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A Study to Evaluate REbamiPide as an Adjuvant Regimen to Heal erosIve Reflux Esophagitis (REPAIR)

Primary Purpose

Gastroesophageal Reflux

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Lansoprazole
Rebamipide
Rebamipide-placebo
Sponsored by
YongChan Lee
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gastroesophageal Reflux focused on measuring Rebamipide

Eligibility Criteria

20 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male/female patients aged 20 to 70 at the time of writing an informed consent.
  2. Subjects who were diagnosed with Erosive Reflux Esophagitis (ERE) using Los Angeles (LA) classification grade A~D, confirmed by endoscopy.
  3. The subjects regardless of presence of ERE symptom (i.e., symptomatic ERE or asymptomatic ERE).

    For symptomatic ERE, the subject must have one or more symptoms of the followings: acid regurgitation, heartburn, epigastric pain, cough, hoarseness, globus pharyngis, atypical chest pain.

  4. Subjects who have consented to participate in this clinical study by signing an informed consent form.

Exclusion Criteria:

  1. Patients with known hypersensitivity to any component of Lanston® and/or Mucosta® formulations.
  2. Other concurrent organic upper gastroesophageal disease in endoscopy (i.e., drug-induced esophagitis, viral esophagitis, Mallory-Weiss syndrome, peptic ulcer disease, malignancies) and patients who was diagnosed with Barrett's esophagus.
  3. History of abdominal surgery that can affect gastrointestinal motility (except appendectomy and hysterectomy).
  4. History of upper gastrointestinal bleeding or obstruction.
  5. Patients administrated with any drugs that can affect the efficacy of study regimen (proton pump inhibitors, revaprazan, prokinetics, H2-blockers, etc.) within 2 weeks (however, 4 weeks for PPIs) prior to enrollment and/or those who are required of NSAIDs, anti-coagulants, anti-cholinergics, prostaglandin E, corticosteroids, and anti-depressants treatment during the study period.
  6. History of pancreatobiliary disease (except asymptomatic gallbladder stone), inflammatory bowel disease, cirrhotic liver disease, chronic kidney disease.
  7. Pregnant, nursing, and childbearing potential women who is unwilling to effective contraception; for example, oral contraceptives, hormonal methods, placement of an intrauterine device (IUD) or intrauterine system (IUS), barrier methods (i.e., condom or occlusive cap with spermicidal foam/gel/film/cream/suppository), male sterilization, and true abstinence.
  8. History of psychological disorder, alcoholics, and drug abuser.
  9. Blood test results of hemoglobin (Hb) ≤ 10.0 g/dL, platelets ≤ 50,000 /µL, total WBCs ≤ 4,000/µL or ≥ 10,000/µL, and with serum test results showing the levels of AST, ALT, ALP, BUN, and creatinine exceeding twice the normal range of respective institution.
  10. Patients who previously underwent another clinical survey within 4 weeks.
  11. History of major medical disease that can affect general condition and other patients deemed not eligible for this study by investigators.

Sites / Locations

  • Yang Shiming
  • Soonchunhyang University Bucheon Hospital
  • Kyungpook National University Medical Center
  • Konyang University Hospital
  • Severance Hospital, Yonsei University Health System

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Study Group

Control Group

Arm Description

Lanston® (lansoprazole) 30 mg, 1 capsule, PO, qd, 30 min before breakfast Mucosta® (rebamipide) 100 mg, 1 tablet, PO, tid, 30 minutes before breakfast, lunch and dinner

Lanston® (lansoprazole) 30 mg, 1 capsule, PO, qd, 30 min before breakfast Mucosta®-placebo (rebamipide-placebo), 1 tablet, PO, tid, 30 minutes before breakfast, lunch and dinner

Outcomes

Primary Outcome Measures

Endoscopic healing rate
The ratio of the endoscopically completely healed (normal or minimal change) patients per groups

Secondary Outcome Measures

Histologic change
Histologic change defined with Hematoxylin and eosin (H&E) stain
Change in inflammatory cytokines
Change in the tissue level of Platelet activating factor (PAF) and Interleukin-8 (IL-8)
Time to complete symptom relief
Interval between inital medication and the first time of symptom relief judged by subject's diary
Overall symptom relief
The proportion of relieved subjects at the end of treatment
Adverse events profile
patient's symptoms, physical findings, abnormal laboratory values, vital signs, and ECG findings

