search
Back to results

Phase III Study to Evaluate Safety and Efficacy of Ilaprazole in Patients With NERD

Primary Purpose

Non-erosive Reflux Disease

Status
Completed
Phase
Phase 3
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Ilaprazole
Sponsored by
Il-Yang Pharm. Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-erosive Reflux Disease focused on measuring NERD, PPI, Ilaprazole

Eligibility Criteria

19 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female aged ≥ 19 years and ≤ 80 years
  2. Diagnosed with non-erosive reflux disease meeting all of the following criteria:

    2-1) At least either heartburn or acid regurgitation has persisted for at least past 3 months before screening 2-2) Have experienced at least either heartburn or acid regurgitation of moderate or higher intensity on at least 2 days of 7 days prior to initiation of the investigational product 2-3) Esophageal mucosal breaks by LA Classification are not observed on upper gastrointestinal endoscopy at screening

  3. Voluntarily provide written informed consent to participate in this study

Exclusion Criteria:

  1. Esophageal stenosis, ulcerative stenosis, esophagogastric varices or Barrett esophagus confirmed by past upper gastrointestinal endoscopy within 1 year prior to screening
  2. Active peptic ulcer or gastrointestinal bleeding confirmed by past upper gastrointestinal endoscopy at screening or within 4 weeks prior to screening
  3. Abnormal value on laboratory test at screening:

    3-1) Total Bilirubin, Creatinine > Upper limit of normal (ULN) x 1.5 3-2) Alkaline Phosphatase, BUN > ULN x 2

  4. Clinically significant abnormal findings on ECG (major arrhythmia, multifocal PVC, second-degree or higher AV block, etc.) within 3 months prior to screening
  5. Have taken H2 receptor antagonists (H2RA), prostaglandin preparations, mucosal protective drugs, prokinetics, etc. within 2 weeks prior to initiation of the investigational product administration, or has taken PPIs within 4 weeks prior to initiation of the investigational product administration
  6. Expected to continuously take nonsteroidal antiinflammatory drugs (NSAIDs) including aspirin or steroid preparations during the study
  7. Surgical or medical condition that may significantly influence the absorption, distribution, metabolism or excretion of drug, including but not limited to: history of major gastrointestinal surgery such as gastrectomy, gastroenterostomy, colectomy, gastric bypass, gastric ligation or gastric banding; presence or history of active inflammatory bowel disease within 12 months prior to screening; has undergone critical surgery that may influence gastric acid secretion with exception of surgeries such as appendectomy, cholecystectomy, and hysterectomy
  8. Zollinger-Ellison syndrome; past history of alcoholism or drug abuse
  9. Past history of allergic symptoms (rash, fever, pruritus, etc.) or hypersensitivity to any ingredient of the Investigational product
  10. Past history of treated or untreated malignancy, with or without local recurrence or metastasis, within 5 years prior to screening (with exception of local basal cell carcinoma of skin)
  11. Pregnant or nursing women
  12. Women of childbearing potential who do not use proper contraception during the study
  13. Active liver disease; ALT or AST > ULN x 2 at screening; or history of hepatic encephalopathy, esophageal varix, or portacaval shunt
  14. Receiving renal dialysis or history of kidney transplantation or presence of severe renal impairment (stage 4 or 5 chronic renal disease)
  15. Participated in another clinical study and took an investigational product within 3 months prior to screening
  16. Considered by the investigator to be ineligible to participate in this study for other reasons

Sites / Locations

  • Seoul National University Bundang Hospital
  • Inje University Busan Paik Hospital
  • Seoul Metropolitan Government Seoul National University Boramae Medical Center
  • Chonbuk National University Hospital
  • Kangbuk Samsung Hospital, Sungkyunkwan University
  • Seoul National University Hospital
  • Inje University Seoul Paik Hospital
  • Severance Hospital Yonsei University Health System
  • Asan Medical Center
  • Soon Chun Hyang University Hospital, Buchon
  • Ewha Womans University Mokdong Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Treatment Group

Control Group

Arm Description

10mg Ilaprazole x 2 tablets

10mg placebo of Ilaprazole x 2 tablets

Outcomes

Primary Outcome Measures

Rate of loss of esophagitis symptom at 4 weeks of treatment vs pre-dose
Percentage of subjects who were assessed as having 'lost' the frequency and intensity of typical esophagitis symptoms by RDQ assessment at 4 weeks of treatment

