ophthalmologist and classified as normal or pathological. Pathological findings include abnormal color vision tests, color blindness and anomalous quotient. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in color vision classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  16. Change From Baseline in Ophthalmologic Examination - Cornea Assessment of Right Eye

    The cornea of the right eye was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5. Pathological classification includes abnormal findings such as cataracts, corneal degeneration, opacity, scars or deposits. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in corneal classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  17. Change From Baseline in Ophthalmologic Examination - Cornea Assessment of Left Eye

    The cornea of the left eye was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5. Pathological classification includes abnormal findings such as cataracts, corneal degeneration, opacity, scars or deposits. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in corneal classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  18. Change From Baseline in Ophthalmologic Examination - Lens Assessment of Right Eye

    The lens of the right eye was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5.

    Pathological classification includes abnormal findings such as cataracts, lenticular opacities, vacuoles or pseudophakia. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in lens classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  19. Change From Baseline in Ophthalmologic Examination - Lens Assessment of Left Eye

    The lens of the left eye was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5.

    Pathological classification includes abnormal findings such as cataracts, lenticular opacities, vacuoles or pseudophakia. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in lens classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  20. Change From Baseline in Ophthalmologic Examination - Vitreous Body Assessment of Right Eye

    The vitreous body of the right eye was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5.

    Pathological classification includes abnormal findings such as myodesopsia, vitreous opacities, degeneration, detachment or prolapse. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in vitreous body classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  21. Change From Baseline in Ophthalmologic Examination - Vitreous Body Assessment of Left Eye

    The vitreous body of the left eye was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5.

    Pathological classification includes abnormal findings such as myodesopsia, vitreous opacities, degeneration, detachment or prolapse. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in vitreous body classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  22. Change From Baseline in Ophthalmologic Examination - Assessment of Retinal Aspect of the Right Eye

    The retinal aspect of the right eye (such as color anomalies) was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5. Pathological classification includes abnormal findings such as deep red ocular fundus, fundus myopicus, retinal disorders, exudates or pigmentation. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in retinal aspect classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  23. Change From Baseline in Ophthalmologic Examination - Assessment of Retinal Aspect of the Left Eye

    The retinal aspect of the left eye (such as color anomalies) was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5. Pathological classification includes abnormal findings such as deep red ocular fundus, fundus myopicus, retinal disorders, exudates or pigmentation. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in retinal aspect classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  24. Change From Baseline in Ophthalmologic Examination - Assessment of Optic Nerve and Papilla of the Right Eye

    The optic nerve and papilla of the right eye was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5. Pathological classification includes abnormal findings such as optic nerve cupping, optic nerve cup/disc ratio, or glaucomatous optic disc atrophy. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in optic nerve/papilla classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  25. Change From Baseline in Ophthalmologic Examination - Assessment of Optic Nerve and Papilla of the Left Eye

    The optic nerve and papilla of the left eye was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5. Pathological classification includes abnormal findings such as optic nerve cupping, optic nerve cup/disc ratio, or glaucomatous optic disc atrophy. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in optic nerve/papilla classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  26. Change From Baseline in Ophthalmologic Examination - Assessment of Retinal Blood Vessels of the Right Eye

    The retinal blood vessels of the right eye were assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5. Pathological classification includes abnormal findings such as retinal vascular disorder, retinopathy, and retinal hemorrhage. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in retinal blood vessel classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  27. Change From Baseline in Ophthalmologic Examination - Assessment of Retinal Blood Vessels of the Left Eye

    The retinal blood vessels of the left eye were assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5. Pathological classification includes abnormal findings such as retinal vascular disorder, retinopathy, and retinal hemorrhage. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in retinal blood vessel classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  28. Change From Baseline in Ophthalmologic Examination - Assessment of Macula Lutea of the Right Eye

    The macula lutea of the right eye was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5. Pathological classification includes abnormal findings such as maculopathy, retinal pigmentation, macular degeneration, diabetic retinopathy, retinal hemorrhage or aneurysm. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in macula lutea classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

  29. Change From Baseline in Ophthalmologic Examination - Assessment of Macula Lutea of the Left Eye

    The macula lutea of the left eye was assessed by an Ophthalmologist and judged to be normal or pathological at Baseline and at Year 5. Pathological classification includes abnormal findings such as maculopathy, retinal pigmentation, macular degeneration, diabetic retinopathy, retinal hemorrhage or aneurysm. Normal indicates no pathological findings were observed. The shift table below summarizes the individual transitions in macula lutea classification between Baseline (depicted in the columns) and Year 5 (depicted in the rows).

    Measured: Baseline and Year 5

Timeline

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

  1. First posted2 Jun 2010 (estimated)
  2. Study startJun 2002
  3. Primary completionSep 2008
  4. Study completionSep 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 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
506 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01135368
Sponsor's protocol ID
AGO K019
Other IDs
U1111-1115-1139
Status last verified
Jul 2012
First submitted
1 Jun 2010
Last updated
3 Sep 2012
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Lansoprazole in people with Gastroesophageal Reflux, run by Takeda.

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 10 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 Sep 2012. Status can change between updates, so confirm with the study contact before making plans.

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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 3 Sep 2012). 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?

Change From Baseline in Reflux Disease Symptom - Heartburn (time frame: Baseline and Week 8). The study lists 7 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 3 Sep 2012.

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