ClinicalTrials.gg
CompletedNCT07037875Updated Oct 21, 2026

A Study Comparing the Effect and Safety of Linaprazan Glurate to Lansoprazole in Participants With Erosive Esophagitis (EE) Due to Gastroesophageal Reflux Disease (GERD)

A Phase 3 interventional study of Linaprazan glurate 50 mg Twice Daily (BID) and Linaprazan Glurate 50 mg Once Daily (QD) in GERD (Gastroesophageal Reflux Disease), sponsored by Cinclus Pharma Holding AB. Completed at 87 sites in 8 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Cinclus Pharma Holding AB · Phase 3, Interventional, and Treatment

Updated Oct 21, 2026Now CompletedPrimary completion moved+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
523
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The goal of this clinical trial is to find out how well linaprazan glurate can heal erosive esophagitis (EE) caused by gastroesophageal reflux disease (GERD), compared to lansoprazole, a commonly used medication. Researchers will also evaluate whether linaprazan glurate:

  • Reduces heartburn symptoms more effectively than lansoprazole
  • Is safe and well tolerated, based on physical exams, blood tests, and vital signs (heart rate, blood pressure, temperature, and breathing rate)
  • Causes any side effects during treatment
  • Has different effects depending on how much of the drug is in the blood
  • Works differently depending on participants' genes

Participants must be between 18 to 80 years old and have EE due to GERD confirmed by an endoscopy. Participants cannot join if they have an active Helicobacter pylori (HP) infection or were treated for HP in the past 6 weeks or have taken antibiotics or bismuth-containing drugs in the past 6 weeks.

The study is a randomized, double-blind, active comparator-controlled trial lasting up to 4 months. Randomized means that participants are assigned by chance (like flipping a coin) to one of the treatment groups and double-blind means neither the participants nor the study team will know which treatment is given. Participants will be placed into one of three groups (about 167 people in each group):

  • Linaprazan glurate 50 mg twice a day
  • Linaprazan glurate 50 mg once a day
  • Lansoprazole 30 mg once a day

Everyone will take 2 tablets and 1 capsule by mouth daily for 8 weeks. Some tablets or capsules will be placebos (look like medicine but contain no active drug). Participants will:

  • Undergo an endoscopy in the beginning and after 4 weeks of treatment
  • If healing is not observed, another endoscopy may be done at 8 weeks
  • During the procedure, doctors will use a thin, flexible tube with a camera to look at the esophagus and take small tissue samples (biopsies)
  • Have blood and urine tests at clinic visits to check overall health
  • Receive electrocardiograms (ECGs) to monitor heart function
  • Complete daily questionnaires on an electronic device about symptoms and experiences
02

Conditions studied

  • GERD (Gastroesophageal Reflux Disease)
03

In context

Gastroesophageal Reflux

1,211 studies on the registry are indexed under Gastroesophageal Reflux; 202 are open to participants now.

This study's enrollment of 523 is above the median of 68 across 796 interventional studies indexed under Gastroesophageal Reflux.

Browse Gastroesophageal Reflux studies →

Lead sponsor

Cinclus Pharma Holding AB is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
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. The participant understands and voluntarily signs an Form (ICF) prior to initiation of any study-related assessments/procedures.
  2. Male or female participants aged 18 to 80 years, inclusive, at the time of signing the ICF.
  3. The participant is willing and able to comply with all aspects of the protocol (including endoscopies, PK sampling, tablet and capsule swallowing, electronic device [e-device] completion, etc.).
  4. The participant has endoscopically confirmed EE due to GERD of LA grades A to D during the Screening Period as assessed in Central Review by an Independent Review Committee (IRC).

Exclusion criteria

Exclusion Criteria:

  1. Ongoing infection with HP or diagnosis and treatment of HP infection within 6 weeks of randomization OR any treatment with antibiotics or bismuth containing drugs within 6 weeks of randomization.
  2. History or presence of any cardiovascular, respiratory, hepatic, renal, gastrointestinal (GI), endocrine, hematological, neurological disease or disorder, or psychiatric diagnosis which, in the opinion of the Investigator, may either put the participant at risk because of participation in the study, or influence the study results or the participant's ability to participate in the study. The following examples are conditions that would exclude the patient from participating:

    1. History of myocardial infarction/acute coronary syndrome within 3 months prior to Screening.
    2. History of ventricular arrhythmia or implanted cardioverter defibrillator.
    3. Symptomatic congestive heart failure ( class 3-4).
    4. Family history of/diagnosis of hereditary arrhythmia syndrome.
    5. History of adult asthma that required intensive treatment in an emergency room.
  3. History of of any organ system (other than completely treated localized basal cell carcinoma or non- squamous cell carcinoma of the skin or in situ cervical carcinoma), within the past 5 years.
  4. Solitary esophageal ulcer in the proximal two-thirds of the esophagus, untreated Barrett's esophagus or any other condition affecting the esophagus, including eosinophilic esophagitis; esophageal varices; viral or fungal infection; esophageal stricture*; a history of radiation therapy, radiofrequency ablation, endoscopic mucosal resection, or cryotherapy to the esophagus; or any history of caustic or physiochemical trauma.

    *Note: Patients with diagnosis of Schatzki's ring (mucosal tissue ring around lower esophageal sphincter) are eligible to participate, unless history of dilatation within 3 months of Screening.

  5. History of any surgical or medical condition which might significantly alter the GERD status or the absorption, distribution, metabolism, or excretion of drugs. The Investigator is to be guided by evidence of any of the following: history of major GI surgery such as gastrectomy, gastroenterostomy, any bariatric surgery, bowel resection, or transjugular intrahepatic portosystemic shunt. Nissen fundoplication is not exclusionary as long as the patient is eligible according to other criteria.
  6. Known severe atrophic gastritis as assessed from medical history or upper endoscopy during Screening.
  7. Zollinger-Ellison syndrome or other gastric acid hypersecretory conditions.
  8. History of treatment course with lansoprazole within 2 months prior to Screening.
  9. Current peptic ulcer.
  10. (BMI) ≤ 18 and ≥ 40 kg/m² at Screening.
Terms in these criteria, in plain language(6)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

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

Study arms

  • Experimental
    Group 1: Linaprazan glurate 50 mg BID

    Drug: Linaprazan glurate 50 mg Twice Daily (BID)

  • Experimental
    Group 2: Linaprazan glurate 50 mg QD

    Drug: Linaprazan Glurate 50 mg Once Daily (QD)

  • Active comparator
    Group 3: Lansoprazole 30 mg QD

    Drug: Lansoprazole 30 mg Once Daily (QD)

Interventions

  • Participants in this group will receive a total daily dose of 100 mg of linaprazan glurate, administered as 50 mg in the morning and 50 mg in the evening. In the morning, they take one 50 mg linaprazan glurate tablet along with a placebo capsule that matches the appearance of the lansoprazole capsule. In the evening, they take another 50 mg linaprazan glurate tablet, without any additional placebo.

  • Participants in this group will receive a total daily dose of 50 mg of linaprazan glurate, taken once daily in the morning. In the morning, they take one 50 mg linaprazan glurate tablet along with a placebo capsule that mimics the lansoprazole capsule. In the evening, they take a placebo tablet that mimics the appearance of the linaprazan glurate tablet.

  • Participants in this group will receive a total daily dose of 30 mg of lansoprazole, taken once daily in the morning. In the morning, they take one 30 mg lansoprazole capsule along with a placebo tablet that mimics the linaprazan glurate tablet. In the evening, they take another placebo tablet resembling linaprazan glurate.

06

What researchers measure

Primary outcomes

  1. Healing of EE at Week 4 as assessed by endoscopy in participants with Baseline EE LA grades C/D.

    Time frame: From enrollment to the end of treatment at 4 weeks.