Secondary Outcome Measures

Chang in esophagitis symptom score at 4 weeks of treatment vs pre-dose
The mean scores for esophagitis symptom (heartburn and/or acid regurgitation) frequency and intensity assessed with RDQ (Questions a, b/c, d) and the change in mean score across both domains.
Change in PAGI-QoL score at 4 weeks of treatment vs pre-dose
The change in mean score for quality of life assessed with PAGI-QoL
Change in esophagitis symptom score according to the maximum number of rescue medication doses per day
The mean scores for esophagitis symptom (heartburn and/or acid regurgitation) frequency and intensity assessed with RDQ (Questions a, b/c, d) at 4 weeks of treatment versus pre-dose according to the maximum number of rescue medication doses per day and the change in mean score across both domains.

Full Information

First Posted
February 19, 2018
Last Updated
December 30, 2020
Sponsor
Il-Yang Pharm. Co., Ltd.
search

1. Study Identification

Unique Protocol Identification Number
NCT03444883
Brief Title
Phase III Study to Evaluate Safety and Efficacy of Ilaprazole in Patients With NERD
Official Title
A Multicenter, Randomized, Parallel, Double Blind, Placebo-controlled Phase III Study to Evaluate Safety and Efficacy of Ilaprazole 20mg in Patients With Non-erosive Reflux Disease(NERD)
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Completed
Study Start Date
October 31, 2018 (Actual)
Primary Completion Date
February 25, 2020 (Actual)
Study Completion Date
February 25, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Il-Yang Pharm. Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety of Ilaprazole 20 mg in patients with non-erosive reflux disease. This study intends to demonstrate the clinical superiority of Ilaprazole 20 mg to placebo administered once daily for 4 weeks.
Detailed Description
This study is multicenter, randomized, parallel, double blind, placebo-controlled phase III study

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-erosive Reflux Disease
Keywords
NERD, PPI, Ilaprazole

