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Not yet recruitingNCT06526455Updated Jul 29, 2024

Efficacy and Safety of Vonorasan Versus Esomeprazole in the Treatment of Ulcers After Endoscopic Submucosal Dissection

A Phase 4 interventional study of Vonoprazan and Esomeprazole in Ulcers, Gastric, sponsored by Shicai Ye. Not yet recruiting at 4 sites in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-07-29.

Sponsored by Shicai Ye · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
196
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The purpose of this clinical trial is to find out the effectiveness of voronasan in combination with aluminum phosphate gel in the treatment of post-operative ESD ulcers. It will also find out about the safety of vunorasan in combination with aluminum phosphate gel. The main questions it aims to answer are:

  1. Do vonorasan in combination with aluminum phosphate gel clinically effective in the treatment of post-operative ESD ulcers?
  2. What medical problems do participants have when taking drug vonorasan in combination with aluminum phosphate gel? Researchers compared the drug voransen in combination with aluminum phosphate gel to esomeprazole in combination with aluminum phosphate gel to see if voransen in combination with aluminum phosphate gel worked better for post-operative ESD ulcers.

Participants will:

Intravenous lansoprazole 1-3 days after ESD and oral voronasan combined with aluminum phosphate gel or esomeprazole combined with aluminum phosphate gel 3-56 days after ESD.

Record their symptoms, endoscopic ulcer grading, ulcer size and Calculate ulcer healing rate at weeks 2 and 8.

02

Conditions studied

  • Ulcers, Gastric
03

In context

Stomach Ulcer

112 studies on the registry are indexed under Stomach Ulcer; 13 are open to participants now.

This study's planned enrollment of 196 is below the median of 265 across 86 interventional studies indexed under Stomach Ulcer.

Browse Stomach Ulcer studies →

Lead sponsor

This is the only study on the registry with Shicai Ye as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Meets surgical indications for ESD
  • Age 18-70 years, regardless of gender
  • Normal coagulation
  • ESD Postoperative ulcers ≤3cm
  • Voluntary participation in the study

Exclusion criteria

Exclusion Criteria:

  • Patients with severe complications or failure to achieve curative resection after gastric ESD surgery need supplementary surgery
  • Women who are pregnant or breastfeeding, or who may conceive during clinical trials
  • The patient has other serious organic diseases that affect the evaluation of the study, such as severe liver disease, heart disease, renal disease, malignant neoplasm and alcoholism
  • Patients who need to take antiplatelet and NSAIDS drugs for a long period of time
  • Co-administration of unspecified anti-ulcer drugs during the trial period;Allergic reactions to vornoxan, aluminium phosphate gel or esomeprazole
  • Patients with no capacity for autonomous behaviors, unable to correctly express their main complaint, such as those with mental illness, severe neurosis, and unable to cooperate with this experiment
  • ESD Postoperative ulcers >3cm
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
196 participants (estimated)

Study arms

  • Experimental
    Treatment group

    Vonorasan、tablet、20mg、qd、Days 3 to 56

    Drug: Vonoprazan

  • Active comparator
    Control group

    Esomeprazole 、tablet、20mg、Days 3 to 56

    Drug: Esomeprazole

Interventions

  • DrugVonoprazan

    oral drug 3-56 days after ESD.

  • DrugEsomeprazole

    oral drug 3-56 days after ESD.

06

What researchers measure

Primary outcomes

  1. Rate of ulcer reduction

    Ulcer area = maximum diameter of the ulcer \* perpendicular line of the maximum diameter (mm2) The rate of ulcer reduction at 2 weeks = \[(area of the initial ulcer - area of the ulcer at 2 weeks)/area of the initial ulcer\]\*100% The rate of ulcer reduction at 8 weeks = \[ (area of the initial ulcer - area of the ulcer at 8 weeks)/area of the initial ulcer\]\*100% Ulcer area = maximum diameter of the ulcer \* perpendicular line of the maximum diameter (mm2) The rate of ulcer reduction at 2 weeks = \[(area of the initial ulcer - area of the ulcer at 2 weeks)/area of the initial ulcer\]\*100% The rate of ulcer reduction at 8 weeks = \[ (area of the initial ulcer - area of the ulcer at 8 weeks)/area of the initial ulcer\]\*100%

    Time frame: 2nd and 8th week post-dose

Secondary outcomes

  1. Size of ulcer

    Ulcer area = maximum diameter of the ulcer \* perpendicular line of the maximum diameter (mm2)

    Time frame: 2nd and 8th week post-dose

  2. Rate of ulcer healing

    Healing rate = number of cases with scarring/total number of cases × 100 per cent

    Time frame: 2nd and 8th week post-dose

  3. Rate of bumpy

    Rate of bumpy= number of cases that have occurred/total number of cases × 100 per cent

    Time frame: 2nd and 8th week post-dose

  4. Quality of ulcer healing

    Scoring using the Ulcer Healing Scoring Scale,the highest score is 3 and the lowest is 1, with higher scores indicating better ulcer healing

    Time frame: 2nd and 8th week post-dose

  5. Rate of delayed hemorrhage

    Rate of delayed hemorrhage=Number of haemorrhages/total

    Time frame: 2th week post-dose

  6. Postoperative symptom relief rate

    Number of persons in remission/total

    Time frame: 2th week post-dose

07

Study locations

4 sites
  • The First Affiliated Hospital of Jinan University
    Guangzhou, Guangdong, China
  • The First Hospital of Guangzhou Medical University
    Guangzhou, Guangdong, China
  • Maoming People's Hospital
    Maoming, Guangdong, China
  • Yellow River Sanmenxia Hospital
    Sanmenxia, Henan, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06526455
Lead sponsor
Shicai Ye
Collaborators
First Affiliated Hospital of Jinan University, The First Affiliated Hospital of Guangzhou Medical University, Maoming People's Hospital, Yellow River Sanmenxia hospital
Responsible party
Shicai Ye (chief physician, Affiliated Hospital of Guangdong Medical University) — Sponsor-investigator
First posted
Jul 29, 2024
Start date
Aug 1, 2024 (estimated)
Primary completion
Jun 30, 2029 (estimated)
Completion
Jun 30, 2029 (estimated)
Last update
Jul 29, 2024

Study contacts

Shicai Ye, PhD
Contact
caizi23@126.com
+86 133 6070 9925
Yuping Yang, PhD
Contact

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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