The Safety and Tolerability of Secretrol in Patients With Barrett's Esophagus
Primary Purpose
Barrett's Esophagus
Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Secretrol
Sponsored by
About this trial
This is an interventional treatment trial for Barrett's Esophagus focused on measuring Proton Pump Inhibitor, Safety, Tolerability, pH control, Bile Acid
Eligibility Criteria
Inclusion Criteria:
- Barrett's esophagus with histological confirmed Barrett's ≥ 2 cm in length and negative or indefinite for dysplasia/neoplasia.
- Ages 18 and older.
- Patients who have signed an Informed Consent Form and Health Insurance Portability and Accountability Act (HIPAA) Authorization Form.
Exclusion Criteria:
- Clinically relevant data suggesting an unknown disease and requiring further evaluation by the Primary Investigator.
- If you have a pacemaker, cardiac defibrillator or neurostimulator.
- Patients with renal failure or organ transplants.
- Patients who have known allergic reactions to Proton Pump Inhibitors.
- Participation in another study within 30 days prior to screening.
- Previous enrollment into the current study.
- Patient is the Investigator, his family member or employee at the investigational site.
- Patient known or suspected to be involved in alcohol or drug abuse.
- Known or suspected history of non-compliance with medications.
- Inability to follow the procedures of the study (e.g., due to language problems, psychological disorders)
- Patients receiving prohibited concomitant medications including PPIs, H2 blockers, sucralfate, misoprostil. Note: patient to take dose of "usual" PPI medication in morning of visit 2 and continue for the next 24 hours. After that no PPI is permitted (except Secretrol)
- Patients receiving prohibited concomitant medications including theophylline, clopidogrel, ketoconazole, digoxin, diazepam, warfarin, phenytoin, emtricitabine/nelfinavir/tenofovir, atazanavir, citalopram, emtricitabine/rilpivirine/tenofovir, rilpivirine, nelfinavir, tricyclic antidepressants, baclofen, tacrolimus, cyclosporine, cilostazol, disulfiram, methotrexate, voriconazole.
- Pregnancy or intention to become pregnant during the course of study, breast feeding, or unwillingness to use a highly effective means of contraception (oral contraception or intrauterine device).
- Unable to complete 48-hr esophageal pH monitoring.
- Prescription NSAID use or aspirin use greater than 325mg daily.
- History of upper gastrointestinal surgery, Zollinger-Ellison syndrome, esophageal stricture, peptic stricture, duodenal and ⁄ or gastric ulcer, esophageal motility disorders, IBD, AIDS, pancreatitis, malabsorption, severe cardiovascular or pulmonary disease, liver disease, active malignant disease, scleroderma, autonomic or peripheral neuropathy, myopathy, any underlying disease or medication that might affect the lower esophageal sphincter pressure or increase the acid clearance time.
- Were unable or unwilling to fully complete all stages of the study.
- Unable to sign informed consent or inability to give fully informed consent due to language problems, psychological disorder or mental deficiency.
Sites / Locations
- Veteran's Administration Medical Center
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Secretrol
Arm Description
Secretrol Capsules 80/80 once daily for 6 months
Outcomes
Primary Outcome Measures
Number of patients with adverse events
Secondary Outcome Measures
Number of participants who develop C. difficile induced diarrhea
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01905202
Brief Title
The Safety and Tolerability of Secretrol in Patients With Barrett's Esophagus
Official Title
Phase 1 Safety and Tolerability of Secretrol in Patients With Barrett's Esophagus
Study Type
Interventional
2. Study Status
Record Verification Date
August 2014
Overall Recruitment Status
Unknown status
Study Start Date
April 2013 (undefined)
Primary Completion Date
April 2015 (Anticipated)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Effexus Pharmaceutical
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Secretrol administered over a 6 month period to patients with Barrett's Esophagus will be safe and well tolerated. Further, pH control will be evaluated in the distal esophageal mucosa and just below the squamocolumnar junction.
