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Effect of Vecam 40/300 and Vecam 20/300 Compared to Omeprazole 20 mg on Gastric pH

Primary Purpose

Gastroesophageal Reflux

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Omeprazole
Vecam
Vecam
Sponsored by
Vecta Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gastroesophageal Reflux focused on measuring Gastroesophageal Reflux, GERD, Nocturnal GERD, Heartburn, Nighttime Heartburn, Nocturnal Heartburn

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy, H. pylori negative status (by Urea Breath Test)
  • Male or female subjects
  • Age 18-55 years
  • Able to tolerate the placement of a nasogastric pH probe at screening
  • Baseline Gastric pH≤2
  • Use of acceptable form of birth control in females with child-bearing potential
  • Had not used any form of tobacco (e.g. smoking or chewing) for the last year
  • Can swallow a size "00" capsule without difficulty
  • Willing to comply with study protocol
  • Signed Informed Consent form

Exclusion Criteria:

  • BMI > 40
  • Slow or poor Omeprazole metabolizers (heterozygous or homozygous, respectively) based on CYP2C19 genotyping test.
  • Any significant history of / or concurrent gastrointestinal diseases or conditions such as:

    • GERD
    • Acute gastrointestinal bleeding
    • Zollinger Ellison Syndrome or Gastric hypersecretory condition
    • Known Barrett's esophagus
    • Esophageal stricture
    • Peptic ulcer disease (gastric or duodenal) or family history of peptic ulcer disease
    • Gastric outlet obstruction
    • Gastroparesis
  • Significant medical history or concurrent illness as determined by the principal investigator
  • Any medical disorder that alters the normal gastric acid secretion profile as determined by the principal investigator
  • History of diabetes mellitus
  • Significant laboratory abnormalities as determined by the principal investigator
  • Known metabolic alkalosis, hypocalcemia, sodium restricted diet, hypokalemia, respiratory alkalosis
  • Pregnant or lactating women
  • Had been treated with any investigational drug or therapy or participated in a clinical trial within 30 days prior to entering the trial
  • Use of any medication other than contraception or hormone replacement therapy; OTC drugs other than vitamins or occasional acetaminophen within 30 days prior to entering the trial or during the trial
  • Use of NSAID medications within 30 days prior to entering the trial (e.g. Ibuprofen, Aspirin, Naproxen etc)
  • Positive urine test for alcohol or other drugs
  • Concurrent use of gastric anti-secretory drugs such as defined below:

    • Use of a PPI 30 days prior to each stage or during the trial
    • Use of H2RA 14 days prior to each stage or during the trial
    • Concurrent use of antacids (including over-the-counter) 24 hours prior to each stage or during the trial
  • Use of any medication that modifies gastric acid secretion 30 days prior to or during the trial.
  • Had ingested grapefruit within 14 days of dose administration in any trial period
  • Significant drug allergy or known hypersensitivity to any of the ingredients in the trial drugs Omeprazole, Succinic Acid or to Lidocaine
  • Consumption of coffee within 48 hours of dose administration in any trial period.
  • Had donated blood within 30 days of entering the trial
  • Known positive serology for HBV, HCV or HIV
  • Any reason which makes the subject a poor candidate based on the physician's discretion

Sites / Locations

  • Clinical Applications Laboratories Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Experimental

Experimental

Arm Label

Omeprazole 20 mg

Vecam 20/300

Vecam 40/300

Arm Description

Outcomes

Primary Outcome Measures

To assess whether Vecam 40/300 administered at bedtime w/o food is pharmacodynamically superior to Omeprazole 20 mg administered before breakfast, calculated as percent time gastric pH ≥4 for the 24-hour interval after the fifth dose.

