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Pediatric Gastroesophageal Reflux DiseasePhase 1NCT02442752

Phase 1 Dexlansoprazole Delayed-Release Capsules for Acid-Related Disorders in Infants Aged 1 to 11 Months

A Phase 1 study testing Dexlansoprazole in people with Pediatric Gastroesophageal Reflux Disease, run by Takeda at 22 sites in 5 countries.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The purpose of this study is to assess the pharmacokinetics (PK) and pharmacodynamics (PD) [after daily administration for 7 days] and safety [after daily administration for 8 weeks] of dexlansoprazole in pediatric participants aged 1 to 11 months, inclusive, with acid-related diseases. Read more about this study

Who is it for?
Ages 1 month to 11 months
What is being tested?
Dexlansoprazole
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
22 sitesin 5 countries
Study dates
15 Jun 2025to 23 Dec 2025
Phase
Phase 1
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 1 month to 11 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Prior to any study-specific procedures being performed and after having the study fully explained and all questions answered, the informed consent form (ICF) must be signed and dated by parent(s) or legal guardian(s). The Screening Period starts at the time of consent.
  • Is a male or female infant 1 to 11 months old, inclusive, on Day 1. Infants who were born prematurely must be ≥ 45 weeks old based on corrected gestational age.
  • At the Initial Screening and Day -1 visits, participant must have body weight percentile-for-age within the 5th through 95th percentile by age, inclusive, as determined by the World Health Organization (WHO) growth chart.
  • Must be ≥ 3.4 kg at the Screening and Day -1 visits.
  • Participants who take a prescription or nonprescription proton pump inhibitor (PPI), histamine-2 receptor antagonists(H2RA), sucralfate, or antacids on a regular or as required basis must agree to discontinue use at Day -1 (except cimetidine, which must be discontinued 28 days prior to Day -1) or other acid suppression therapy, and agree to discontinue use throughout the study.
  • Must have endoscopically proven erosive esophagitis (EE), a history of EE, and/or 1 or more of the following underlying conditions that predispose the participant to chronic gastroesophageal reflux disease (GERD) and EE: moderate to severe neurologic impairment, repaired esophageal atresia, hiatal hernia, cystic fibrosis, bronchopulmonary dysplasia, or end-stage renal disease.
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  • Except for participants with EE, a history of EE, or repaired esophageal atresia, participants have:
  • Received prior PPI therapy or other acid suppression therapy for a minimum of 2 weeks during any time in the past with symptomatic response and have demonstrated a recurrence of symptoms following at least 1 attempted withdrawal of PPI therapy or other acid suppression therapy AND
  • Have undergone esophageal pH monitoring in the recent past to document that their symptoms are due to acid-mediated disease.
  • Must be able to ingest study medication granules sprinkled on 1 tablespoon of applesauce or pureed apples, or as a mixture of granules in water administered via an oral syringe.
  • Must be at least 7 days post-surgery by dosing on Day 1 and have no anticipated need for surgery during the study.
  • Screening laboratory samples must be collected Day -7 to Day -2) and the results must be within the range expected for this infant population (except gastrin results as those results will be available after Day 1). The laboratory results should indicate no clinically significant (CS) abnormality in chemistry (including electrolytes, blood urea nitrogen [BUN]), creatinine, glucose, alanine aminotransferase (ALT), aspartate aminotransferase (AST), and total bilirubin), hematology (complete blood cell count, including differential), and urinalysis parameters (if standard of care).

