ClinicalTrials.gg
CompletedNCT02873689Updated Jul 5, 2019Results posted

Efficacy and Safety of Dexlansoprazole on Heartburn Relief in Chinese Patients

A Phase 3 interventional study of Dexlansoprazole and Placebo in Heartburn and Gastroesophageal Reflux Disease, sponsored by Takeda. Completed at 25 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-07-05.

Sponsored by Takeda · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
217
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the efficacy and safety of dexlansoprazole compared to placebo in relief of daytime and nighttime heartburn over 4 weeks in Chinese participants with symptomatic non-erosive Gastroesophageal Reflux Disease (GERD).

Read the detailed description

The drug being tested in this study is called dexlansoprazole. Dexlansoprazole is being tested to treat heartburn in people who have non-erosive gastroesophageal reflux disease (GERD). This study will look at heartburn relief in people who take dexlansoprazole.

The study will enroll approximately 200 participants. Participants will be randomly assigned to one of the two treatment groups with 1:1 ratio -which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need):

  • Dexlansoprazole 30 mg
  • Placebo (dummy inactive pill) - this is a capsule that looks like the study drug but has no active ingredient.

All participants will be asked to take one capsule at the same time each day throughout the study, and will be asked to record any time they have heartburn symptoms in a diary.

This multi-center trial will be conducted in China. The overall time to participate in this study is up to 7 weeks. Participants will make 4 visits to the clinic, and will be contacted by telephone 5 to 10 days after the last dose of study drug for a follow-up assessment.

02

Conditions studied

  • Heartburn
  • Gastroesophageal Reflux Disease

Keywords

  • Drug therapy
03

In context

Heartburn

154 studies on the registry are indexed under Heartburn; 12 are open to participants now.

This study's enrollment of 217 is above the median of 100 across 127 interventional studies indexed under Heartburn.

Browse Heartburn studies →

Lead sponsor

Takeda is the lead sponsor of 1,026 studies on the registry; 88 are open to participants now.

Of its 178 completed or terminated interventional studies of FDA-regulated products, 154 (87%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Participants identifying their main symptom as a burning feeling in the mid-epigastric area and/or chest area (that is, heartburn).
  2. Must have a history of symptomatic GERD for 6 months or longer prior to Screening with GERD symptoms that were responsive to acid-suppressive therapy.
  3. Must have episodes of heartburn for 4 or more days during the 7 days prior to Day -1 as recorded in the eDiary.

Exclusion criteria

Exclusion Criteria:

  1. Has a history of cancer (except basal cell carcinoma of the skin), that has not been in remission for at least 5 years prior to Screening.
  2. Has a known history of Barrett's esophagus with dysplastic changes or any changes suspicious Barrett's seen during screening endoscopy.
  3. Participant developed acute upper gastrointestinal bleeding, gastric ulcer (a mucosal defect with white coating) or duodenal ulcer (a mucosal defect with white coating), within 30 days before the start of the Screening Visit (with the possible inclusion of those with gastric or duodenal erosion). The participant requires chronic use (greater than [>] 12 doses per month) of nonsteroidal anti-inflammatory drugs (NSAIDs) including cyclooxygenase-2 (COX-2) NSAIDs within 30 days prior to the Screening Period and throughout the study.
  4. Has comorbidities that could affect the esophagus (eosinophilic esophagitis, esophageal varices, scleroderma, viral or fungal infection, esophageal strictures); a history of radiotherapy or cryotherapy of the esophagus; and a history of corrosive or physiochemical injury (with the possible inclusion in the study of those with Schatzki's ring).
  5. Has a history of surgical procedures that may affect the esophagus (example, fundoplication and mechanical dilatation for esophageal strictures) or a history of gastric or duodenal surgery other than endoscopic removal of benign polyps.
  6. Has erosive esophagitis (EE) as shown by endoscopy, during the Screening Period.
  7. Is known to have acquired immunodeficiency syndrome (AIDS) or hepatitis, including hepatitis virus carriers: (that is, surface antigen HBs-antigen (HBsAg) positive or virus (HCV)-antibody positive).
  8. Has current or historical evidence of Zollinger-Ellison syndrome or a history of gastric acid hypersecretion.
  9. Is scheduled for surgery that requires hospitalization or requires surgical treatment during his/her participation in the study.
  10. Has donated or lost >300 milliliter (mL) blood volume, undergone plasmapheresis, or has had a transfusion of any blood product within 90 days prior to the first dose of study drug.
  11. Has a history of alcohol abuse (defined as any illicit drug use), or drug addiction in the 12 months prior to Screening.
  12. Participant with positive serology result of Helicobacter pylori (H. pylori) that needs eradication therapy during the study participation period as anticipated by the investigator.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
217 participants (actual)

Study arms

  • Experimental
    Dexlansoprazole 30 mg

    Dexlansoprazole 30 mg, delayed-release capsule, orally, once daily for up to 4 weeks.

