Protonix Treatment of Maintenance of Healing in Pediatric Participants Aged 1-11 Years and 12-17 Years
AN EXPLORATORY, MULTICENTER, RANDOMIZED, DOUBLE BLIND STUDY OF CLINICAL OUTCOMES, TOLERABILITY, AND SAFETY OF 2 DOSES OF ORAL PANTOPRAZOLE IN PEDIATRIC PARTICIPANTS AGED 1 TO 11 YEARS AND 12 TO 17 YEARS WHO REQUIRE MAINTENANCE THERAPY FOR HEALED EROSIVE ESOPHAGITIS
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Pfizer CT.gov Call Center
- Phone Number: 1-800-718-1021
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
Study Locations
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Banja Luka, Bosnia and Herzegovina, 78000
- University Clinical Center of the Republic of Srpska
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Tbilisi, Georgia, 0159
- LTD Imedi Clinic
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Tbilisi, Georgia, 0159
- JSC Georgian Clinics
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Tbilisi, Georgia, 0171
- Georgian-American Family Medicine Clinic
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Rajasthan
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Jaipur, Rajasthan, India, 302001
- SR Kalla Memorial Gastro & General Hospital
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West Bengal
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Kolkata, West Bengal, India, 700073
- Medical college and Hospital
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Caguas, Puerto Rico, 00725
- Hospital HIMA San Pablo Caguas
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Guaynabo, Puerto Rico, 00969
- Chiara Biaggi de Casenave, MD
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Belgrade, Serbia, 11000
- University Children's Hospital
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Kragujevac, Serbia, 34000
- University Clinical Center of Kragujevac
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Martin, Slovakia, 036 59
- Univerzitna nemocnica Martin, Klinika deti a dorastu
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Nitra, Slovakia, 94901
- KM Management, spol. s r.o.,
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Istanbul, Turkey (Türkiye), 34880
- MDX Klinik Arastirma Egitim ve Danismanlik Ltd
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Izmir, Turkey (Türkiye), 35340
- Izmir Saglik Bilimleri University Tepecik Training And Research Hospital
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Izmir, Turkey (Türkiye), 35540
- T.C. Saglik Bakanligi - Izmir Sehir Hastanesi
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London, United Kingdom, WC1N 3JH
- Great Ormond Street Hospital for Children NHS Foundation Trust
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London, United Kingdom, SE5 9RS
- King's College Hospital NHS Foundation Trust
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London, United Kingdom, SE1 7EH
- Evelina London Children's Hospital
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London, United Kingdom, SE1 9RT
- Guys & St Thomas Nhs Foundation
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Florida
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Jacksonville, Florida, United States, 32207
- Nemours Children's Health, Jacksonville
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Jacksonville, Florida, United States, 32207
- Baptist/Wolfson's Children's Hospital
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New York
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Rochester, New York, United States, 14627
- University of Rochester
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Rochester, New York, United States, 14642
- University of Rochester Medical Center Clinical Research Center
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Wisconsin
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Madison, Wisconsin, United States, 53715
- Board of Regents of the University of Wisconsin System
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Madison, Wisconsin, United States, 53792
- University Hospital and UW Health Clinics
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Madison, Wisconsin, United States, 53718
- UW Health E Terrace Dr Medical Center
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Middleton, Wisconsin, United States, 53562
- UW Health 2275 Deming Way Clinic
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants must have a documented erosive lesion with an Los Angeles (LA) Grade of A to D prior to starting Proton Pump Inhibitor treatment:
- Capable of giving signed informed consent/assent
- Willingness and ability of the participant or parent/legal guardian to complete the eDiary
- Willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures, including the use of the eDiary.
- Male and female participants aged 1 to 17 years.
- Minimum body weight 7 kilogram and weight at least at the 5th percentile per the Center for Disease Control standard age and weight chart, for the participant's age.