Secondary Outcome Measures

To assess whether Vecam 40/300 administered at bedtime w/o food is pharmacodynamically superior to Vecam 20/300 administered at bedtime w/o food calculated as percent time gastric pH ≥4 for the 24-hour interval after the fifth dose.
To assess whether Vecam 20/300 administered at bedtime w/o food is pharmacodynamically superior to Omeprazole 20 mg administered before breakfast, calculated as percent time gastric pH ≥4 for the 24-hour interval after the fifth dose.
To assess whether Vecam 40/300 administered at bedtime w/o food is pharmacodynamically superior to Vecam 20/300 administered at bedtime w/o food calculated as percent time gastric pH ≥4 during nocturnal hours after the fifth dose.
To assess whether Vecam 40/300 administered at bedtime w/o food is pharmacodynamically superior to Omeprazole 20 mg administered before breakfast calculated as percent time gastric pH ≥4 during nocturnal hours after the fifth dose
To assess whether Vecam 20/300 administered at bedtime w/o food is pharmacodynamically superior to Omeprazole 20 mg administered before breakfast calculated as percent time gastric pH ≥4 during nocturnal hours after the fifth dose.
To asses Vecam 40/300 administered at bedtime w/o food vs. Omeprazole 20 mg administered before breakfast calculated as percent time pH ≥4 during 24-hour interval and nocturnal hours at early dosing days.
To assess the safety of Vecam 40/300 and Vecam 20/300 administered at bedtime vs. Omeprazole 20 mg administered before breakfast during treatment period.

Full Information

First Posted
January 6, 2009
Last Updated
January 26, 2010
Sponsor
Vecta Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT00818870
Brief Title
Effect of Vecam 40/300 and Vecam 20/300 Compared to Omeprazole 20 mg on Gastric pH
Official Title
A Randomized, Open-Label, Cross-Over, Dose-Ranging Study to Assess the Effect of Vecam 40/300 and Vecam 20/300 Administered at Bedtime Compared to Omeprazole 20 mg Administered Before Breakfast on Gastric pH
Study Type
Interventional

2. Study Status

Record Verification Date
January 2010
Overall Recruitment Status
Completed
Study Start Date
December 2008 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
June 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Vecta Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study is designed to assess and compare the effect of Vecam 40/300, Vecam 20/300 and Omeprazole 20 mg (a standard FDA approved GERD treatment) on the control of gastric pH.
Detailed Description
Eligible H. pylori negative, normal gastric acid secreting, healthy volunteers will be treated by the study medications in a randomized, open-label, cross-over study.Up to 60 volunteers may be enrolled to ensure that at least 30 subjects will complete all the study treatments. Omeprazole 20 mg will be administered before breakfast. Vecam 40/300 and Vecam 20/300 will be administered at bedtime w/o food. 24-hour gastric pH will be measured after the fifth dose (day 5).Following screening procedures, subjects will be randomly assigned to receive the different treatments. All pH measurements will be done in the study center under supervised conditions. All drug administrations will be supervised. This study is part of the Vecam clinical development plan.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastroesophageal Reflux
Keywords
Gastroesophageal Reflux, GERD, Nocturnal GERD, Heartburn, Nighttime Heartburn, Nocturnal Heartburn