    Drug: Dexlansoprazole

  • Experimental
    Placebo

    Dexlansoprazole placebo-matching capsules, orally, once daily for up to 4 weeks.

    Drug: Placebo

Interventions

  • Dexlansoprazole delayed-release capsule

  • DrugPlacebo

    Dexlansoprazole placebo-matching capsules

06

What researchers measure

Primary outcomes

  1. Percentage of Days With Neither Daytime Nor Nighttime Heartburn During Treatment

    The percentage of days with neither daytime nor nighttime heartburn was equal to (=) (the days that were heartburn-free during the treatment period) / (total number of days for which either a daytime or nighttime result was marked during treatment period)\*100 percent (%).

    Time frame: Up to Week 4

Secondary outcomes

  1. Percentage of Days Without Nighttime Heartburn During Treatment

    The percentage of days without nighttime heartburn was = (the days that were heartburn-free during the treatment period) / (total number of days for which nighttime result was marked during treatment period)\*100%.

    Time frame: Up to Week 4

07

Results

Posted Jul 5, 2019

Participant flow

Participants took part in the study at 20 investigative sites in China from 27 December 2016 to 19 April 2018.

Participant flow — Overall Study
MilestonePlaceboDexlansoprazole 30 mg
Started109108
Treated108107
Completed102103
Not completed75
Withdrew: Lack of efficacy10
Withdrew: Withdrawal by subject22
Withdrew: Protocol violation10
Withdrew: Adverse event22
Withdrew: Randomized but not treated11

Outcome measures

PrimaryPercentage of Days With Neither Daytime Nor Nighttime Heartburn During Treatment

The percentage of days with neither daytime nor nighttime heartburn was equal to (=) (the days that were heartburn-free during the treatment period) / (total number of days for which either a daytime or nighttime result was marked during treatment period)\*100 percent (%).

Time frame:
Up to Week 4
Reported as:
Median · percentage of days
Percentage of Days With Neither Daytime Nor Nighttime Heartburn During Treatment
percentage of daysPlaceboDexlansoprazole 30 mg
Percentage of Days With Neither Daytime Nor Nighttime Heartburn During Treatment32.67 (0.0 to 100.0)51.72 (0.0 to 100.0)
Statistical analysis
  • Placebo vs Dexlansoprazole 30 mg · Wilcoxon rank-sum test · p = 0.057
SecondaryPercentage of Days Without Nighttime Heartburn During Treatment

The percentage of days without nighttime heartburn was = (the days that were heartburn-free during the treatment period) / (total number of days for which nighttime result was marked during treatment period)\*100%.

Time frame:
Up to Week 4
Reported as:
Median · percentage of days
Percentage of Days Without Nighttime Heartburn During Treatment
percentage of daysPlaceboDexlansoprazole 30 mg
Percentage of Days Without Nighttime Heartburn During Treatment54.67 (0.0 to 100.0)67.86 (0.0 to 100.0)
Statistical analysis
  • Placebo vs Dexlansoprazole 30 mg · Wilcoxon rank-sum test · p = 0.268

Adverse events

Collected over Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 30 days after the last dose of double-blind study drug (approximately Week 8).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/108 (0%)0/108 (0%)15/108 (13.9%)
Dexlansoprazole 30 mg0/107 (0%)1/107 (0.9%)9/107 (8.4%)
Most frequent serious events
Most frequent serious events
EventPlaceboDexlansoprazole 30 mg
Animal scratchInjury, poisoning and procedural complications0/1081/107
Most frequent other events
Most frequent other events
EventPlaceboDexlansoprazole 30 mg
Upper respiratory tract infectionInfections and infestations8/1085/107
NasopharyngitisInfections and infestations7/1084/107

Baseline characteristics

The safety analysis set included all randomized participants who received at least 1 dose of study drug.

