Long-Term Safety Study of TAK-438 in the Maintenance Treatment of Healed Erosive Esophagitis
Primary Purpose
Erosive Esophagitis
Status
Completed
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
TAK-438
TAK-438
Sponsored by
About this trial
This is an interventional treatment trial for Erosive Esophagitis focused on measuring Drug Therapy
Eligibility Criteria
Inclusion Criteria:
Participants must have successfully completed the preceding phase 3 double-blind study (TAK-438/CCT-002: preceding study) and have endoscopically healed EE at Week 2, 4, or 8 in the preceding study.*
* "Endoscopically healed EE" is defined as those participants who have endoscopically confirmed EE of Grade O as defined by the Los Angeles (LA) Classification Grading System.
- Outpatient (including inpatient for examination)
Exclusion Criteria:
- Participants with an esophagus-related complication (eosinophilic esophagitis, esophageal varices, scleroderma, viral or fungal infection, esophageal stenosis, etc.), a history of radiotherapy or cryotherapy of the esophagus, a caustic or physiochemical trauma (esophageal sclerotherapy, etc.). However, participants with Schatzki's ring (mucosal tissue ring around inferior esophageal sphincter) or Barrett's esophagus are allowed to be included.
- Participants who have received surgery or treatment affecting gastroesophageal reflux (cardioplasty, dilation of esophageal stenosis [excluding Schatzki's ring], etc.), or who have a history of surgery of stomach or duodenum (excluding removal of benign polyp under endoscopy)
- Participants who have acute upper gastrointestinal bleeding, gastric or duodenal ulcer (mucosal defect with white coating) within 30 days prior to Visit M-1 (initiation of study drug administration). However, participants with gastric or duodenal erosions are allowed to be included.
- Participants with a previous or current history of Zollinger-Ellison syndrome, or other gastric acid hypersecretion disorder
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
TAK-438 10 mg QD
TAK-438 20 mg QD
Arm Description
Outcomes
Primary Outcome Measures
Incidence of Treatment-emergent Adverse Events
Treatment-emergent adverse events are defined as any unfavorable and unintended sign, symptom or disease temporally associated with the use of a medicinal product reported from first dose of study drug through the last visit.
Secondary Outcome Measures
Change from Baseline in Laboratory Values
Change from Baseline in Electrocardiograms
Change from Baseline in Vital Signs
Change from Baseline in Serum Gastrin
Change from Baseline in Pepsinogen I and II
Endoscopically confirmed recurrence rate of Erosive Esophagitis
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01452776
Brief Title
Long-Term Safety Study of TAK-438 in the Maintenance Treatment of Healed Erosive Esophagitis
Official Title
A Phase 3, Randomized, Single-Blind, Multicenter Study to Evaluate the Safety of TAK-438 (10 and 20 mg Once-daily) in a 52-week Maintenance Treatment in Patients With Healed Erosive Esophagitis (EE)
Study Type
Interventional
2. Study Status
Record Verification Date
November 2013
Overall Recruitment Status
Completed
Study Start Date
September 2011 (undefined)
Primary Completion Date
July 2013 (Actual)
Study Completion Date
July 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Takeda
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine the safety of long term use of TAK-438, once daily (QD), for the maintenance treatment of healed erosive esophagitis.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Erosive Esophagitis
Keywords
Drug Therapy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
305 (Actual)
8. Arms, Groups, and Interventions
Arm Title
TAK-438 10 mg QD
Arm Type
Experimental
Arm Title
TAK-438 20 mg QD
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
TAK-438
Intervention Description
TAK-438 10 mg, tablets, orally, once daily for up to 52 weeks.
Intervention Type
Drug
Intervention Name(s)
TAK-438
Intervention Description
TAK-438 20 mg, tablets, orally, once daily for up to 52 weeks.
Primary Outcome Measure Information:
Title
Incidence of Treatment-emergent Adverse Events
Description
Treatment-emergent adverse events are defined as any unfavorable and unintended sign, symptom or disease temporally associated with the use of a medicinal product reported from first dose of study drug through the last visit.