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Omeprazole 20 mg
Arm Type
Active Comparator
Arm Title
Vecam 20/300
Arm Type
Experimental
Arm Title
Vecam 40/300
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Omeprazole
Intervention Description
20 mg capsule, orally, once daily (before breakfast) for 5 days.
Intervention Type
Drug
Intervention Name(s)
Vecam
Intervention Description
1 capsule, orally, once daily at bedtime for 5 days.
Intervention Type
Drug
Intervention Name(s)
Vecam
Intervention Description
1 capsule, orally, once daily at bedtime for 5 days.
Primary Outcome Measure Information:
Title
To assess whether Vecam 40/300 administered at bedtime w/o food is pharmacodynamically superior to Omeprazole 20 mg administered before breakfast, calculated as percent time gastric pH ≥4 for the 24-hour interval after the fifth dose.
Time Frame
5 days
Secondary Outcome Measure Information:
Title
To assess whether Vecam 40/300 administered at bedtime w/o food is pharmacodynamically superior to Vecam 20/300 administered at bedtime w/o food calculated as percent time gastric pH ≥4 for the 24-hour interval after the fifth dose.
Time Frame
5 days
Title
To assess whether Vecam 20/300 administered at bedtime w/o food is pharmacodynamically superior to Omeprazole 20 mg administered before breakfast, calculated as percent time gastric pH ≥4 for the 24-hour interval after the fifth dose.
Time Frame
5 days
Title
To assess whether Vecam 40/300 administered at bedtime w/o food is pharmacodynamically superior to Vecam 20/300 administered at bedtime w/o food calculated as percent time gastric pH ≥4 during nocturnal hours after the fifth dose.
Time Frame
5 days
Title
To assess whether Vecam 40/300 administered at bedtime w/o food is pharmacodynamically superior to Omeprazole 20 mg administered before breakfast calculated as percent time gastric pH ≥4 during nocturnal hours after the fifth dose
Time Frame
5 days
Title
To assess whether Vecam 20/300 administered at bedtime w/o food is pharmacodynamically superior to Omeprazole 20 mg administered before breakfast calculated as percent time gastric pH ≥4 during nocturnal hours after the fifth dose.
Time Frame
5 days
Title
To asses Vecam 40/300 administered at bedtime w/o food vs. Omeprazole 20 mg administered before breakfast calculated as percent time pH ≥4 during 24-hour interval and nocturnal hours at early dosing days.
Time Frame
5 days
Title
To assess the safety of Vecam 40/300 and Vecam 20/300 administered at bedtime vs. Omeprazole 20 mg administered before breakfast during treatment period.
Time Frame
5 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy, H. pylori negative status (by Urea Breath Test) Male or female subjects Age 18-55 years Able to tolerate the placement of a nasogastric pH probe at screening Baseline Gastric pH≤2 Use of acceptable form of birth control in females with child-bearing potential Had not used any form of tobacco (e.g. smoking or chewing) for the last year Can swallow a size "00" capsule without difficulty Willing to comply with study protocol Signed Informed Consent form Exclusion Criteria: BMI > 40 Slow or poor Omeprazole metabolizers (heterozygous or homozygous, respectively) based on CYP2C19 genotyping test. Any significant history of / or concurrent gastrointestinal diseases or conditions such as: GERD Acute gastrointestinal bleeding Zollinger Ellison Syndrome or Gastric hypersecretory condition Known Barrett's esophagus Esophageal stricture Peptic ulcer disease (gastric or duodenal) or family history of peptic ulcer disease Gastric outlet obstruction Gastroparesis Significant medical history or concurrent illness as determined by the principal investigator Any medical disorder that alters the normal gastric acid secretion profile as determined by the principal investigator History of diabetes mellitus Significant laboratory abnormalities as determined by the principal investigator Known metabolic alkalosis, hypocalcemia, sodium restricted diet, hypokalemia, respiratory alkalosis Pregnant or lactating women Had been treated with any investigational drug or therapy or participated in a clinical trial within 30 days prior to entering the trial Use of any medication other than contraception or hormone replacement therapy; OTC drugs other than vitamins or occasional acetaminophen within 30 days prior to entering the trial or during the trial Use of NSAID medications within 30 days prior to entering the trial (e.g. Ibuprofen, Aspirin, Naproxen etc) Positive urine test for alcohol or other drugs Concurrent use of gastric anti-secretory drugs such as defined below: Use of a PPI 30 days prior to each stage or during the trial Use of H2RA 14 days prior to each stage or during the trial Concurrent use of antacids (including over-the-counter) 24 hours prior to each stage or during the trial Use of any medication that modifies gastric acid secretion 30 days prior to or during the trial. Had ingested grapefruit within 14 days of dose administration in any trial period Significant drug allergy or known hypersensitivity to any of the ingredients in the trial drugs Omeprazole, Succinic Acid or to Lidocaine Consumption of coffee within 48 hours of dose administration in any trial period. Had donated blood within 30 days of entering the trial Known positive serology for HBV, HCV or HIV Any reason which makes the subject a poor candidate based on the physician's discretion
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Vijayalakshmi S Pratha, MD
Organizational Affiliation
Clinical Applications Laboratories Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinical Applications Laboratories Inc.
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
22372795
Citation
Chowers Y, Atarot T, Pratha VS, Fass R. The effect of once daily omeprazole and succinic acid (VECAM) vs once daily omeprazole on 24-h intragastric pH. Neurogastroenterol Motil. 2012 May;24(5):426-31, e208-9. doi: 10.1111/j.1365-2982.2012.01884.x. Epub 2012 Feb 28.
Results Reference
derived

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Effect of Vecam 40/300 and Vecam 20/300 Compared to Omeprazole 20 mg on Gastric pH

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