A Study in Patients With Erosive Esophagitis to Investigate Safety, Tolerability, and Healing Rates After 4 Weeks Treatment of X842 or Lansoprazole and Symptom Pattern During Subsequent 4 Weeks Treatment With Lansoprazole
Erosive Esophagitis
About this trial
This is an interventional treatment trial for Erosive Esophagitis focused on measuring Lansoprazole, Los Angeles Grade, Double-blind, Active comparator-controlled, Proton-pump inhibitor, Dose selection
Eligibility Criteria
Inclusion Criteria:
- Body mass index (BMI) ≥ 18 and ≤ 40 kg/m^2 at screening.
Gastro-esophageal reflux disease with endoscopically confirmed esophagitis:
- LA grade C or D ≤7 days before randomization (with or without historical PPI treatment) or
- LA grade A or B ≤7 days before randomization and history of treatment with the standard healing course of PPI for minimum of 8 weeks prior to screening and ≤7 days of non-treatment during this period and at least partial symptom response during the minimum of 8 weeks of PPI treatment.
- Willing and able to comply with all aspects of the protocol (including capsule swallowing, diary completion, etc.).
- Capable of signing informed consent form.
Exclusion Criteria:
- History or presence of any clinically significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disease or disorder.
- Patients with so-called "alarm features" in symptomatology, like odynophagia, severe dysphagia, bleeding, weight loss, anemia, and blood in stool pointing to a possible malignant disease of the gastrointestinal (GI) tract.
- Present clinically significant psychiatric diagnosis.
- History of malignancy of any organ system.
- Presence of esophageal ulcer, stricture, Barrett´s esophagus or suspected esophagitis secondary to infection, inflammatory disease, ingestion of erosive chemicals or history of any surgical or medical condition which might significantly alter the Gastro-oesophageal reflux disease (GERD) status or the absorption, distribution, metabolism or excretion of drugs.
- Known severe atrophic gastritis.
- Any planned major surgery within the duration of the study.
- History of a positive result for human immunodeficiency virus (HIV), Hepatitis B surface antigen (HBsAg), antibody to Hepatitis B core antigen (anti-HBcAg), or antibody to Hepatitis C virus (anti-HCV) or presence of these findings on screening.
- History of long QTc syndrome (e.g. QTc ≥450 ms for males and ≥470 ms for females).
- Cardiac arrhythmias or any clinically significant abnormalities in the resting 12-lead ECG at the time of screening, as judged by the Investigator.
- History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity.
- Current or history of alcohol, drug abuse and/or use of anabolic steroids within 2 years prior to screening.
- Women who are pregnant or breastfeeding.
- Patients who have previously participated (completed or withdrawn) in this study CX842A2201.
Sites / Locations
- Genesis Clinical Research - Tampa
- Medical Center Excelsior
- DCC XIV Sofia
- DCC XIV Sofia
- Medical Centre Asklepii
- Medical Center Medconsult Pleven
- DCC-1 Sliven
- MHAT "Kaspela"
- Medical Center Prolet EOOD
- Diagnostive Consultative Center-1 Sliven
- Medical Center Hera - Gastroenterology office
- 2-nd MHAT
- Medical Center Excelsior
- MHAT "Sveti Ivan Rilski" - Sofia
- Medical Center Hera - Gastroenterology office
- Medical Center New Rehabilitation Center EOOD
- Medical Center "Biomed 99" Ltd
- Mhat "Hristo Botev"
- ResTrial GastroEndo s.r.o.
- LTD"Brothers"
- A. Aladashvili clinic LLC
- LTD Israeli-Georgian Medical Research Clinic "Helsicore"
- LTD TSMU and Ingorokva High Medical Technology University Clinic
- Emergency Cardiology Center named by acad. G. Chapidze
- Bekes Megyei Kozponti Korhaz, Dr.Rethy Pal Tagkorhaz
- Szegedi Tudomanyegyetem Általános Orvostudományi Kar
- ClinExpert Kft.
- Pannonia Maganorvosi Centrum Kft
- Centrum Medyczne Melita Medical
- NZOZ "Centrum Medyczne KERMED"
- Szpital Zakonu Bonifratrow Sw. Jana Bozego w Lodzi
- Oswiecimskie Centrum Badan Klinicznych Medicome Sp. z o.o.
- ETG Skierniewice
- Twoja Przychodnia - Szczecinskie Centrum Medyczne
- EuroMediCare Szpital Specjalistyczny z Przychodnia
- EuroMediCare Szpital Specjalistyczny z Przychodnia
- ETG Zamosc
- Zvezdara University Medical Center
- Oblasna komunalna ustanova "Chernivetska oblasna klinichna likarnia"
- KNP "Odeska oblasna klinichna likarnia" Odeskoi oblasnoi rady"
- Medychnyi Tsentr TOV "KHELS KLINIK" - viddil Gasrtroenterology, Hepatology and Endocrinology
- KU "6-A miska klinichna likarnia"
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Experimental
Active Comparator
X842 25 mg BID
X842 50 mg BID
X842 75 mg BID
X842 100 mg BID
Lansoprazole
Patients will receive 2 tablets (X842 25mg + X842 dummy) and 1 capsule (Lansoprazole dummy) in the morning, and 2 tablets (X842 25 mg + X842 dummy) in the evening during 4-week double-blind treatment. Thereafter, patients will receive 1 capsule of Lansoprazole 30 mg QD for 4 weeks.
Patients will receive 2 tablets (X842 50 mg + X842 dummy) and 1 capsule (Lansoprazole dummy) in the morning, and 2 tablets (X842 50 mg + X842 dummy) in the evening during 4-week double-blind treatment. Thereafter, patients will receive 1 capsule of Lansoprazole 30 mg QD for 4 weeks.
Patients will receive 2 tablets (X842 50 mg + X842 25 mg) and 1 capsule (Lansoprazole dummy) in the morning, and 2 tablets (X842 50 mg×2) in the evening during 4-week double-blind treatment. Thereafter, patients will receive 1 capsule of Lansoprazole 30 mg QD for 4 weeks.
Patients will receive 2 tablets (X842 50 mg×2) and 1 capsule (Lansoprazole dummy) in the morning, and 2 tablets (X842 50 mg×2) in the evening during 4-week double-blind treatment. Thereafter, patients will receive 1 capsule of Lansoprazole 30 mg QD for 4 weeks.
Patients will receive 2 tablets (X842 dummy×2) and 1 capsule (Lansoprazole 30 mg) in the morning, and 2 tablets (X842 dummy×2) in the evening during 4-week double-blind treatment. Thereafter, patients will receive 1 capsule of Lansoprazole 30 mg QD for 4 weeks.