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CompletedNCT07931521Updated Nov 12, 2026

Clinical Trial to Evaluate the Safety and Efficacy of DW4421 in Patients With Erosive Reflux Disease

A Phase 3 interventional study of DW4421 20mg and DW4421 40mg in Erosive Reflux Disease and GERD (Gastroesophageal Reflux Disease), sponsored by Daewon Pharmaceutical Co., Ltd.. Completed at 1 site in South Korea. Open to participants aged 19 Years to 74 Years. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Daewon Pharmaceutical Co., Ltd. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Nov 2025, registered Oct 2026).
Updated Nov 12, 2026Newly registeredGo to Updates ↓

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Phase
Phase 3
Study type
Interventional
Enrollment
328
Allocation
Randomized
Ages
19 Years to 74 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 70 studies in Gastroesophageal Reflux with a site in Korea, Republic of — 8 open to participants now, 10 under way, none of them phase 3. Gastroesophageal Reflux · Korea, Republic of.

Enrollment
5th of 52
328 · median 54
Started
2025
with 3 others
Phase 3
11 of 70
none open now
Registered
69th of 70
by date

Among the 70 studies in Gastroesophageal Reflux with a site in Korea, Republic of, this one is the 5th largest by enrollment of the 52 interventional ones that give a count, is one of 4 that started in 2025, is one of 11 in phase 3, and was the 69th registered.

Gastroesophageal Reflux

1,213 studies on the registry are indexed under Gastroesophageal Reflux; 202 are open to participants now.

Browse Gastroesophageal Reflux studies →

Open to participants now

8 of the 70 studies in Gastroesophageal Reflux with a site in Korea, Republic of are open now. Recruiting first, the newest first:

3 more — sign in →

All 8 open studies →

A study can be open while its sites in Korea, Republic of have not opened yet or have stopped. Only those recruiting at a site in Korea, Republic of →

Who these studies take

Of the 132 Gastroesophageal Reflux studies recruiting now, 56 (42%) set no upper age limit and 53 (40%) stop at 75 or younger; 22 take children under 18; 20 take healthy volunteers.

This study: 19 Years to 74 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 70 studies in Gastroesophageal Reflux with a site in Korea, Republic of, or all of them as a file.
02

Study summary

This study aims to compare the efficacy and safety of DW4421 to Esomeprazole in patients with Erosive Reflux Disease.

03

Conditions studied

  • Erosive Reflux Disease
  • GERD (Gastroesophageal Reflux Disease)

Keywords

  • ERD
  • GERD
  • P-CAB (Potassium-Competitive Acid Blocker)
04

Who can participate

Ages eligible
19 Years to 74 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

  • Adults aged 19 and older but under 75, at the time of obtaining
  • Subjects endoscopically diagnosed with Grade A or higher erosive reflux disease by Los-Angeles classification within 2 weeks prior to screening
  • Subjects with symptoms of heartburn and/or acid regurgitation within 1 week prior to randomization
  • Subjects who are able to complete questionnaires and subject diaries during the clinical trial

Exclusion criteria

Exclusion Criteria:

[Medical history]

  • Subjects with gastrointestinal lesions at the time of screening (e.g. Barrett's esophagus)
  • Subjects with a history of surgery for gastroesophageal disorders or for gastric acid suppression at the time of screening (excluding polypectomy)
  • Subjects with Zollinger-Ellison Syndrome, Eosinophilic Esophagitis at the time of screening
  • Subjects with a history of malignant tumor within 5 years prior to screening
  • Subjects with confirmed concurrent hepatic, renal, cardiovascular, neuropsychiatric, respiratory, endocrine, or central nervous system diseases that may interfere with the evaluation of efficacy or safety in the opinion of the investigator

[Concomitant medication use]

  • Subjects who received any of the medications specified in the protocol within 2 weeks prior to screening, or those who require continuous administration during the entire clinical trial

[Laboratory criteria]

- abnormal laboratory values during screening.

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.

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.

05

Study design

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

Study arms

  • Experimental
    DW4421 20mg

    Drug: DW4421 20mg

  • Experimental
    DW4421 40mg

    Drug: DW4421 40mg

  • Active comparator
    Esomeprazole 40mg

    Drug: Esomeprazole 40mg

Interventions

  • DrugDW4421 20mg

    DW4421 20mg 1Tab. + DW4421 40mg placebo 1Tab. + Esomeprazole 40mg placebo 1Tab., once daily, PO

  • DrugDW4421 40mg

    DW4421 20mg placebo 1Tab. + DW4421 40mg 1Tab. + Esomeprazole 40mg placebo 1Tab., once daily, PO

  • DW4421 20mg placebo 1Tab. + DW4421 40mg placebo 1Tab. + Esomeprazole 40mg placebo 1Tab., once daily, PO

06

What researchers measure

Primary outcomes

  1. Cumulative healing rate of mucosal break evaluated by BICR (Blind Independent Central Review) at Week 8 after administration of the investigational product (%)

    Time frame: Week 8

Secondary outcomes

  1. Cumulative healing rate of mucosal break evaluated by BICR at Week 4 after administration of the investigational product (%)

    Time frame: Week 4

  2. Change from baseline in frequency and severity of primary symptoms evaluated in the RDQ (Reflux Disease Questionnaire) respectively at Weeks 4 and 8 after administration of the investigational product

    Time frame: Weeks 4 and 8

  3. Change from baseline in total score of GERD-HRQL (GERD-Health Related Quality Life) at Weeks 4 and 8 after administration of the investigational product

    Time frame: Weeks 4 and 8

  4. Proportion of subjects without primary RDQ symptoms within 24 hours after the first dose (%)

    Time frame: Within 24 hours

  5. Time to first complete resolution of primary RDQ symptoms through Day 7 after the first dose, and the proportion of subjects (%)

    Time frame: Day 7

  6. Proportion of primary RDQ symptom-free days through Day 7 after the first dose (%): Daytime, Nighttime, 24-hour

    Time frame: Day 7

  7. Proportion of subjects without primary and secondary RDQ symptoms at Day 7 after the first dose (%)

    Time frame: Day 7

  8. Proportion of primary RDQ symptom-free patients at Weeks 4 and 8 after the first dose (%)

    Time frame: Weeks 4 and 8

  9. Proportion of primary RDQ symptom-free days at Weeks 4 and 8 after the first dose (%): Daytime, Nighttime, 24-hour

    Time frame: Weeks 4 and 8

07

Study locations

1 site
  • The Catholic University of Korea, Incheon, St. Mary's Hospital
    Seoul, South Korea
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2025 to primary completion in Aug 2026, 9 months.

Of 21 phase 3 interventional studies under Gastroesophageal Reflux, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 49. This study's 9 months is below that.

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

Registered
Oct 23, 2026
First posted
Nov 12, 2026
StartActual
Nov 17, 2025
Primary completionActual
Aug 31, 2026
CompletionActual
Sep 14, 2026
Last update
Nov 12, 2026
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.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

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
NCT07931521
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Nov 17, 2025
Primary completion
Aug 31, 2026
Completion
Sep 14, 2026
Last update
Nov 12, 2026

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 completed, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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