- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02986685
Trimebutine Maleate Combined With Rabeprazole in Patients With Grade A or B Reflux Esophagitis Whose Symptoms Refractory to Rabeprazole (rRE)
December 5, 2016 updated by: Yongquan Shi, Xijing Hospital of Digestive Diseases
The Clinical Efficacy and Safety of Trimebutine Maleate Combined With Rabeprazole in Patients With Grade A or B Reflux Esophagitis Whose Symptoms Refractory to Rabeprazole
The research aims to investigate whether trimebutine maleate combined with rabeprazole can improve the clinical efficacy in patients With refractory Los Angeles grade A or B reflux esophagitis .
A total of 500 patients with Grade A or B reflux esophagitis refractory to rabeprazole will be randomly divided into two groups.One will continue to receive rabeprazole treatment,and the other group will receive extra oral trimebutine maleate 200 mg three times daily for 4 weeks.
The end of the study for every patient is the improvement of main symptoms.
The primary and secondary analyses are the main symptoms score, endoscopy results, Gastroesophageal reflux disease questionnaire(GerdQ) score,Hospital Anxiety and Depression Scale(HADS) score, Athens insomnia scale and World Health Organization Quality of Life-Bref(WHOQOL-BREF)scale scores at the baseline and final assessments.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
500
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Yongquan Shi, professor
- Phone Number: 86-029-84771515
- Email: shiyquan@fmmu.edu.cn
Study Locations
-
-
Shaanxi
-
Xi'an, Shaanxi, China, 710032
- Recruiting
- Xijing Hosipital of Digestive Disease
-
Contact:
- Yongquan Shi, professor
- Phone Number: 86-029-84771515
- Email: shiyquan@fmmu.edu.cn
-
-
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
16 years to 68 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients with typical symptoms of heartburn sensation, or acid regurgitation,or both for at least 6 months.The symptoms were moderate or severe and at least three days a week in 7 days prior to the enrollment,which can complicate with Atypical and extraesophageal symptoms .
- Diagnosed by upper gastrointestinal endoscopy within one month before enrollment with grade A or B reflux esophagitis according to Los Angeles classification
Exclusion Criteria:
- History of endoscopic anti-reflux surgery,Fundoplication and major gastrointestinal surgery.
- History of the chest or abdominal radiotherapy.
- History of grade C or D reflux esophagitis,other gastrointestinal diseases such as Barrett's esophagus,zollinger-ellison syndrome, gastric or duodenal ulcer(excluding ulcer scar),large (>5cm)hiatus hernia,malignant tumor,esophageal stricture,esophageal and gastric Varices,hemorrhage or perforation of the digestive tract,mechanical ileus,et al.
- The presence of serious comorbidities (liver, gallbladder, pancreas, spleen,kidney,heart,lung,blood system,endocrine,mental disease,autoimmunity and metabolic disorders) and malignant tumor of other organs.
- Diagnosis of endocrine,neurological and autoimmunity disorders that may seriously affect motility(e.g. scleroderma or gastroparesis),and the primary esophageal motility disorders(achalasia,esophagospasm or nutcracker oesophagus).
- Pregnancy or lactation during the study and follow-up period.
- Use of antisecretory drugs(PPIs or H2RA),eradication of H pylori,drugs influenced the gastrointestinal motility,anticholinergics ,antipsychotics and so on within 4 weeks before the study.
- Contraindications to trimebutine maleate or rabeprazole.
- Use of drugs have interaction with the study drugs (e.g. cisapride ,procainamide, clopidogrel or ciclosporin),or drugs which may affect the results of the study(e.g. antisecretory drugs(PPIs or H2RA),prokinetics,mucosal protective drugs or anticholinergics),or drugs absorbed depending on the acidity of the gastric fluid(e.g.ketoconazole or digoxin),or CYP3A4,CYP2C19 inhibitors during the study.
- Patients inability or refuse to consent, unable to complete the questionnaire,and have poor compliance to the treatment.
- patients participated in other clinical trial 3 months before the study.