Full Information

First Posted
September 2, 2015
Last Updated
April 26, 2016
Sponsor
YongChan Lee
Collaborators
Otsuka Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02755753
Brief Title
A Study to Evaluate REbamiPide as an Adjuvant Regimen to Heal erosIve Reflux Esophagitis
Acronym
REPAIR
Official Title
A Multicenter, Randomized, Double-blinded, Placebo-controlled Pilot Study to Evaluate the Efficacy and Safety of Rebamipide as an Adjuvant Regimen to Heal erosIve Reflux Esophagitis (REPAIR)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
January 2016 (Actual)
Study Completion Date
April 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
YongChan Lee
Collaborators
Otsuka Pharmaceutical Co., Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate whether Rebamipide facilitate the healing of inflamed mucosa as an adjuvant regimen in erosive reflux esophagitis (ERE).
Detailed Description
To evaluate whether Rebamipide facilitate the healing of inflamed mucosa as an adjuvant regimen in erosive reflux esophagitis patients To evaluate the safety of rebamipide as an adjuvant regimen in erosive reflux esophagitis (ERE)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastroesophageal Reflux
Keywords
Rebamipide

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
143 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Study Group
Arm Type
Experimental
Arm Description
Lanston® (lansoprazole) 30 mg, 1 capsule, PO, qd, 30 min before breakfast Mucosta® (rebamipide) 100 mg, 1 tablet, PO, tid, 30 minutes before breakfast, lunch and dinner
Arm Title
Control Group
Arm Type
Placebo Comparator
Arm Description
Lanston® (lansoprazole) 30 mg, 1 capsule, PO, qd, 30 min before breakfast Mucosta®-placebo (rebamipide-placebo), 1 tablet, PO, tid, 30 minutes before breakfast, lunch and dinner
Intervention Type
Drug
Intervention Name(s)
Lansoprazole
Other Intervention Name(s)
Lanston
Intervention Description
Oral administration of Lanston® (lansoprazole) 30 mg, 1 capsule, PO, qd, 30 min before breakfast
Intervention Type
Drug
Intervention Name(s)
Rebamipide
Other Intervention Name(s)
Mucosta
Intervention Description
Oral administration of Mucosta (rebamipide) 100 mg, 1 tablet, PO, tid, 30 minutes before breakfast, lunch, and dinner
Intervention Type
Drug
Intervention Name(s)
Rebamipide-placebo
Other Intervention Name(s)
Mucosta-placebo
Intervention Description
Oral administration of Mucosta®-placebo, 1 tablet, PO, tid, 30 minutes before breakfast, lunch and dinner
Primary Outcome Measure Information:
Title
Endoscopic healing rate
Description
The ratio of the endoscopically completely healed (normal or minimal change) patients per groups
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Histologic change
Description
Histologic change defined with Hematoxylin and eosin (H&E) stain
Time Frame
4 weeks
Title
Change in inflammatory cytokines
Description
Change in the tissue level of Platelet activating factor (PAF) and Interleukin-8 (IL-8)
Time Frame
4 weeks
Title
Time to complete symptom relief
Description
Interval between inital medication and the first time of symptom relief judged by subject's diary
Time Frame
every 2 week, up to 4 week
Title
Overall symptom relief
Description
The proportion of relieved subjects at the end of treatment
Time Frame
every 2 week, up to 4 week
Title
Adverse events profile
Description
patient's symptoms, physical findings, abnormal laboratory values, vital signs, and ECG findings
Time Frame
