Efficacy and Safety of TAK-438 for the Prevention of Recurrent Gastric or Duodenal Ulcers During Therapy of Low-dose Aspirin

January 17, 2014 updated by: Takeda

A Phase 3, Multicenter, Randomized, Double-blind, AG-1749-controlled, Parallel-group, Comparison Study to Evaluate the Efficacy and Safety of TAK-438 (10 mg or 20 mg, Orally, Once Daily) for the Prevention of Recurrent Gastric or Duodenal Ulcers During Long-term Therapy of Low-dose Aspirin

The purpose of this study is to evaluate the efficacy of TAK-438, once daily (QD) compared to AG-1749 (Lansoprazole) in patients with a history of gastric or duodenal ulcer who require long-term therapy of low-dose aspirin.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

621

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Japan
    • Aichi
      • Komaki-shi, Aichi, Japan
      • Seto-shi, Aichi, Japan
    • Akita
      • Akita-shi, Akita, Japan
    • Chiba
      • Ichikawa-shi, Chiba, Japan
      • Kisarazu-shi, Chiba, Japan
      • Matsudo-shi, Chiba, Japan
    • Ehime
      • Imabari-shi, Ehime, Japan
      • Matsuyama-shi, Ehime, Japan
      • Niihama-shi, Ehime, Japan
    • Fukui
      • Fukui-shi, Fukui, Japan
    • Fukuoka
      • Chikushino-shi, Fukuoka, Japan
      • Fukuoka-shi, Fukuoka, Japan
      • Kasuya-gun, Fukuoka, Japan
      • Kitakyushu-shi, Fukuoka, Japan
      • Miyako-gun, Fukuoka, Japan
      • Onga-gun, Fukuoka, Japan
      • Yanagawa-shi, Fukuoka, Japan
      • Yukuhashi-shi, Fukuoka, Japan
    • Fukushima
      • Koriyama-shi, Fukushima, Japan
    • Gifu
      • Gifu-shi, Gifu, Japan
    • Gunma
      • Takasaki-shi, Gunma, Japan
    • Hiroshima
      • Fukuyama-shi, Hiroshima, Japan
      • Hatsukaichi-shi, Hiroshima, Japan
      • Hiroshima-shi, Hiroshima, Japan
    • Hokkaido
      • Asahikawa-shi, Hokkaido, Japan
      • Obihiro-shi, Hokkaido, Japan
      • Sapporo-shi, Hokkaido, Japan
      • Tomakomaki-shi, Hokkaido, Japan
    • Hyougo
      • Kobe-shi, Hyougo, Japan
      • Nishinomiya-shi, Hyougo, Japan
      • Takarazuka-shi, Hyougo, Japan
    • Ibaragi
      • Koga-shi, Ibaragi, Japan
      • Tsuchiura-shi, Ibaragi, Japan
    • Ishikawa
      • Kanazawa-shi, Ishikawa, Japan
      • Komatsu-shi, Ishikawa, Japan
      • Nomi-shi, Ishikawa, Japan
      • Shiroyama-shi, Ishikawa, Japan
    • Kagawa
      • Takamatsu-shi, Kagawa, Japan
    • Kagoshima
      • Ibusuki-shi, Kagoshima, Japan
      • Ichikikushikino-shi, Kagoshima, Japan
      • Izumi-shi, Kagoshima, Japan
    • Kanagawa
      • Atsugi-shi, Kanagawa, Japan
      • Kawasaki-shi, Kanagawa, Japan
      • Sagamihara-shi, Kanagawa, Japan
      • Yokohama-shi, Kanagawa, Japan
    • Kochi
      • Kochi-shi, Kochi, Japan
    • Kumamoto
      • Kumamoto-shi, Kumamoto, Japan
    • Kyoto
      • Kyoto-shi, Kyoto, Japan
      • Uji-shi, Kyoto, Japan
    • Mie
      • Tsu-shi, Mie, Japan
    • Miyagi
      • Sendai-shi, Miyagi, Japan
    • Nagasaki
      • Nagasaki-shi, Nagasaki, Japan
    • Nara
      • Nara-shi, Nara, Japan
    • Niigata
      • Niigata-shi, Niigata, Japan
    • Oita
      • Oita-shi, Oita, Japan
    • Osaka
      • Osaka-shi, Osaka, Japan
      • Sakai-shi, Osaka, Japan
      • Tondabayashi-shi, Osaka, Japan
    • Saitama
      • Ageo-shi, Saitama, Japan
      • Hiki-gun, Saitama, Japan
      • Kumagaya-shi, Saitama, Japan
      • Saitama-shi, Saitama, Japan
      • Sayama-shi, Saitama, Japan
      • Tokorozawa-shi, Saitama, Japan
    • Shiga
      • Otsu-shi, Shiga, Japan
    • Tochigi
      • Utsunomiya-shi, Tochigi, Japan
    • Tokyo
      • Adachi-ku, Tokyo, Japan
      • Hachioji-shi, Tokyo, Japan
      • Koto-ku, Tokyo, Japan
      • Meguro-ku, Tokyo, Japan
      • Minato-ku, Tokyo, Japan
      • Shinjuku-ku, Tokyo, Japan
    • Toyama
      • Tonami-shi, Toyama, Japan
      • Toyama-shi, Toyama, Japan
    • Yamaguchi
      • Iwakuni-shi, Yamaguchi, Japan
      • Shimonoseki-shi, Yamaguchi, Japan