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: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: trimebutine maleate + rabeprazole
trimebutine maleate 200mg three times daily combined with rabeprazole 20mg once daily
|
Rabeprazole 20mg once daily was administered during the 8 weeks' screening stage ,then oral trimebutine maleate 200mg three times daily combined with rabeprazole 20mg once daily were administered to the experimental arm for 4 weeks.
Rabeprazole 20mg once daily was administered during the 8 weeks' screening stage,and rabeprazole 20mg once daily was administered to other arm for additional 4 weeks.
|
Other: rabeprazole
rabeprazole 20mg once daily
|
Rabeprazole 20mg once daily was administered during the 8 weeks' screening stage,and rabeprazole 20mg once daily was administered to other arm for additional 4 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The change of main symptom (heartburn,acid regurgitation,non-cardiac chestpain,hoarseness,et,al)score from baseline to the end of 8 weeks
Time Frame: baseline ,the end of 8 weeks
|
After the screening,the investigators defined the patients with main symptom score improvement less than 50% as the refractory reflux esophagitis patients. The results before and after treatment will be compared. |
baseline ,the end of 8 weeks
|
The change of main symptom (heartburn,acid regurgitation,non-cardiac chestpain,hoarseness,et,al)score from the end of 8 weeks to the end of 12 weeks
Time Frame: the end of 8 weeks , the end of 12 weeks
|
the end of 8 weeks , the end of 12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change of GerdQ score from baseline to the end of 8 weeks
Time Frame: baseline,the end of 8 weeks
|
The results before and after treatment will be compared
|
baseline,the end of 8 weeks
|
change of GerdQ score from the end of 8 weeks to the end of 12 weeks
Time Frame: the end of 8 weeks,the end of 12 weeks
|
The results before and after treatment will be compared
|
the end of 8 weeks,the end of 12 weeks
|
change of Athens insomnia scale score from baseline to the end of 8 weeks
Time Frame: baseline,the end of 8 weeks
|
Athens insomnia scale score was used to evaluate the quality of sleep.
The results before and after treatment will be compared
|
baseline,the end of 8 weeks
|
change of Athens insomnia scale score from the end of 8 weeks to the end of 12 weeks
Time Frame: the end of 8 weeks,the end of 12 weeks
|
Athens insomnia scale score was used to evaluate the quality of sleep.
The results before and after treatment will be compared
|
the end of 8 weeks,the end of 12 weeks
|
change of WHOQOL-BREF score from baseline to the end of 8 weeks
Time Frame: baseline , the end of 8 weeks
|
The quality of life for the refractory reflux esophagitis patients was assessed with the WHOQOL-BREF.The results before and after treatment will be compared
|
baseline , the end of 8 weeks
|
change of WHOQOL-BREF score from the end of 8 weeks to the end of 12 weeks
Time Frame: the end of 8 weeks, the end of 12 weeks
|
The quality of life for the refractory reflux esophagitis patients was assessed with the WHOQOL-BREF.The results before and after treatment will be compared
|
the end of 8 weeks, the end of 12 weeks
|
change of HADS score from baseline to the end of 8 weeks
Time Frame: baseline,the end of 8 weeks
|
Depression and anxiety was assessed with HADS.The results before and after treatment will be compared
|
baseline,the end of 8 weeks
|
change of HADS score from the end of 8 weeks to the end of 12 weeks
Time Frame: the end of 8 weeks , the end of 12 weeks
|
Depression and anxiety was assessed with HADS.The results before and after treatment will be compared
|
the end of 8 weeks , the end of 12 weeks
|
change of the results of upper gastrointestinal endoscopy from baseline to the end of 12 weeks
Time Frame: baseline,the end of 12 weeks
|
If the patients complete the upper gastrointestinal endoscopy before and after the treatment,the results of the mucosal healing will be analyzed.
