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Compound Sodium Alginate Double Action Chewable Tablets 4-hour Esophageal pH Study in GERD Patients

Primary Purpose

Gastroesophageal Reflux Disease

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Sodium Alginate Double Action Tablets
Placebo
Sponsored by
Reckitt Benckiser Healthcare (UK) Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gastroesophageal Reflux Disease focused on measuring Gastroesophageal Reflux Disease, GERD, Acid reflux, Compound Sodium Alginate Double Action Chewable Tablet, Gaviscon Double Action Tablets

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • meets the diagnostic criteria for GERD with a GERD history of frequent episodes of GERD-related symptoms during the last 2 months prior to study screening. The patient must also meet the following criteria:

    1. The only or main symptom is heartburn (burning feeling back of breast bone) and/or acid reflux. Symptoms persists or have occurred repeatedly for more than 2 months;
    2. As assessed by the Investigator at screening by questioning of the patient, the frequency of occurrence of heartburn is ≥ 3 days/week and the score of severity of heartburn in general is ≥ moderate within 3 weeks before screening

Exclusion Criteria:

  • Patients who have a history of drug, solvent or alcohol abuse (weekly alcohol intake ≥ 140g).
  • Patients who have suffered cardiac chest pain within the last year.
  • Patients who have suffered a recent, significant unexplained weight loss of more than 6 Kg in the last 6 months.
  • Female patients of childbearing potential who, for the duration of the study, are either unwilling or unable to take adequate contraceptive precautions or are unwilling to be sexually abstinent.
  • Pregnancy or lactating mother.
  • Patients with a history and/or symptom profile suggestive of the following: any other gastrointestinal (GI) disease, erosive GERD (Los Angeles [LA] classification grades C-D), Barrett's esophagus, acute peptic ulcer and/or ulcer complications, Zollinger-Ellison syndrome, gastric carcinoma, pyloric stenosis, oesophageal or gastric surgery, intestinal obstruction, current pernicious anaemia, indication for H-pylori eradication therapy, known gastro-intestinal bleeding (hematochezia or hematemesis) within the last 3 months, and severe diseases of other major body systems.
  • Patients who are observed at screening to have a hiatus hernia with a diameter which exceeds 3cm.
  • Patients who have taken anti-cholinesterase drugs, traditional Chinese medicines for treating gastrointestinal disease, ulcerlmin or misoprostol preparations within 7 days prior to screening or throughout the study.
  • Patients who have taken PPIs during the 10 days prior to screening, prokinetics or H2 antagonists during the 5 days prior to screening or systemic glucocorticosteroids, non-steroidal anti-inflammatory drugs (NSAIDs, except for low dose aspirin which can be given for cardioprotection) on more than 3 consecutive days or PPI-based triple or quadruple therapy for eradication of H-pylori during the last 28 days.
  • Patients taking or requiring to take macrolide antibiotics, such as erythromycin, azithromycin, from the day before screening.
  • Patients with difficulty in swallowing.
  • Patients with known hypophosphataemia, phenylketonuria or hypercalcaemia.
  • Patients with severe constipation, or history of intestinal obstruction.
  • In the opinion of the Investigator, patients with damaged heart or kidney function and patients who require a low sodium diet.

Sites / Locations

  • RB Investigational Sites

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Sodium Alginate Double Action Tablets

Placebo tablets

Arm Description

Four Compound Sodium Alginate Double Action Chewable Tablets administered as a single dose

Single dose of 4 Placebo tablets

Outcomes

Primary Outcome Measures

Percentage of time during the 4 hour post dosing period with pH below pH 4
The primary efficacy endpoint will be the percentage of time during the 4 hour post dosing period with pH below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo.