07

Study locations

87 sites
  • Multiprofile Hospital for Active Treatment "Sv. Ivan Rilski - 2003" OOD
    Dupnitsa, Dupnitsa 2600, Bulgaria
  • Multiprofile Hospital For Active Treatment St. Ivan Rilski Gorna Oriahovitsa EOOD
    Gorna Oryahovitsa, Gorna Oryahovitsa 5100, Bulgaria
  • Diagnosis - Consulting Centre 1
    Sliven, Sliven, Bulgaria
  • Medical Center "Orange"
    Sofia, Sofia City Province 1343, Bulgaria
  • Multiprofile Hospital for Active Treatment - "Vita"
    Sofia, Sofia City Province 1407, Bulgaria
  • Diagnostic and Consulting Center Alexandrovska
    Sofia, Sofia City Province 1431, Bulgaria
  • Diagnostic Consultative Center - Focus-5
    Sofia, Sofia City Province 1463, Bulgaria
  • Medical Center Hera
    Sofia, Sofia City Province 1510, Bulgaria
  • University Multiprofile Hospital for Active Treatment "Tsaritsa Yoanna - ISUL"
    Sofia, Sofia City Province 1527, Bulgaria
  • University Multiprofile Hospital for Active Treatment and Emergency Medicine "N.I. Pirogov
    Sofia, Sofia City Province 1606, Bulgaria
  • 20th Diagnostic Consultancy Center
    Sofia, Sofia City Province 1618, Bulgaria
  • Medical Center Hera
    Kyustendil, 2500, Bulgaria
  • University Multiprofile Hospital for Active Treatment "Sveta Marina"
    Pleven, 5800, Bulgaria
  • Medical Center "Futuremeds"
    Plovdiv, 4000, Bulgaria
  • Multiprofile Hospital for Active Treatment "Sveti Panteleymon"
    Plovdiv, 4000, Bulgaria
  • University Multiprofile Hospital for Active Treatment "Sveti Ivan Rilski", Sofia, Clinic of Gastroenterology
    Sofia, 1431, Bulgaria
  • First Private Hospital Vratsa
    Vratsa, 3000, Bulgaria
  • Military Hospital Brno, Internal Department
    Brno, Brno 615 00, Czechia
  • SurGal Clinic s.r.o.
    Brno, 602 00, Czechia
  • University Hospital Brno
    Brno, 625 00, Czechia
  • PreventaMed s.r.o.
    Olomouc, 779 00, Czechia
  • Gastromedic s.r.o.
    Pardubice, 53003, Czechia
  • Hospital Prachatice a.s.
    Prachatice, 38301, Czechia
  • Endohope Morava s.r.o.
    Zábřeh, 78901, Czechia
  • Khozrevanidze's Clinic
    Batumi, 6000, Georgia
  • LTD Health
    Batumi, 6010, Georgia
  • JSC Georgian Clinics
    Kutaisi, 4600, Georgia
  • LTD Aversi Clinic
    Marneuli, 3000, Georgia
  • LTD Krol Medical Corporation
    Tbilisi, 0101, Georgia
  • The New Hospitals
    Tbilisi, 0114, Georgia
  • Israeli - Georgian Medical Research Clinic Healthycore LLC
    Tbilisi, 0119, Georgia
  • Janmrtelobis Sakhli LLC
    Tbilisi, 0144, Georgia
  • LLC Geo Hospitals
    Tbilisi, 0144, Georgia
  • K. Eristavi National Center of Experimental and Clinical Surgery JSC
    Tbilisi, 0159, Georgia
  • LTD Aversi Clinic
    Tbilisi, 0160, Georgia
  • LEPL The First University Clinic of Tbilisi State Medical University
    Tbilisi, 0178, Georgia
  • LTD The First Medical Center
    Tbilisi, 0180, Georgia
  • Malkhaz Katsiashvili Multiprofile Emergency Medicine Center LLC
    Tbilisi, 0180, Georgia
  • Diakonie Hospital
    Mannheim, Baden-Wurttemberg 68163, Germany
  • Medical Care Unit Dachau
    Dachau, Bavaria 85221, Germany
  • Clinic for Internal Medicine Munich-Sued
    Munich, Bavaria 81379, Germany
  • EUGASTRO GmbH
    Leipzig, Saxony 04103, Germany
  • Bekes County Central Hospital Dr. Rethy Pal Member Hospital, 4th Department of Internal Medicine - Gastroenterology - Hepatology
    Békéscsaba, H-5600, Hungary
  • G1 Institute
    Budapest, 1036, Hungary
  • Clinexpert Ltd. Budapest
    Budapest, H-1033, Hungary
  • Obuda Healthcare Center Ltd.
    Budapest, H-1036, Hungary
  • Synexus Hungary Ltd.
    Budapest, H-1036, Hungary
  • Central Hospital of Northern Pest - Military Hospital, Department of Gastroenterology
    Budapest, H-1062, Hungary
  • Main Railway Outpatient Clinic Debrecen, Department of Gastroenterology
    Debrecen, H-4025, Hungary
  • Heves County Markhot Ferenc Teaching Hospital and Clinic, Department of General and Vascular Surgery