|
baseline,the end of 12 weeks
|
The dietary habits of the patients with refractory Los Angeles class A or B reflux esophagitis
Time Frame: baseline
|
baseline
|
|
The comorbidities(e.g.,hypertension,chronic kidney disease,diabetes,IBS,Functional dyspepsia,et,al) of the patients with refractory Los Angeles class A or B reflux esophagitis
Time Frame: baseline
|
baseline
|
|
the smoking and alcohol drinking habits of the patients with refractory Los Angeles class A or B reflux esophagitis
Time Frame: baseline
|
baseline
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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
November 1, 2016
Primary Completion (Anticipated)
October 1, 2017
Study Completion (Anticipated)
November 1, 2017
Study Registration Dates
First Submitted
November 23, 2016
First Submitted That Met QC Criteria
December 5, 2016
First Posted (Estimate)
December 8, 2016
Study Record Updates
Last Update Posted (Estimate)
December 8, 2016
Last Update Submitted That Met QC Criteria
December 5, 2016
Last Verified
November 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Gastrointestinal Diseases
- Stomach Diseases
- Gastroenteritis
- Intestinal Diseases
- Esophageal Motility Disorders
- Deglutition Disorders
- Esophageal Diseases
- Peptic Ulcer
- Duodenal Diseases
- Gastroesophageal Reflux
- Esophagitis, Peptic
- Esophagitis
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Parasympatholytics
- Autonomic Agents
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Gastrointestinal Agents
- Anti-Ulcer Agents
- Proton Pump Inhibitors
- Rabeprazole
- Trimebutine
Other Study ID Numbers
- KY-20162096-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
IPD Plan Description
De-identified individual participant data for all primary and secondary outcome measures will be made available within 6 months of study completion
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 Refractory Reflux Esophagitis
-
Eisai Co., Ltd.Completed
-
AstraZenecaCompletedRefractory Reflux EsophagitisJapan
-
Eisai Co., Ltd.CompletedRefractory Reflux EsophagitisJapan
-
Universitair Ziekenhuis BrusselUnknownAcid Reflux Esophagitis | Non-acid Reflux EsophagitisBelgium
-
Ruihua ShiUnknownRefractory Gastroesophageal Reflux DiseaseChina
-
AstraZenecaCompletedGastroesophageal Reflux Disease | Erosive Esophagitis | Reflux EsophagitisUnited States
-
Trio Medicines Ltd.Ferring PharmaceuticalsCompletedReflux OesophagitisUnited Kingdom
-
Trio Medicines Ltd.Ferring PharmaceuticalsCompletedReflux OesophagitisUnited Kingdom
-
Seoul National University Bundang HospitalCompletedNon-erosive Reflux Disease (NERD) | Reflux Esophagitis (RE) | Functional Heartburn (FH)Korea, Republic of
-
AstraZenecaCompletedRepeatedly Recurring Esophagitis | Relapsing Reflux EsophagitisJapan
Clinical Trials on Trimebutine Maleate
-
CM Chungmu HospitalKorea United Pharm. Inc.UnknownNausea | VomitingKorea, Republic of
-
Chuncheon Sacred Heart HospitalCompletedHelicobacter Pylori InfectionKorea, Republic of
-
Valenta Pharm JSCRecruiting
-
gicare Pharma Inc.Algorithme Pharma Inc; JSS Medical Research Inc.CompletedPain | Cancer | Colonic DiseasesUnited States, Canada
-
Hospital BritanicoCompletedIrritable Bowel SyndromeArgentina
-
Mansoura UniversitySuspended
-
Universidad de ColimaRecruitingFunctional Gastrointestinal Disorders | Functional Abdominal Pain Syndrome | Irritable Bowel Syndrome Variant of ChildhoodMexico
-
Novartis PharmaceuticalsCompletedAsthmaGermany, United Kingdom
-
National Cancer Institute (NCI)CompletedRecurrent Childhood Medulloblastoma | Recurrent Childhood Ependymoma | Childhood Atypical Teratoid/Rhabdoid Tumor | Childhood Grade I Meningioma | Childhood Grade II Meningioma | Childhood Grade III Meningioma | Childhood Infratentorial Ependymoma | Childhood Supratentorial Ependymoma | Recurrent Childhood... and other conditionsUnited States
-
gicare Pharma Inc.Algorithme Pharma IncCompletedPain | Cancer | Colonic DiseaseCanada