Secondary Outcome Measures

Percentage of time during the 4 hour post dosing period with pH below pH 5
Percentage of time during the 4 hour post dosing period with pH below pH 5 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Number of occasions during the 4 hour post dosing period when pH falls below pH 4
Number of occasions during the 4 hour post dosing period when pH falls below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Number of reflux episodes during the 4 hour post dosing period with pH below pH 4 for at least 5 minutes
Number of reflux episodes during the 4 hour post dosing period with pH below pH 4 for at least 5 minutes for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Percentage of time during the first hour post dosing with pH below pH 4
Percentage of time during the first hour post dosing with pH below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Percentage of time during the first hour post dosing with pH below pH 5
Percentage of time during the first hour post dosing with pH below pH 5 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Number of occasions during the first hour post dosing when pH falls below pH 4
Number of occasions during the first hour post dosing when pH falls below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Number of occasions during the first hour post dosing when pH falls below pH 5
Number of occasions during the first hour post dosing when pH falls below pH 5 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
The longest reflux time during the 4 hour post dosing period (i.e. the longest period with pH below pH 4)
The longest reflux time during the 4 hour post dosing period (i.e. the longest period with pH below pH 4) for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
The DeMeester scores during the 4 hour post dosing period
The DeMeester scores during the 4 hour post dosing period for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets

Full Information

First Posted
May 31, 2013
Last Updated
January 8, 2014
Sponsor
Reckitt Benckiser Healthcare (UK) Limited
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1. Study Identification

Unique Protocol Identification Number
NCT01872897
Brief Title
Compound Sodium Alginate Double Action Chewable Tablets 4-hour Esophageal pH Study in GERD Patients
Official Title
A Multi-centred, Randomised, Open Label, Placebo-controlled, Two-period Crossover Study to Evaluate 4-hour Esophageal pH Change in GERD Patients After Administration of Compound Sodium Alginate Double Action Tablets or Placebo Tablets
Study Type
Interventional

2. Study Status

Record Verification Date
January 2014
Overall Recruitment Status
Completed
Study Start Date
June 2013 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Reckitt Benckiser Healthcare (UK) Limited

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is being conducted to assess the effectiveness of the Compound Sodium Alginate Double Action Chewable Tablets compared to placebo on acidic reflux events into the esophagus in patients diagnosed with Gastroesophageal Reflux Disease (GERD).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastroesophageal Reflux Disease
Keywords
Gastroesophageal Reflux Disease, GERD, Acid reflux, Compound Sodium Alginate Double Action Chewable Tablet, Gaviscon Double Action Tablets