Who cannot join

  • Has evidence of cardiovascular, pulmonary, central nervous system, hepatic, hematopoietic, renal, metabolic, endocrine or gastrointestinal disease, or serious allergy, asthma, or allergic skin rash that suggests clinically significant, uncontrolled underlying disease or condition (other than the disease being studied and/or identified as the main criterion for inclusion), that may impact the ability of the participant to participate or potentially may confound the study results.
  • Has known history of or current presence of peptic ulcers or gastrointestinal bleeding (hematemesis, hematochezia).
  • Has poor venous access or any contraindication to blood sampling.
  • Has known history of eosinophilic gastroenteropathy, or a coexisting disease affecting the esophagus, including esophageal varices, viral or fungal infection, or esophageal stricture, history of radiation therapy or cryotherapy to the esophagus, and caustic or physiochemical trauma such as sclerotherapy to the esophagus.
  • Has active malabsorption syndrome, cow's milk intolerance, milk protein allergy, or celiac disease.
  • Has any finding in his/her medical history, physical examination, or safety clinical laboratory tests giving reasonable suspicion of a disease that might interfere with the conduct of the study or that would contraindicate taking dexlansoprazole delayed-release capsules or a similar drug in the same class (ie, a PPI).
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  • Has a known hypersensitivity to any PPI or any component of the formulation of dexlansoprazole delayed-release capsules.
  • Is required to take excluded medications or it is anticipated that the participant will require treatment with at least 1 of the disallowed concomitant medications during the study evaluation period.
  • Has a history of malignant disease.
  • Has a known history of infection with the human immunodeficiency virus.
  • Has lost > 10% of the total blood volume, undergone plasmapheresis, or has had a transfusion of any blood product within 90 days prior to the first dose of study medication.
  • Has consumed Excluded Medications and Dietary Products during the time periods listed, or parent(s) or legal guardian(s) is unwilling to agree to participant abstaining from products while participating in the study.
  • Has participated in a study of an investigational agent (including dosing or follow-up) within 30 days prior to Screening.
  • Has a Screening Visit laboratory value that the principal investigator and sponsor consider to be clinically significant.
  • Has creatinine > 1.5 mg/dL, ALT and/or AST > 2 times the upper limit of normal (ULN), or total bilirubin > 2.0 mg/dL with AST/ALT elevated above the limits of normal values.
  • The participant or parent/legal guardian is an immediate family member, study site employee, or is in a dependent relationship with a study site employee who is involved in the conduct of this study or may consent under duress.
  • Parent/legal guardian, in the opinion of the investigator, is unlikely to comply with the protocol or is unsuitable for any other reason.
  • Has any congenital anomaly of the upper gastric intestinal tract that might interfere with gastrointestinal motility, pH, or absorption, or has an active or known history of necrotizing enterocolitis that has been surgically corrected.
  • Has clinical evidence of acute sepsis. Infants on chronic antibiotics who are otherwise clinically stable may be enrolled in the study at the discretion of the investigator.
  • Has received a vaccine within 48 hours prior to dosing on Day 1.
  • Has used intravenous or oral antifungal agents within the 7 days prior to Day -1.
  • Has used mucosal protective agent (eg, sucralfate) within 6 hours prior to dosing on Day 1.

Trial locations and contacts

22 sites in 5 countries.

22 sites in 5 countries

United States6 sites
  • Johns Hopkins University School Of Medicine

    Baltimore, Maryland, 21218

  • Michigan Pediatric GI Center

    Flint, Michigan, 48532

  • Cook Children's Medical Center

    Fort Worth, Texas, 76104

  • Children's Hospital Los Angeles

    Los Angeles, California, 90027

  • University of Louisville

    Louisville, Kentucky, 40202

  • Promedica Toledo Children's Hospital

    Toledo, Ohio, 43606

Other trials in United States

Poland5 sites
  • Szpital Uniwersytecki nr 2 im.dr J. Biziela

    Bydgoszcz, 85-168

  • Uniwersytecki Szpital Dzieciecy w Krakowie

    Krakow, 30-663

  • Uniwersytecki Szpital Dzieciecy w Lublinie

    Lublin, 20-093

  • Szpital Wojewodzki nr 2 w Rzeszowie

    Rzeszów, 35-301

  • Instytut "Pomnik - Centrum Zdrowia Dziecka"

    Warsaw, 04-730

Other trials in Poland

Israel4 sites
  • Hadassah University Hospital - Ein Kerem

    Jerusalem, 9112001

  • Schneider Children's Medical Center

    Petah Tikva, 4920235

  • Sheba Medical Center

    Ramat Gan, 5262000

  • Assaf Harofeh M.C

    Rishon LeZiyyon, 75309

Other trials in Israel

Italy4 sites
  • Azienda Ospedaliera Universitaria "Federico II"

    Naples, 80131

  • Umberto I Pol. di Roma-Universita di Roma La Sapienza

    Roma, 00161

  • Ospedale Pediatrico Bambino Gesu

    Roma, 00165

  • Policlinico Universitario Agostino Gemelli

    Roma, 00168

Other trials in Italy

Mexico3 sites
  • Centro de Investigacion Clinica Acelerada, S.C.

    Mexico City, Mexico City, 07020

  • Accelerium S. de R.L. de C.V.