Detailed Description
A majority of patients with Barrett's esophagus have poor distal esophageal pH control. Such patients frequently receive more than one dose of PPI per day in an attempt to improve esophageal pH control. Nocturnal pH control is notably difficult to achieve in many patients suffering from Barrett's esophagus. Recently, adverse effects have been associated with prolonged PPI use (defined as 1 year or longer). These include hypomagnesemia, bone fractures, Clostridium difficile induced diarrhea. High dose PPI as well as very high dose PPI usage (such as that used in hypersecretory conditions) has generally not been found to produce a different side effect or tolerability profile in humans. This study will evaluate the effects of Secretrol on tolerability, adverse effects and pH control of the distal esophagus and just below the squamocolumnar junction.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Barrett's Esophagus
Keywords
Proton Pump Inhibitor, Safety, Tolerability, pH control, Bile Acid
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
13 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Secretrol
Arm Type
Experimental
Arm Description
Secretrol Capsules 80/80 once daily for 6 months
Intervention Type
Drug
Intervention Name(s)
Secretrol
Primary Outcome Measure Information:
Title
Number of patients with adverse events
Time Frame
at 6 months
Secondary Outcome Measure Information:
Title
Number of participants who develop C. difficile induced diarrhea
Time Frame
Over 6 months
Other Pre-specified Outcome Measures:
Title
Gastrin 17
Description
Serum Gastrin 17 will be measured and compared to baseline.
Time Frame
Baseline, Day 30, 6 months
Title
Bile acids/salts
Description
Bile acids and bile salts can be affected by pH changes. The differential characterization of bile acid and bile salts will be performed at Baseline as compared to Day 30
Time Frame
Baseline, Day 30
Title
Serum calcium
Time Frame
Baseline, 30 days and 6 months
Title
Serum magnesium
Time Frame
Baseline, 30 days and 6 months
Title
48 hour gastroesophageal pH measurement
Time Frame
Baseline, 30 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Barrett's esophagus with histological confirmed Barrett's ≥ 2 cm in length and negative or indefinite for dysplasia/neoplasia.
Ages 18 and older.
Patients who have signed an Informed Consent Form and Health Insurance Portability and Accountability Act (HIPAA) Authorization Form.
Exclusion Criteria:
Clinically relevant data suggesting an unknown disease and requiring further evaluation by the Primary Investigator.
If you have a pacemaker, cardiac defibrillator or neurostimulator.
Patients with renal failure or organ transplants.
Patients who have known allergic reactions to Proton Pump Inhibitors.
Participation in another study within 30 days prior to screening.
Previous enrollment into the current study.
Patient is the Investigator, his family member or employee at the investigational site.
Patient known or suspected to be involved in alcohol or drug abuse.
Known or suspected history of non-compliance with medications.
Inability to follow the procedures of the study (e.g., due to language problems, psychological disorders)
Patients receiving prohibited concomitant medications including PPIs, H2 blockers, sucralfate, misoprostil. Note: patient to take dose of "usual" PPI medication in morning of visit 2 and continue for the next 24 hours. After that no PPI is permitted (except Secretrol)
Patients receiving prohibited concomitant medications including theophylline, clopidogrel, ketoconazole, digoxin, diazepam, warfarin, phenytoin, emtricitabine/nelfinavir/tenofovir, atazanavir, citalopram, emtricitabine/rilpivirine/tenofovir, rilpivirine, nelfinavir, tricyclic antidepressants, baclofen, tacrolimus, cyclosporine, cilostazol, disulfiram, methotrexate, voriconazole.
Pregnancy or intention to become pregnant during the course of study, breast feeding, or unwillingness to use a highly effective means of contraception (oral contraception or intrauterine device).
Unable to complete 48-hr esophageal pH monitoring.
Prescription NSAID use or aspirin use greater than 325mg daily.
History of upper gastrointestinal surgery, Zollinger-Ellison syndrome, esophageal stricture, peptic stricture, duodenal and ⁄ or gastric ulcer, esophageal motility disorders, IBD, AIDS, pancreatitis, malabsorption, severe cardiovascular or pulmonary disease, liver disease, active malignant disease, scleroderma, autonomic or peripheral neuropathy, myopathy, any underlying disease or medication that might affect the lower esophageal sphincter pressure or increase the acid clearance time.
Were unable or unwilling to fully complete all stages of the study.
Unable to sign informed consent or inability to give fully informed consent due to language problems, psychological disorder or mental deficiency.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Prateek Sharma, M.D.
Organizational Affiliation
Kansas City, Missouri VAMC
Official's Role
Principal Investigator
Facility Information:
Facility Name
Veteran's Administration Medical Center
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64128
Country
United States
12. IPD Sharing Statement
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The Safety and Tolerability of Secretrol in Patients With Barrett's Esophagus
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