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
A mulicenter, randomized, parallel, double blind, placebo-controlled
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
277 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment Group
Arm Type
Active Comparator
Arm Description
10mg Ilaprazole x 2 tablets
Arm Title
Control Group
Arm Type
Placebo Comparator
Arm Description
10mg placebo of Ilaprazole x 2 tablets
Intervention Type
Drug
Intervention Name(s)
Ilaprazole
Other Intervention Name(s)
IY81149
Intervention Description
10mgx2 tablet once daily for weeks
Primary Outcome Measure Information:
Title
Rate of loss of esophagitis symptom at 4 weeks of treatment vs pre-dose
Description
Percentage of subjects who were assessed as having 'lost' the frequency and intensity of typical esophagitis symptoms by RDQ assessment at 4 weeks of treatment
Time Frame
4 weeks(28 days)
Secondary Outcome Measure Information:
Title
Chang in esophagitis symptom score at 4 weeks of treatment vs pre-dose
Description
The mean scores for esophagitis symptom (heartburn and/or acid regurgitation) frequency and intensity assessed with RDQ (Questions a, b/c, d) and the change in mean score across both domains.
Time Frame
4 weeks(28 days)
Title
Change in PAGI-QoL score at 4 weeks of treatment vs pre-dose
Description
The change in mean score for quality of life assessed with PAGI-QoL
Time Frame
4 weeks(28 days)
Title
Change in esophagitis symptom score according to the maximum number of rescue medication doses per day
Description
The mean scores for esophagitis symptom (heartburn and/or acid regurgitation) frequency and intensity assessed with RDQ (Questions a, b/c, d) at 4 weeks of treatment versus pre-dose according to the maximum number of rescue medication doses per day and the change in mean score across both domains.
Time Frame
4 weeks(28 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female aged ≥ 19 years and ≤ 80 years Diagnosed with non-erosive reflux disease meeting all of the following criteria: 2-1) At least either heartburn or acid regurgitation has persisted for at least past 3 months before screening 2-2) Have experienced at least either heartburn or acid regurgitation of moderate or higher intensity on at least 2 days of 7 days prior to initiation of the investigational product 2-3) Esophageal mucosal breaks by LA Classification are not observed on upper gastrointestinal endoscopy at screening Voluntarily provide written informed consent to participate in this study Exclusion Criteria: Esophageal stenosis, ulcerative stenosis, esophagogastric varices or Barrett esophagus confirmed by past upper gastrointestinal endoscopy within 1 year prior to screening Active peptic ulcer or gastrointestinal bleeding confirmed by past upper gastrointestinal endoscopy at screening or within 4 weeks prior to screening Abnormal value on laboratory test at screening: 3-1) Total Bilirubin, Creatinine > Upper limit of normal (ULN) x 1.5 3-2) Alkaline Phosphatase, BUN > ULN x 2 Clinically significant abnormal findings on ECG (major arrhythmia, multifocal PVC, second-degree or higher AV block, etc.) within 3 months prior to screening Have taken H2 receptor antagonists (H2RA), prostaglandin preparations, mucosal protective drugs, prokinetics, etc. within 2 weeks prior to initiation of the investigational product administration, or has taken PPIs within 4 weeks prior to initiation of the investigational product administration Expected to continuously take nonsteroidal antiinflammatory drugs (NSAIDs) including aspirin or steroid preparations during the study Surgical or medical condition that may significantly influence the absorption, distribution, metabolism or excretion of drug, including but not limited to: history of major gastrointestinal surgery such as gastrectomy, gastroenterostomy, colectomy, gastric bypass, gastric ligation or gastric banding; presence or history of active inflammatory bowel disease within 12 months prior to screening; has undergone critical surgery that may influence gastric acid secretion with exception of surgeries such as appendectomy, cholecystectomy, and hysterectomy Zollinger-Ellison syndrome; past history of alcoholism or drug abuse Past history of allergic symptoms (rash, fever, pruritus, etc.) or hypersensitivity to any ingredient of the Investigational product Past history of treated or untreated malignancy, with or without local recurrence or metastasis, within 5 years prior to screening (with exception of local basal cell carcinoma of skin) Pregnant or nursing women Women of childbearing potential who do not use proper contraception during the study Active liver disease; ALT or AST > ULN x 2 at screening; or history of hepatic encephalopathy, esophageal varix, or portacaval shunt Receiving renal dialysis or history of kidney transplantation or presence of severe renal impairment (stage 4 or 5 chronic renal disease) Participated in another clinical study and took an investigational product within 3 months prior to screening Considered by the investigator to be ineligible to participate in this study for other reasons
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
DongHo Lee, MD.PhD
Organizational Affiliation
Seoul National University Bundang Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Seoul National University Bundang Hospital
City
Seongnam-si
State/Province
Bundang-gu
Country
Korea, Republic of
Facility Name
Inje University Busan Paik Hospital
City
Busan
State/Province
Busanjin-gu
Country
Korea, Republic of
Facility Name
Seoul Metropolitan Government Seoul National University Boramae Medical Center
City
Seoul
State/Province
Dongjak-gu
Country
Korea, Republic of
Facility Name
Chonbuk National University Hospital
City
Jeonju
State/Province
Jeonju-si
Country
Korea, Republic of
Facility Name
Kangbuk Samsung Hospital, Sungkyunkwan University
City
Seoul
State/Province
Jongno-gu
Country
Korea, Republic of
Facility Name
Seoul National University Hospital
City
Seoul
State/Province
Jongno-gu
Country
Korea, Republic of
Facility Name
Inje University Seoul Paik Hospital
City
Seoul
State/Province
Jung-gu
Country
Korea, Republic of
Facility Name
Severance Hospital Yonsei University Health System
City
Seoul
State/Province
Seodaemun-gu
Country
Korea, Republic of
Facility Name
Asan Medical Center
City
Seoul
State/Province
Songpa-gu
Country
Korea, Republic of
Facility Name
Soon Chun Hyang University Hospital, Buchon
City
Bucheon
State/Province
Wonmi-gu
Country
Korea, Republic of
Facility Name
Ewha Womans University Mokdong Hospital
City
Seoul
State/Province
Yangcheon-gu
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
IPD will not be shared to other researchers.

Learn more about this trial

Phase III Study to Evaluate Safety and Efficacy of Ilaprazole in Patients With NERD

We'll reach out to this number within 24 hrs