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TerminatedNCT00857597TvPUpdated Mar 30, 2018

Endoscopic Fundoplication Versus Proton Pump Inhibitors for GERD Treatment

A Phase 3 interventional study of Transoral Incisionless Fundoplication and Proton Pump Inhibitors; active control in Gastroesophageal Reflux Disease (GERD), sponsored by University of Pittsburgh. Terminated at 1 site in Netherlands. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-03-30.

Sponsored by University of Pittsburgh · Phase 3, Interventional, and Treatment

Why this study was terminated
Study was terminated after unplanned interim analysis of single centre data and results were reported
Phase
Phase 3
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The study objective is to evaluate the relative merits, safety and effectiveness of Transoral Incisionless Fundoplication (TIF) in GERD patients currently treated with daily Proton Pump Inhibitors (PPIs).

02

Conditions studied

  • Gastroesophageal Reflux Disease (GERD)

Keywords

  • GERD
  • endoscopic
  • fundoplication
  • Proton Pump Inhibitors
  • heartburn
  • anti-reflux surgery
03

In context

Gastroesophageal Reflux

1,067 studies on the registry are indexed under Gastroesophageal Reflux; 188 are open to participants now.

This study's enrollment of 60 is below the median of 72 across 712 interventional studies indexed under Gastroesophageal Reflux.

Browse Gastroesophageal Reflux studies →

Lead sponsor

University of Pittsburgh is the lead sponsor of 1,385 studies on the registry; 167 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 4 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18-75 years
  • Proven gastroesophageal reflux (pH \< 4 for > 4.3% time while off PPIs for 7-14 days)
  • On daily PPIs for > 1 year
  • Recurrence of GERD symptoms (GERD-HRQL score difference of > 10 between on and off PPIs)
  • Normal or hypotonic LES resting pressure (5-40 mmHg)
  • Patient willingness to cooperate with random group assignment, attend 4-5 office visits and comply with all tests in this protocol
  • Signed informed consent

Exclusion criteria

Exclusion Criteria:

  • BMI > 35
  • Hiatal hernia > 2 cm
  • Esophagitis grade D
  • Barrett's esophagus
  • Esophageal stricture
  • Esophageal ulcer
  • Esophageal motility disorder
  • Gastric motility disorder
  • Prior splenectomy
  • Gastric paralysis
  • Pregnancy (in females)
  • Immunosuppression
  • ASA > 2
  • Portal hypertension
  • Coagulation disorders
  • Previous antireflux procedure
  • Any other health condition, which the investigator believes would prevent the patient from completing the study
  • Lack of fluency in English
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    EsophyX

    Procedure: Transoral Incisionless Fundoplication

  • Active comparator
    Proton Pump Inhibitors

    Drug: Proton Pump Inhibitors; active control

Interventions

  • ProcedureTransoral Incisionless Fundoplication

    The TIF procedure using the EsophyX system with SerosaFuse fasteners was designed to create full-thickness serosa-to-serosa plications and construct valves of 3-5 cm in length and 200-300° in circumference.

    Also known as: TIF procedure, ELF procedure, Endoluminal fundoplication, Endoscopic fundoplication

  • DrugProton Pump Inhibitors; active control

    Proton Pump Inhibitors; active control

    Also known as: Esomeprazole, Lansomeprazole, Omeprazole, Pantoprazole, Rabeprazole, Nexium, Prevacid, Dakar, Lanso, Lanzor, Prezal, Lanzol, Prilosec, Losec, Logastric, Protonix, Zurcal, Pantozol, Zurcale, Aciphex, Pariet

06

What researchers measure

Primary outcomes

  1. GERD symptoms

    Time frame: Baseline

  2. GERD symptoms

    Time frame: 6 month follow-up

  3. GERD symptoms

    Time frame: 12 month follow-up

Secondary outcomes

  1. PPI usage

    Time frame: at 0, 6 and 12 month follow- up

  2. Lower esophageal acid exposure

    Time frame: at 0, 6 and 12 month follow- up

  3. Esophagitis

    Percentage of Participants with Esophagitis (Los Angeles classification scale)

    Time frame: at 0, 6 and 12 month follow- up

  4. Rate of adverse events

    Time frame: at 0, 6 and 12 month follow- up

07

Study locations

1 site
  • University Hospital Maastricht
    Maastricht, Limburg 6229 HX, Netherlands
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 30, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00857597
Lead sponsor
University of Pittsburgh
Collaborators
EndoGastric Solutions, Sandhill Scientific, Crospon
Responsible party
Sponsor
First posted
Mar 6, 2009
Start date
Mar 2009
Primary completion
Dec 2011
Completion
Dec 2011
Last update
Mar 30, 2018

Study contacts

Blair A Jobe, MD
principal investigator · University of Pittsburgh Medical Center
Nicole D Bouvy, MD, PhD
principal investigator · University Hospital Maastricht, The Netherlands

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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