every 2 week, up to 4week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male/female patients aged 20 to 70 at the time of writing an informed consent. Subjects who were diagnosed with Erosive Reflux Esophagitis (ERE) using Los Angeles (LA) classification grade A~D, confirmed by endoscopy. The subjects regardless of presence of ERE symptom (i.e., symptomatic ERE or asymptomatic ERE). For symptomatic ERE, the subject must have one or more symptoms of the followings: acid regurgitation, heartburn, epigastric pain, cough, hoarseness, globus pharyngis, atypical chest pain. Subjects who have consented to participate in this clinical study by signing an informed consent form. Exclusion Criteria: Patients with known hypersensitivity to any component of Lanston® and/or Mucosta® formulations. Other concurrent organic upper gastroesophageal disease in endoscopy (i.e., drug-induced esophagitis, viral esophagitis, Mallory-Weiss syndrome, peptic ulcer disease, malignancies) and patients who was diagnosed with Barrett's esophagus. History of abdominal surgery that can affect gastrointestinal motility (except appendectomy and hysterectomy). History of upper gastrointestinal bleeding or obstruction. Patients administrated with any drugs that can affect the efficacy of study regimen (proton pump inhibitors, revaprazan, prokinetics, H2-blockers, etc.) within 2 weeks (however, 4 weeks for PPIs) prior to enrollment and/or those who are required of NSAIDs, anti-coagulants, anti-cholinergics, prostaglandin E, corticosteroids, and anti-depressants treatment during the study period. History of pancreatobiliary disease (except asymptomatic gallbladder stone), inflammatory bowel disease, cirrhotic liver disease, chronic kidney disease. Pregnant, nursing, and childbearing potential women who is unwilling to effective contraception; for example, oral contraceptives, hormonal methods, placement of an intrauterine device (IUD) or intrauterine system (IUS), barrier methods (i.e., condom or occlusive cap with spermicidal foam/gel/film/cream/suppository), male sterilization, and true abstinence. History of psychological disorder, alcoholics, and drug abuser. Blood test results of hemoglobin (Hb) ≤ 10.0 g/dL, platelets ≤ 50,000 /µL, total WBCs ≤ 4,000/µL or ≥ 10,000/µL, and with serum test results showing the levels of AST, ALT, ALP, BUN, and creatinine exceeding twice the normal range of respective institution. Patients who previously underwent another clinical survey within 4 weeks. History of major medical disease that can affect general condition and other patients deemed not eligible for this study by investigators.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yong Chan Lee, MD, PhD
Organizational Affiliation
Severance Hospital, Yonsei University Health System
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Seong Woo Jeon, MD, PhD
Organizational Affiliation
Kyungpook National University Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Su Jin Hong, MD, PhD
Organizational Affiliation
Soonchunhyang University Buchen Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Kyung Ho Song, MD, Master
Organizational Affiliation
Konyang University Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Shiming Yang, MD, PhD
Organizational Affiliation
Xinqiao Hospital of Chongqing
Official's Role
Principal Investigator
Facility Information:
Facility Name
Yang Shiming
City
Chongqing
State/Province
Chongqing
ZIP/Postal Code
400037
Country
China
Facility Name
Soonchunhyang University Bucheon Hospital
City
Bucheon
Country
Korea, Republic of
Facility Name
Kyungpook National University Medical Center
City
Daegu
Country
Korea, Republic of
Facility Name
Konyang University Hospital
City
Daejeon
Country
Korea, Republic of
Facility Name
Severance Hospital, Yonsei University Health System
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
23236223
Citation
Chai J, Jamal MM. Esophageal malignancy: a growing concern. World J Gastroenterol. 2012 Dec 7;18(45):6521-6. doi: 10.3748/wjg.v18.i45.6521.