Time Frame
52 Weeks
Secondary Outcome Measure Information:
Title
Change from Baseline in Laboratory Values
Time Frame
Baseline and Week 52
Title
Change from Baseline in Electrocardiograms
Time Frame
Baseline and Week 52
Title
Change from Baseline in Vital Signs
Time Frame
Baseline and Week 52
Title
Change from Baseline in Serum Gastrin
Time Frame
Baseline and Week 52
Title
Change from Baseline in Pepsinogen I and II
Time Frame
Baseline and Week 52
Title
Endoscopically confirmed recurrence rate of Erosive Esophagitis
Time Frame
52 Weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Participants must have successfully completed the preceding phase 3 double-blind study (TAK-438/CCT-002: preceding study) and have endoscopically healed EE at Week 2, 4, or 8 in the preceding study.*
* "Endoscopically healed EE" is defined as those participants who have endoscopically confirmed EE of Grade O as defined by the Los Angeles (LA) Classification Grading System.
Outpatient (including inpatient for examination)
Exclusion Criteria:
Participants with an esophagus-related complication (eosinophilic esophagitis, esophageal varices, scleroderma, viral or fungal infection, esophageal stenosis, etc.), a history of radiotherapy or cryotherapy of the esophagus, a caustic or physiochemical trauma (esophageal sclerotherapy, etc.). However, participants with Schatzki's ring (mucosal tissue ring around inferior esophageal sphincter) or Barrett's esophagus are allowed to be included.
Participants who have received surgery or treatment affecting gastroesophageal reflux (cardioplasty, dilation of esophageal stenosis [excluding Schatzki's ring], etc.), or who have a history of surgery of stomach or duodenum (excluding removal of benign polyp under endoscopy)
Participants who have acute upper gastrointestinal bleeding, gastric or duodenal ulcer (mucosal defect with white coating) within 30 days prior to Visit M-1 (initiation of study drug administration). However, participants with gastric or duodenal erosions are allowed to be included.
Participants with a previous or current history of Zollinger-Ellison syndrome, or other gastric acid hypersecretion disorder
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Senior Manager
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
City
Nagoya-shi
State/Province
Aichi
Country
Japan
City
Abiko-shi
State/Province
Chiba
Country
Japan
City
Fukuoka-shi
State/Province
Fukuoka
Country
Japan
City
Itoshima-shi
State/Province
Fukuoka
Country
Japan
City
Kurume-shi
State/Province
Fukuoka
Country
Japan
City
Onga-gun
State/Province
Fukuoka
Country
Japan
City
Gifu-shi
State/Province
Gifu
Country
Japan
City
Annaka-shi
State/Province
Gunma
Country
Japan
City
Aki-gun
State/Province
Hiroshima
Country
Japan
City
Hiroshima-shi
State/Province
Hiroshima
Country
Japan
City
Sapporo-shi
State/Province
Hokkaido
Country
Japan
City
Amagasaki-shi
State/Province
Hyogo
Country
Japan
City
Kobe-shi
State/Province
Hyogo
Country
Japan
City
Takarazuka-shi
State/Province
Hyogo
Country
Japan
City
Sakaide-shi
State/Province
Kagawa
Country
Japan
City
Yokohama-shi
State/Province
Kanagawa
Country
Japan
City
Kochi-shi
State/Province
Kochi
Country
Japan
City
Susaki-shi
State/Province
Kochi
Country
Japan
City
Kumamoto-shi
State/Province
Kumamoto
Country
Japan
City
Kyoto-shi
State/Province
Kyoto
Country
Japan
City
Nagasaki-shi
State/Province
Nagasaki
Country
Japan
City
Oita-shi
State/Province
Oita
Country
Japan
City
Okayama-shi
State/Province
Okayama
Country
Japan
City
Fuziidera-shi
State/Province
Osaka
Country
Japan
City
Shizuoka-shi
State/Province
Shizuoka
Country
Japan
City
Otawara-shi
State/Province
Tochigi
Country
Japan
City
Chiyoda-ku
State/Province
Tokyo
Country
Japan
City
Chuo-ku
State/Province
Tokyo
Country
Japan
City
Nakano-ku
State/Province
Tokyo
Country
Japan
City
Ota-ku
State/Province
Tokyo
Country
Japan
City
Setagaya-ku
State/Province
Tokyo
Country
Japan
City
Yamagata-shi
State/Province
Yamagata
Country
Japan
12. IPD Sharing Statement
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Long-Term Safety Study of TAK-438 in the Maintenance Treatment of Healed Erosive Esophagitis
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