    Eger, H-3300, Hungary
  • University of Szeged, Department of Internal Medicine- Western Site
    Szeged, H-6720, Hungary
  • Fejer County St. Gyorgy University Teaching Hospital, Department of Internal Medicine I
    Székesfehérvár, H-8000, Hungary
  • Javorszky Odon Hospital Vac, Department of Gastroenterology
    Vác, H-2600, Hungary
  • NZOZ Specialist Gastrology Centre GASTROMED
    Bialystok, 15-322, Poland
  • "MEDIS" Medical Center
    Bydgoszcz, 85-229, Poland
  • NZOZ KERmed Medical Centre
    Bydgoszcz, 85-231, Poland
  • CLINSANTE Clinical Research Centre Ewa Galczak-Nowak, Malgorzata Trzaska
    Bydgoszcz, 85-794, Poland
  • Klara Medical Center
    Częstochowa, 42-202, Poland
  • St. John Paul 2nd Municipal Hospital in Elblag, Department of Internal Diseases
    Elblag, 82-300, Poland
  • Synexus Polska Sp. z o.o. Branch in Gdansk
    Gdansk, 80-382, Poland
  • Synexus Polska Sp. z o.o. Branch in Katowice
    Katowice, 40-040, Poland
  • "Vita Longa" Non-Public Healthcare Facility, Limited Liability Company
    Katowice, 40-748, Poland
  • Independent Public Healthcare Facility University Hospital in Krakow, NSSU Endoscopy Department
    Krakow, 30-688, Poland
  • FutureMeds Krakow
    Krakow, 31-501, Poland
  • Independent Public Healthcare Facility, Norbert Barlicki University Teaching Hospital No. 1 of the Medical University in Lodz, Clinical Department of General Gastroenterology and Oncology
    Lodz, 90-153, Poland
  • Hospital of Brothers Hospitallers of Saint John of God In Lodz, Endoscopy Lab
    Lodz, 93-357, Poland
  • Oswiecim Clinical Trial Centre
    Oświęcim, 32-600, Poland
  • EMC Medical Institute Joint Stock Company, CERTUS Private Healthcare Facility Hospital No. 1, CERTUS Private Healthcare Facility Ambulatories
    Poznan, 60-309, Poland
  • Synexus Polska Sp. z o.o. Branch in Poznan
    Poznan, 60-702, Poland
  • Saint Wojciech Hospital, Gastroenterology Clinic
    Poznan, 61-144, Poland
  • New health-CK, Kieltucki and partners g.p.
    Staszów, 28-200, Poland
  • Gastromed Sp. z o.o. (LLC)
    Torun, 87-100, Poland
  • FutureMeds Warsaw Center
    Warsaw, 00-215, Poland
  • Therapia Nova
    Warsaw, 01-595, Poland
  • ETG Warszawa
    Warsaw, 02-677, Poland
  • Futuremeds Targowek
    Warsaw, 03-291, Poland
  • WIP Warsaw IBD Point Profesor Kierkus
    Warsaw, 04-501, Poland
  • Medical Centre Oporow
    Wroclaw, 52-416, Poland
  • FutureMeds Wroclaw
    Wroclaw, 53-673, Poland
  • ETG Zamosc
    Zamość, 22-400, Poland
  • Colentina Clinical Hospital, Department of Gastroenterology
    Bucharest, 020125, Romania
  • Cluj Napoca County Emergency Clinical Hospital, Internal Medicine III
    Cluj-Napoca, 400006, Romania
  • TVM MED SERV SRL, Medical Center for Gastroenterology, Hepatology and Digestive Endoscopy
    Cluj-Napoca, 400061, Romania
  • Clinical Hospital Center "Dr. Dragisa Misovic-Dedinje"
    Belgrade, 11000, Serbia
  • Clinical Hospital Center Bezanijska Kosa
    Belgrade, 11080, Serbia
  • General Hospital Leskovac
    Leskovac, 16000, Serbia
  • General Hospital Uzice
    Užice, 31000, Serbia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Active, not recruiting→Completed
changed Oct 21, 2026
Primary completion
Aug 2026→Sep 28, 2026 (actual)
Oct 21, 2026
Enrollment
500 (estimated)→523 (actual)
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    Active, not recruiting→Completed
    Primary completion Aug 2026→Sep 28, 2026 (now actual)
    Enrollment 500 (estimated)→523 (actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07037875
Lead sponsor
Cinclus Pharma Holding AB
Responsible party
Sponsor
First posted
Jun 26, 2025
Start date
Sep 11, 2025
Primary completion
Sep 28, 2026
Completion
Sep 28, 2026
Last update
Oct 21, 2026

Oversight

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

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