Results Reference
background
PubMed Identifier
16928254
Citation
Vakil N, van Zanten SV, Kahrilas P, Dent J, Jones R; Global Consensus Group. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol. 2006 Aug;101(8):1900-20; quiz 1943. doi: 10.1111/j.1572-0241.2006.00630.x.
Results Reference
background
PubMed Identifier
22885331
Citation
Peery AF, Dellon ES, Lund J, Crockett SD, McGowan CE, Bulsiewicz WJ, Gangarosa LM, Thiny MT, Stizenberg K, Morgan DR, Ringel Y, Kim HP, DiBonaventura MD, Carroll CF, Allen JK, Cook SF, Sandler RS, Kappelman MD, Shaheen NJ. Burden of gastrointestinal disease in the United States: 2012 update. Gastroenterology. 2012 Nov;143(5):1179-1187.e3. doi: 10.1053/j.gastro.2012.08.002. Epub 2012 Aug 8.
Results Reference
background
PubMed Identifier
19054260
Citation
Wong RK, Yeoh KG, Gwee KA, Tay HW, Ho KY. Validation of structured scoring using the LA classification for esophagitis and endoscopically suspected Barrett's esophagus in a tertiary Asian endoscopy center. J Gastroenterol Hepatol. 2009 Jan;24(1):103-6. doi: 10.1111/j.1440-1746.2008.05680.x. Epub 2008 Dec 1.
Results Reference
background
PubMed Identifier
15831922
Citation
Dent J, El-Serag HB, Wallander MA, Johansson S. Epidemiology of gastro-oesophageal reflux disease: a systematic review. Gut. 2005 May;54(5):710-7. doi: 10.1136/gut.2004.051821.
Results Reference
background
PubMed Identifier
15379831
Citation
Kang JY. Systematic review: geographical and ethnic differences in gastro-oesophageal reflux disease. Aliment Pharmacol Ther. 2004 Oct 1;20(7):705-17. doi: 10.1111/j.1365-2036.2004.02165.x.
Results Reference
background
PubMed Identifier
21916988
Citation
Kim KM, Cho YK, Bae SJ, Kim DS, Shim KN, Kim JH, Jung SW, Kim N. Prevalence of gastroesophageal reflux disease in Korea and associated health-care utilization: a national population-based study. J Gastroenterol Hepatol. 2012 Apr;27(4):741-5. doi: 10.1111/j.1440-1746.2011.06921.x.
Results Reference
background
PubMed Identifier
21369492
Citation
Song JH, Chung SJ, Lee JH, Kim YH, Chang DK, Son HJ, Kim JJ, Rhee JC, Rhee PL. Relationship between gastroesophageal reflux symptoms and dietary factors in Korea. J Neurogastroenterol Motil. 2011 Jan;17(1):54-60. doi: 10.5056/jnm.2011.17.1.54. Epub 2011 Jan 26.
Results Reference
background
PubMed Identifier
11354273
Citation
Lee SJ, Song CW, Jeen YT, Chun HJ, Lee HS, Um SH, Lee SW, Choi JH, Kim CD, Ryu HS, Hyun JH. Prevalence of endoscopic reflux esophagitis among Koreans. J Gastroenterol Hepatol. 2001 Apr;16(4):373-6. doi: 10.1046/j.1440-1746.2001.02464.x.
Results Reference
background
PubMed Identifier
19458464
Citation
Hwang JK, Kim J, Hong SG, Jung SJ, Joo MK, Lee BJ, Park JJ, Kim JS, Bak YT. [A prospective multicenter study on the prevalence and symptoms of erosive reflux esophagitis in secondary and tertiary hospitals in Korea]. Korean J Gastroenterol. 2009 May;53(5):283-91. doi: 10.4166/kjg.2009.53.5.283. Korean.
Results Reference
background
PubMed Identifier
21532855
Citation
Kim BJ, Cheon WS, Oh HC, Kim JW, Park JD, Kim JG. Prevalence and risk factor of erosive esophagitis observed in Korean National Cancer Screening Program. J Korean Med Sci. 2011 May;26(5):642-6. doi: 10.3346/jkms.2011.26.5.642. Epub 2011 Apr 21.
Results Reference
background
PubMed Identifier
17645475
Citation
Li YM, Du J, Zhang H, Yu CH. Epidemiological investigation in outpatients with symptomatic gastroesophageal reflux from the Department of Medicine in Zhejiang Province, east China. J Gastroenterol Hepatol. 2008 Feb;23(2):283-9. doi: 10.1111/j.1440-1746.2007.05045.x. Epub 2007 Jul 20.
Results Reference
background
PubMed Identifier
14524732
Citation
