A Study to Estimate Effect of 4 Different Doses of AZD3355 on Reflux Episodes, Which Patients With Gastroesophageal Reflux Disease (GERD) May Experience
A Double-blind, Placebo Controlled, Randomised, Phase IIA Pharmacodynamic 4-way Cross-over Study to Estimate the Dose Response Relationship of AZD3355 on the Number of Reflux Episodes Assessed by Impedance/pH in Patients With GERD and a Partial Response to PPI Treatment
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States
- Research Site
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Provide informed consent
- History of GERD with persistent symptoms despite treatment with PPI
- Otherwise normal physical health
Exclusion Criteria:
- History of GERD with symptoms that has not improved at all during treatment with PPI
- Prior surgery of the upper gastrointestinal tract
- History of significant heart disease, cardiovascular, respiratory, hepatic, renal, metabolic, psychiatric or gastrointestinal disorders besides GERD
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: E
Placebo
|
Placebo capsules orally in the morning and placebo capsules in the evening for 1 day
|
|
Experimental: A
AZD3355 30 mg
|
30 mg orally in the morning and 30 mg in the evening for 1 day
90 mg orally in the morning and 90 mg in the evening for 1 day
120 mg orally in the morning and 120 mg in the evening for 1 day
240 mg orally in the morning and 240 mg in the evening for 1 day
|
|
Experimental: B
AZD3355 90 mg
|
30 mg orally in the morning and 30 mg in the evening for 1 day
90 mg orally in the morning and 90 mg in the evening for 1 day
120 mg orally in the morning and 120 mg in the evening for 1 day
240 mg orally in the morning and 240 mg in the evening for 1 day
|
|
Experimental: C
AZD3355 120 mg
|
30 mg orally in the morning and 30 mg in the evening for 1 day
90 mg orally in the morning and 90 mg in the evening for 1 day
120 mg orally in the morning and 120 mg in the evening for 1 day
240 mg orally in the morning and 240 mg in the evening for 1 day
|
|
Experimental: D
AZD3355 240 mg
|
30 mg orally in the morning and 30 mg in the evening for 1 day
90 mg orally in the morning and 90 mg in the evening for 1 day
120 mg orally in the morning and 120 mg in the evening for 1 day
240 mg orally in the morning and 240 mg in the evening for 1 day
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Total Number of Reflux Episodes During 24 Hours
Time Frame: Measured during 24 hours at 4 different visits with a 7-28 days interval between
|
Number of reflux episodes assessed during ambulatory impedance-pH recording (defined as starting with a drop in impedance to below 50% of baseline and ending when impedance recovers to above 50% of baseline)
|
Measured during 24 hours at 4 different visits with a 7-28 days interval between
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Acid Reflux Episodes
Time Frame: Measured during 24 hours at 4 different visits with a 7-28 days interval between
|
Number of reflux episodes as defined for the primary outcome measure with an intraesophageal pH <4 (or a drop of at least 1 pH unit if pH is already <4) lasting more than 5 s.
|
Measured during 24 hours at 4 different visits with a 7-28 days interval between
|
|
Number of Weakly Acidic Reflux Episodes
Time Frame: Measured during 24 hours at 4 different visits with a 7-28 days interval between
|
Number of reflux episodes as defined for the primary outcome measure with an intraesophageal pH 4.0-6.5 lasting more than 5 s.
|
Measured during 24 hours at 4 different visits with a 7-28 days interval between
|
|
Number of Weakly Alkaline Reflux Episodes
Time Frame: Measured during 24 hours at 4 different visits with a 7-28 days interval between
|
Number of reflux episodes as defined for the primary outcome measure with an intraesophageal pH ≥6.5 lasting more than 5 s.
|
Measured during 24 hours at 4 different visits with a 7-28 days interval between
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Philip Miner, Oklahoma Foundation of Digestive Research
- Study Director: Debra G Silberg, AstraZeneca
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Gastrointestinal Diseases
- Stomach Diseases
- Gastroenteritis
- Intestinal Diseases
- Esophageal Motility Disorders
- Deglutition Disorders
- Esophageal Diseases
- Esophagitis
- Peptic Ulcer
- Duodenal Diseases
- Gastroesophageal Reflux
- Esophagitis, Peptic
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Gastrointestinal Agents
- GABA Agents
- GABA-A Receptor Agonists
- GABA Agonists
- Lesogaberan
Other Study ID Numbers
Other Study ID Numbers
- D9120C00032
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