Age, Continuous
Age, Continuous(years)PlaceboDexlansoprazole 30 mgTotal
Mean45.1 ± 12.7343.6 ± 13.2444.3 ± 12.98
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboDexlansoprazole 30 mgTotal
Female6560125
Male434790
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboDexlansoprazole 30 mgTotal
American Indian or Alaska Native000
Asian108107215
Native Hawaiian or Other Pacific Islander000
Black or African American000
White000
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)PlaceboDexlansoprazole 30 mgTotal
China108107215
Body mass index
Body mass index(kilogram per square meter (kg/m^2))PlaceboDexlansoprazole 30 mgTotal
Mean23.935 ± 3.435223.701 ± 3.576823.819 ± 3.5002
Helicobacter pylori status
Helicobacter pylori status(Participants)PlaceboDexlansoprazole 30 mgTotal
Positive414081
Negative6767134
Number of days with day and nighttime heartburn between study days -8 to -2
Number of days with day and nighttime heartburn between study days -8 to -2(days)PlaceboDexlansoprazole 30 mgTotal
Mean6.1 ± 1.276.1 ± 1.066.1 ± 1.17
Number of days with nighttime heartburn between study days -8 to -2
Number of days with nighttime heartburn between study days -8 to -2(days)PlaceboDexlansoprazole 30 mgTotal
Mean5.2 ± 1.835.3 ± 1.605.2 ± 1.71

7 further baseline measures are reported on the registry.

08

Study locations

25 sites
  • Peking University First Hospital
    Beijing, Beijing 100032, China
  • Peking Union Medical College Hospital
    Beijing, Beijing 100730, China
  • Chongqing Three Gorges Central Hospital
    Chong Qing, Chong Qing 404100, China
  • Zhongshan Hospital Xiamen University
    Xia Men, Fu Jian 361004, China
  • The People's Hospital of Guangxi Zhuang Autonomous Region
    Nan Ning, Guang XI 530022, China
  • Affilicated Hospital of Guilin Medical University
    Hai Kou, Gui Lin 570100, China
  • Hebei General Hospital
    Shijiazhuang, Hebei 050051, China
  • Taihe Hospital
    Shi Yan, Hu Bei 442000, China
  • Central Hospital of Wuhan
    Wuhan, Hu Bei 430000, China
  • Puai Hospital Of Wuhan City
    Wuhan, Hu Bei 430000, China
  • The Third Hospital of Changsha
    Chang Sha, Hu Nan 410015, China
  • Zhongda Hospital Southeast
    Nan Jing, Jiang Su 210009, China
  • Affiliated Hospital of Jiangsu University
    Wu XI, Jiang Su 212001, China
  • Wuxi people's hospital
    Wu XI, Jiang Su 214023, China
  • The First Hospital of Jilin University
    Changchun, Jilin 130000, China
  • Shengjing Hospital of China Medical University
    Shenyang, Liaoning 110004, China
  • Binzhou Medical University Hospital
    Binzhou, Shandong 256603, China
  • Jinan Central Hospital
    Jinan, Shandong 250013, China
  • Liaocheng Hospital
    Liaocheng, Shandong 252000, China
  • The Affiliated Hospital of Qingdao University
    Qingdao, Shandong 266003, China
  • Renji Hospital Shanghai Jiaotong University School of Medicine
    Shanghai, Shanghai 20001, China
  • The First Hospital of Shanxi Medical University
    Taiyuan, Shanxi 030001, China
  • The Second Hospital of Shanxi Medical University
    Taiyuan, Shanxi 030001, China
  • West China Hospital,Sichuan University
    Cheng Du, Si Chuang 610041, China
  • Tianjin People's Hospital
    Tianjin, Tianjin 300121, China
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Takeda makes patient-level, de-identified data sets and associated documents available after applicable marketing approvals and commercial availability have been received, an opportunity for the primary publication of the research has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com/Approach for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2016 to primary completion in Mar 2018, 14 months.

Results were first posted in Jul 2019, 1 year 3 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 17, 2016
First posted
Aug 19, 2016
StartActual
Dec 27, 2016
Primary completionActual
Mar 14, 2018
CompletionActual
Apr 19, 2018
Results first posted
Jul 5, 2019
Last update
Jul 5, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 5, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02873689
Lead sponsor
Takeda
Responsible party
Sponsor
First posted
Aug 19, 2016
Start date
Dec 27, 2016
Primary completion
Mar 14, 2018
Completion
Apr 19, 2018
Results posted
Jul 5, 2019
Last update
Jul 5, 2019

Study contacts

Medical Director
study director · Takeda

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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