    Monterrey, Nuevo León, 64000

  • Centro de Investigacion Clinica Chapultepec S.A. de C.V.

    Morelia, Michoacán, 58260

Other trials in Mexico

About this study

Official title: A Phase 1, Randomized, Open-Label, Parallel-Design, Multicenter Study to Evaluate the Pharmacokinetics, Safety, and Pharmacodynamics of Dexlansoprazole Delayed-Release Capsules in Infants Aged 1 to 11 Months With Acid-Related Diseases

The purpose of this study is to assess the pharmacokinetics (PK) and pharmacodynamics (PD) [after daily administration for 7 days] and safety [after daily administration for 8 weeks] of dexlansoprazole in pediatric participants aged 1 to 11 months, inclusive, with acid-related diseases.

Read the detailed description

The drug being tested in this study is called dexlansoprazole. Dexlansoprazole is being tested to find a safe and well-tolerated dose and to assess how dexlansoprazole is processed by the body in infants aged 1 to 11 months. This study will look at side effects and lab results in infants who take dexlansoprazole.

The study will enroll approximately 24 participants. Participants will be randomly assigned to 1 of the 4 treatment groups based on body weight and age:

  • Dexlansoprazole 10 mg
  • Dexlansoprazole 15 mg
  • Dexlansoprazole 20 mg
  • Dexlansoprazole 30 mg

Participants who weigh <3.4 kg will not be enrolled. Participants ≤ 10 weeks of age with a body weight of ≥ 3.4 kg will initially receive Regimen A (dexlansoprazole delayed-release 10 mg capsules). Randomization for participants > 10 weeks of age will be stratified by weight group. Participants whose baseline weight is ≥ 3.4 kg but < 4.1 kg will be assigned to receive Regimen A or Regimen B (dexlansoprazole delayed-release 10 or 15 mg capsules as an initial dose) in a ratio of 1:1. Participants whose weight is ≥ 4.1 kg but < 6.2 kg will be assigned to receive Regimens B or C (dexlansoprazole delayed-release 15 or 20 mg capsules as an initial dose) in a ratio of 1:1. Participants whose weight is ≥ 6.2 kg will be assigned to receive Regimen B, C, or D (dexlansoprazole delayed-release 15, 20, or 30 mg capsules as an initial dose) in a ratio of 1:1:2.

All participants will be administered 1 capsule of dexlansoprazole in the morning at the same time each day throughout the study. The study medication may be administered to the participants by opening a capsule and sprinkling the granules on 1 tablespoon of applesauce or pureed apples, or mixing the capsule granules with about 20 mL of water. The food-granule mixture should be administered immediately. The water mixed with the granules will be administered via an oral syringe into the mouth immediately. The granules should not be chewed in mouth. The food or liquid used for administering the study medication should be recorded for Days 1 through Confinement Day 1. The parents of all participants will be asked to record dosing information, the food or liquid used for administering the study medication (Day 1 through Confinement Day 1), food intake, and episodes of vomiting in a diary from Day 2 until the day before Confinement Day 1 (Day 5 to 9).

This multicenter trial will be conducted worldwide. The overall time to participate in this study is up to 114 days. Participants will make multiple visits to the clinic, including two 2-day visits that may require confinement to the clinic, and will be contacted by telephone 30 days after last dose of study drug for a follow-up assessment.

Being tested
Dexlansoprazole
Keywords
Drug therapy

What participants receive

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

  • DexlansoprazoleDrug

    Also called TAK-390MR

    Dexlansoprazole capsules

Study groups in NCT02442752
Study groupRoleWhat they receive
Regimen A: Dexlansoprazole 10 mgExperimentalDexlansoprazole 10 mg, delayed-release capsules, orally, once daily for 8 weeks.
Receives: Drug: Dexlansoprazole
Regimen B: Dexlansoprazole 15 mgExperimentalDexlansoprazole 15 mg, delayed-release capsules, orally, once daily for 8 weeks.
Receives: Drug: Dexlansoprazole
Regimen C: Dexlansoprazole 20 mgExperimentalDexlansoprazole 20 mg, delayed-release capsules, orally, once daily for 8 weeks.
Receives: Drug: Dexlansoprazole
Regimen D: Dexlansoprazole 30 mgExperimentalDexlansoprazole 30 mg, delayed-release capsules, orally, once daily for 8 weeks.
Receives: Drug: Dexlansoprazole

What is being measured

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

  1. Maximum Observed Plasma Concentration (Cmax) of Dexlansoprazole

    Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.