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

20 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Participants who require continuous low-dose aspirin therapy during the treatment period with the study drug
  2. Participants who have a history of ulcer in stomach or duodenum, endoscopically confirmed
  3. Outpatient (including inpatient for examinations)

Exclusion Criteria:

  1. Participants scheduled to change the type and dosage regimen of low-dose aspirin
  2. Participants with ulcers or bleeding in stomach or duodenum, endoscopically confirmed
  3. Participants with small intestine bleeding, large intestine bleeding, or gastrointestinal bleeding of unknown etiology
  4. Participants who have a history of surgery which affects gastric acid secretion (e.g., resection of upper gastrointestinal tract, vagotomy) or who are scheduled to undergo such surgery
  5. Participants with a previous or current history of Zollinger-Ellison syndrome, or other gastric acid hypersecretion disorders
  6. Participants with a previous or current history of aspirin-induced asthma

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: TAK-438 10 mg QD
Drug: TAK-438
TAK-438 10 mg tablets, orally, once daily for up to 24 weeks.
Drug: Placebo
Lansoprazole placebo-matching capsules, orally, once daily for up to 24 weeks.
Drug: TAK-438
TAK-438 20 mg tablets, orally, once daily for up to 24 weeks.
Drug: Placebo
TAK-438 placebo-matching tablets, orally, once daily for up to 24 weeks.
Experimental: TAK-438 20 mg QD
Drug: TAK-438
TAK-438 10 mg tablets, orally, once daily for up to 24 weeks.
Drug: Placebo
Lansoprazole placebo-matching capsules, orally, once daily for up to 24 weeks.
Drug: TAK-438
TAK-438 20 mg tablets, orally, once daily for up to 24 weeks.
Drug: Placebo
TAK-438 placebo-matching tablets, orally, once daily for up to 24 weeks.
Active Comparator: Lansoprazole 15 mg QD
Drug: Placebo
Lansoprazole placebo-matching capsules, orally, once daily for up to 24 weeks.
Drug: Placebo
TAK-438 placebo-matching tablets, orally, once daily for up to 24 weeks.
Drug: Lansoprazole
Lansoprazole 15 mg capsules, orally, once daily for up to 24 weeks.
Other Names:
  • AG-1749

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Recurrence rate of gastric or duodenal ulcer within 24 weeks
Time Frame: 24 weeks
Mucosal defects with a white coating of 3 mm or larger will be determined as ulcers. Recurrence rate of gastric or duodenal ulcer within 24 weeks will be calculated for each treatment group.
24 weeks

Secondary Outcome Measures

Outcome Measure
Time Frame
Recurrence rate of gastric or duodenal ulcer within 12 weeks
Time Frame: 12 weeks
12 weeks
Gastric mucosal injury
Time Frame: 24 Weeks
24 Weeks
Duodenal mucosal injury
Time Frame: 24 weeks
24 weeks
Occurrence rate of hemorrhagic lesion in stomach or duodenum
Time Frame: 24 weeks
24 weeks
Time to recurrence of gastric or duodenal ulcer
Time Frame: 24 weeks
24 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Takeda

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2011

Primary Completion (Actual)

April 1, 2013

Study Completion (Actual)

April 1, 2013

Study Registration Dates

First Submitted

September 16, 2011

First Submitted That Met QC Criteria

October 14, 2011

First Posted (Estimate)

October 17, 2011

Study Record Updates

Last Update Posted (Estimate)

January 20, 2014

Last Update Submitted That Met QC Criteria

January 17, 2014

Last Verified

January 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • TAK-438/CCT-302
  • U1111-1123-8746 (Registry Identifier: WHO (UTN))
  • JapicCTI-111610 (Registry Identifier: JapicCTI)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Gastric Ulcers

Clinical Trials on TAK-438

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Panama

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

3
Subscribe