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sodium Alginate Double Action Tablets
Arm Type
Active Comparator
Arm Description
Four Compound Sodium Alginate Double Action Chewable Tablets administered as a single dose
Arm Title
Placebo tablets
Arm Type
Placebo Comparator
Arm Description
Single dose of 4 Placebo tablets
Intervention Type
Drug
Intervention Name(s)
Sodium Alginate Double Action Tablets
Other Intervention Name(s)
Gaviscon Double Action Tablets
Intervention Description
Four tablets as a single dose
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
4 tablets as a single dose
Primary Outcome Measure Information:
Title
Percentage of time during the 4 hour post dosing period with pH below pH 4
Description
The primary efficacy endpoint will be the percentage of time during the 4 hour post dosing period with pH below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo.
Time Frame
0 to 4 hours post dose
Secondary Outcome Measure Information:
Title
Percentage of time during the 4 hour post dosing period with pH below pH 5
Description
Percentage of time during the 4 hour post dosing period with pH below pH 5 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Time Frame
0 to 4 hours post-dose
Title
Number of occasions during the 4 hour post dosing period when pH falls below pH 4
Description
Number of occasions during the 4 hour post dosing period when pH falls below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Time Frame
0 to 4 hours post-dose
Title
Number of reflux episodes during the 4 hour post dosing period with pH below pH 4 for at least 5 minutes
Description
Number of reflux episodes during the 4 hour post dosing period with pH below pH 4 for at least 5 minutes for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Time Frame
0 to 4 hours post-dose
Title
Percentage of time during the first hour post dosing with pH below pH 4
Description
Percentage of time during the first hour post dosing with pH below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Time Frame
0 to 1 hour post-dose
Title
Percentage of time during the first hour post dosing with pH below pH 5
Description
Percentage of time during the first hour post dosing with pH below pH 5 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Time Frame
0 to 1 hour post-dose
Title
Number of occasions during the first hour post dosing when pH falls below pH 4
Description
Number of occasions during the first hour post dosing when pH falls below pH 4 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Time Frame
0 to 1 hour post-dose
Title
Number of occasions during the first hour post dosing when pH falls below pH 5
Description
Number of occasions during the first hour post dosing when pH falls below pH 5 for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Time Frame
0 to 1 hour post-dose
Title
The longest reflux time during the 4 hour post dosing period (i.e. the longest period with pH below pH 4)
Description
The longest reflux time during the 4 hour post dosing period (i.e. the longest period with pH below pH 4) for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Time Frame
0 to 4 hours post-dose
Title
The DeMeester scores during the 4 hour post dosing period
Description
The DeMeester scores during the 4 hour post dosing period for Compound Sodium Alginate Double Action Chewable Tablets versus matching placebo tablets
Time Frame
0 to 4 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: meets the diagnostic criteria for GERD with a GERD history of frequent episodes of GERD-related symptoms during the last 2 months prior to study screening. The patient must also meet the following criteria: The only or main symptom is heartburn (burning feeling back of breast bone) and/or acid reflux. Symptoms persists or have occurred repeatedly for more than 2 months; As assessed by the Investigator at screening by questioning of the patient, the frequency of occurrence of heartburn is ≥ 3 days/week and the score of severity of heartburn in general is ≥ moderate within 3 weeks before screening Exclusion Criteria: Patients who have a history of drug, solvent or alcohol abuse (weekly alcohol intake ≥ 140g). Patients who have suffered cardiac chest pain within the last year. Patients who have suffered a recent, significant unexplained weight loss of more than 6 Kg in the last 6 months. Female patients of childbearing potential who, for the duration of the study, are either unwilling or unable to take adequate contraceptive precautions or are unwilling to be sexually abstinent. Pregnancy or lactating mother. Patients with a history and/or symptom profile suggestive of the following: any other gastrointestinal (GI) disease, erosive GERD (Los Angeles [LA] classification grades C-D), Barrett's esophagus, acute peptic ulcer and/or ulcer complications, Zollinger-Ellison syndrome, gastric carcinoma, pyloric stenosis, oesophageal or gastric surgery, intestinal obstruction, current pernicious anaemia, indication for H-pylori eradication therapy, known gastro-intestinal bleeding (hematochezia or hematemesis) within the last 3 months, and severe diseases of other major body systems. Patients who are observed at screening to have a hiatus hernia with a diameter which exceeds 3cm. Patients who have taken anti-cholinesterase drugs, traditional Chinese medicines for treating gastrointestinal disease, ulcerlmin or misoprostol preparations within 7 days prior to screening or throughout the study. Patients who have taken PPIs during the 10 days prior to screening, prokinetics or H2 antagonists during the 5 days prior to screening or systemic glucocorticosteroids, non-steroidal anti-inflammatory drugs (NSAIDs, except for low dose aspirin which can be given for cardioprotection) on more than 3 consecutive days or PPI-based triple or quadruple therapy for eradication of H-pylori during the last 28 days. Patients taking or requiring to take macrolide antibiotics, such as erythromycin, azithromycin, from the day before screening. Patients with difficulty in swallowing. Patients with known hypophosphataemia, phenylketonuria or hypercalcaemia. Patients with severe constipation, or history of intestinal obstruction. In the opinion of the Investigator, patients with damaged heart or kidney function and patients who require a low sodium diet.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yuan Yaozong, MD, PhD
Organizational Affiliation
Shanghai Jiatong University, School of Medicine, Shanghai, China
Official's Role
Principal Investigator
Facility Information:
Facility Name
RB Investigational Sites
City
Shanghai
Country
China

12. IPD Sharing Statement

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Compound Sodium Alginate Double Action Chewable Tablets 4-hour Esophageal pH Study in GERD Patients

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