    Measured: Confinement Day 1 (Between Day 5 and Day 9) Pre-dose, and at multiple timepoints (up to 12 hours) post-dose

  2. Area Under the Plasma Concentration-Time Curve from Time 0 to the Time of the Last Quantifiable Concentration (AUCt) of Dexlansoprazole

    Area under the plasma concentration versus time curve from time zero to the time of the last quantifiable concentration.

    Measured: Confinement Day 1 (Between Day 5 and Day 9) Pre-dose, and at multiple timepoints (up to 12 hours) post-dose

  3. Area Under the Plasma Concentration-Time Curve From Time 0 to Time tau [AUCtau)] for Dexlansoprazole

    Area under the plasma concentration-time curve from time 0 to time tau, where tau is the length of the dosing interval.

    Measured: Confinement Day 1 (Between Day 5 and Day 9) Pre-dose, and at multiple timepoints (up to 12 hours) post-dose

  4. Dose Normalized Maximum Observed Plasma Concentration (Cmax/dose) of Dexlansoprazole

    Dose normalized maximum observed plasma concentration (Cmax/dose) is the peak plasma concentration of a drug after administration obtained directly from the plasma concentration-time curve, divided by the administered dose in milligrams.

    Measured: Confinement Day 1 (Between Day 5 and Day 9) Pre-dose, and at multiple timepoints (up to 12 hours) post-dose

  5. Dose Normalized Area Under the Plasma Concentration-Time Curve from Time 0 to the Time of the Last Quantifiable Concentration (AUCt/dose) of Dexlansoprazole

    Area under the plasma concentration versus time curve from time zero to the time of the last quantifiable concentration divided by the administered dose in milligrams.

    Measured: Confinement Day 1 (Between Day 5 and Day 9) Pre-dose, and at multiple timepoints (up to 12 hours) post-dose

  6. Dose Normalized Area Under the Plasma Concentration-Time Curve from Time 0 to the Time of the Last Quantifiable Concentration (AUCt/dose) of Dexlansoprazole

    Area under the plasma concentration-time curve during a dosing interval, where tau is the length of the dosing interval, divided by the administered dose in milligrams.

    Measured: Confinement Day 1 (Between Day 5 and Day 9) Pre-dose, and at multiple timepoints (up to 12 hours) post-dose

  7. Change from Baseline in Percent of Time with Intragastric pH>4

    Intragastric pH will be measured approximately every 2 to 4 seconds, based on the pH recorder used for the measurement, for a 24-hour period. Fifteen minute medians are calculated and the percent of time pH is greater than 4 is calculated for the 24 hour period.

    Measured: Baseline and Confinement Day 1(Between Day 5 and Day 9) [up to 24 hours post-dose]

  8. Change from Baseline in Mean 24-Hour Intragastric pH

    Intragastric pH will be measured approximately every 2 to 4 seconds, based on the pH recorder used for the measurement, for a 24-hour period. Fifteen minute medians are calculated and the mean pH is calculated for the 24 hour period.

    Measured: Baseline and Confinement Day 1(Between Day 5 and Day 9) [up to 24 hours post-dose]

Timeline

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

  1. First posted13 May 2015 (estimated)
  2. Study start15 Jun 2025 (estimated)
  3. Primary completion23 Dec 2025 (estimated)
  4. Study completion23 Dec 2025 (estimated)

Why it stopped: Withdrawn: Business decision (no enrollment)

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02442752
Sponsor's protocol ID
TAK-390MR_108
Other IDs
2014-001642-16, U1111-1162-4853, 153300410A0065, 2014
Status last verified
Apr 2020
First submitted
9 May 2015
Last updated
15 Apr 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Dexlansoprazole in people with Pediatric Gastroesophageal Reflux Disease, run by Takeda at 22 sites in 5 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 12 inclusion and 22 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: withdrawn, as of the sponsor's last update on 15 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in United States, Poland, Israel, Italy, Mexico. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

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?

Maximum Observed Plasma Concentration (Cmax) of Dexlansoprazole (time frame: Confinement Day 1 (Between Day 5 and Day 9) Pre-dose, and at multiple timepoints (up to 12 hours) post-dose). The study lists 8 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 15 Apr 2020.

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