Shaw MJ, Crawley JA. Improving health-related quality of life in gastro-oesophageal reflux disease. Drugs. 2003;63(21):2307-16. doi: 10.2165/00003495-200363210-00003.
Results Reference
background
PubMed Identifier
19582579
Citation
Kovacs TO, Freston JW, Haber MM, Atkinson S, Hunt B, Peura DA. Long-term quality of life improvement in subjects with healed erosive esophagitis: treatment with lansoprazole. Dig Dis Sci. 2010 May;55(5):1325-36. doi: 10.1007/s10620-009-0871-8. Epub 2009 Jul 7.
Results Reference
background
PubMed Identifier
12620183
Citation
Howden CW, Chey WD. Gastroesophageal reflux disease. J Fam Pract. 2003 Mar;52(3):240-7.
Results Reference
background
PubMed Identifier
21350318
Citation
Lee JH, Cho YK, Jeon SW, Kim JH, Kim NY, Lee JS, Bak YT; Korean Society of Neurogastroenterology and Motility. [Guidelines for the treatment of gastroesophageal reflux disease]. Korean J Gastroenterol. 2011 Feb;57(2):57-66. doi: 10.4166/kjg.2011.57.2.57. Korean.
Results Reference
background
PubMed Identifier
19267194
Citation
Kovacs TO, Freston JW, Haber MM, Hunt B, Atkinson S, Peura DA. Long-term efficacy of lansoprazole in preventing relapse of erosive reflux esophagitis. Dig Dis Sci. 2009 Aug;54(8):1693-701. doi: 10.1007/s10620-009-0769-5. Epub 2009 Mar 7.
Results Reference
background
PubMed Identifier
20198424
Citation
Yoshida N, Kamada K, Tomatsuri N, Suzuki T, Takagi T, Ichikawa H, Yoshikawa T. Management of recurrence of symptoms of gastroesophageal reflux disease: synergistic effect of rebamipide with 15 mg lansoprazole. Dig Dis Sci. 2010 Dec;55(12):3393-8. doi: 10.1007/s10620-010-1166-9. Epub 2010 Mar 3.
Results Reference
background
PubMed Identifier
9146777
Citation
Hatlebakk JG, Berstad A. Lansoprazole 15 and 30 mg daily in maintaining healing and symptom relief in patients with reflux oesophagitis. Aliment Pharmacol Ther. 1997 Apr;11(2):365-72. doi: 10.1046/j.1365-2036.1997.144320000.x.
Results Reference
background
PubMed Identifier
15189396
Citation
Lancaster GA, Dodd S, Williamson PR. Design and analysis of pilot studies: recommendations for good practice. J Eval Clin Pract. 2004 May;10(2):307-12. doi: 10.1111/j..2002.384.doc.x.
Results Reference
background
PubMed Identifier
16568367
Citation
Hongo M. Minimal changes in reflux esophagitis: red ones and white ones. J Gastroenterol. 2006 Feb;41(2):95-9. doi: 10.1007/s00535-006-1775-4.
Results Reference
background
PubMed Identifier
10343212
Citation
Kusano M, Ino K, Yamada T, Kawamura O, Toki M, Ohwada T, Kikuchi K, Shirota T, Kimura M, Miyazaki M, Nakamura K, Igarashi S, Tomizawa M, Tamura T, Sekiguchi T, Mori M. Interobserver and intraobserver variation in endoscopic assessment of GERD using the "Los Angeles" classification. Gastrointest Endosc. 1999 Jun;49(6):700-4. doi: 10.1016/s0016-5107(99)70285-3.
Results Reference
background
PubMed Identifier
21459338
Citation
Fiocca R, Mastracci L, Milione M, Parente P, Savarino V; Gruppo Italiano Patologi Apparato Digerente (GIPAD); Societa Italiana di Anatomia Patologica e Citopatologia Diagnostica/International Academy of Pathology, Italian division (SIAPEC/IAP). Microscopic esophagitis and Barrett's esophagus: the histology report. Dig Liver Dis. 2011 Mar;43 Suppl 4:S319-30. doi: 10.1016/S1590-8658(11)60588-4.
Results Reference
background
PubMed Identifier
21028753
Citation
Holzheimer RG, Mannick JA, editors. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich: Zuckschwerdt; 2001. Available from http://www.ncbi.nlm.nih.gov/books/NBK6880/
Results Reference
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A Study to Evaluate REbamiPide as an Adjuvant Regimen to Heal erosIve Reflux Esophagitis

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