- To be considered a female of non childbearing potential, the participant must meet at least 1 of the following criteria :
- Premenarchal: The investigator (or other appropriate staff) must discuss the participant's premenarchal status with the participant and parent/legal guardian at office visits and during telephone contacts, as participants who achieve menarche during the study would no longer be considered "female participants of non childbearing potential" and must comply with the protocol requirements applicable to women of childbearing potential.
Exclusion Criteria:
- Previous administration of an investigational drug or vaccine within 30 days (or as determined by the local requirement) or 5 half-lives preceding the first dose of study intervention used in this study (whichever is longer).
- Children that may be at high risk from procedural sedation should be carefully evaluated. Participants with a history of complications during prior procedural sedation
- History or presence of upper gastrointestinal anatomic or motor disorders
- Family history of malignant hyperthermia
- Known hypersensitivity to any Proton Pump Inhibitor, including pantoprazole or to any substituted benzimidazole or to any of the excipients.
- Any disorder requiring chronic (daily) use of warfarin, heparin, other anticoagulants, methotrexate, atazanavir or nelfinavir, clopidogrel, or potent inhibitors or inducers of CYP2C19 (eg, phenytoin, sulfamethoxazole, valproic acid, carbamazepine, and griseofulvin).
- Serum creatine kinase levels >3 x upper limit of normal.
- Known history of human immunodeficiency virus or clinical manifestations of acquired immune deficiency syndrome.
- Active malignancy of any type, or history of a malignancy. Participants with a history of malignancies that have been surgically removed or eradicated by irradiation or chemotherapy and who have no evidence of recurrence for at least 5 years before Screening are acceptable.
- Diagnosed as having or has received treatment for esophageal, gastric, pyloric channel, or duodenal ulceration within 30 days before the Screening visit.
- Alanine aminotransferase or blood urea nitrogen >2.0 upper limit of normal or estimated creatinine >1.5 X upper limit of normal for age or any other laboratory abnormality considered by the Investigator to be clinically significant within 14 days before the Baseline Visit (Day 1).
- Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or study intervention administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
- Has, in the Investigator's opinion, a serious chronic condition (eg, diabetes, epilepsy), which is either not stable or not well controlled and may interfere with the conduct of the study.
- Has any condition possibly affecting drug absorption (eg, gastrectomy).
Prior or Concomitant Therapy:
- Frequent, repeated use of oral or parenteral glucocorticoids (eg, prednisone, prednisolone, dexamethasone). Steroid inhalers and topical steroids may be used.
- Pregnant female participants; breastfeeding female participants.
- Is unwilling or unable to comply with the Lifestyle Considerations section
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Active Comparator: Arm 1 Full Dose Pantoprazole and matching placebo
Full Healing Dose of pantoprazole
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Full healing dose of pantoprazole plus matching placebo
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Active Comparator: Arm 2 Half Dose Pantoprazole and matching placebo
Half Healing Dose of pantoprazole
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Half healing dose of pantoprazole plus matching placebo
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Proportion of patients with endoscopically confirmed maintenance of healing of erosive esophagitis at Week 24, considering patients with excessive use of rescue medication as treatment failures
Time Frame: Week 24
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Endoscopically confirmed maintenance of healing of erosive esophagitis at Week 24.
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Week 24
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants With Change From Baseline in Physical Examinations and Vital Signs
Time Frame: Baseline up to 36 weeks
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Safety and tolerability will be assessed by physical examinations, blood pressure, and pulse rate.
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Baseline up to 36 weeks
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Incidence of Adverse Events (AEs)
Time Frame: Baseline up to 36 weeks
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Baseline up to 36 weeks
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Number of Participants With Change From Baseline in Laboratory Tests Results
Time Frame: Baseline up to 36 weeks
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Safety and tolerability will be assessed by clinical laboratory measurements
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Baseline up to 36 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- B1791094
- 2020-005030-15 (EudraCT Number)
- 2023-508770-28-00 (Registry Identifier: CTIS (EU))
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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