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Efficacy of DA-5204 on Gastroesophageal Reflux Disease

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赞助商
Seoul National University Hospital
合作者
Dong-A ST Co., Ltd.

关键词

抽象

This is a single-center, randomized, double-blind, placebo-controlled clinical Study to evaluate the efficacy of DA-5204 and proton pump inhibitor combination therapy compared with proton pump inhibitor alone therapy in patients with gastroesophageal reflux Disease.

描述

Gastroesophageal reflux disease is a condition in which reflux of stomach contents into the esophagus causes troublesome symptoms, such as heartburn and acid regurgitation.

Proton pump inhibitors, as acid suppressor, are the agents recommended as the first-line treatment for gastroesophageal reflux disease. However, approximately 20-30% of patients have insufficient effect on this therapy alone.

DA-5204 is a medicine based on Artemisia asiatica 95% ethanol extract. DA-5204 has been administered to treat gastritis and gastric ulcers with antioxidative and cytoprotective actions on gastric mucosal damage. Therefore, we expect DA-5204 to be effective in reflux esophagitis (esophageal mucosal injury).

日期

最后验证: 05/31/2019
首次提交: 06/24/2019
提交的预估入学人数: 06/24/2019
首次发布: 06/25/2019
上次提交的更新: 06/24/2019
最近更新发布: 06/25/2019
实际学习开始日期: 05/31/2016
预计主要完成日期: 12/10/2018
预计完成日期: 12/10/2018

状况或疾病

Esophageal Disease

干预/治疗

Drug: Pantoprazole

Drug: Pantoprazole and DA-5204

Drug: Pantoprazole and placebo

相 3

手臂组

干预/治疗
Experimental: Pantoprazole and DA-5204
Pantoprazole 40mg once daily and 'DA-5204' twice daily by mouth, administered for 4 weeks
Drug: Pantoprazole and DA-5204
DA-5204 tablet
Active Comparator: Pantoprazole and placebo
Pantoprazole 40mg once daily and 'placebo' twice daily by mouth, administered for 4 weeks
Drug: Pantoprazole and placebo
Film-coated tablet manufactured to mimic DA-5204

资格标准

有资格学习的年龄 20 Years 至 20 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- Age is over 20 years old, under 75 years old, men or women

- Patients diagnosed with erosive esophagitis by gastroscopy

- Signed the informed consent forms

Exclusion Criteria:

- Patients who is impossible to receive gastroscopy

- Patients with esophageal stricture, esophageal varix, Barrett's esophagus, peptic ulcer or gastrointestinal bleeding

- Patients administered with prokinetics, H2 receptor antagonists, proton pump inhibitors, anticholinergic drugs or non-steroid anti-inflammatory drugs prior to study in 4 weeks

- Patients with surgery related to gastroesophageal

- Patients with Zollinger-Ellison syndrome

- Patients with any kind of malignant tumor

- Patients administered with anti-thrombotic drugs

- Patients with significant cardiovascular, pulmonary, heptic, renal, hemopoietic or endocrine system primary disease

- Patients with neuropsychiatric disorder, alcoholism, or drug abuse

- Patients taking other investigational drugs or participating in other clinical studies in 4 weeks.

- Women either pregnant or breast feeding

结果

主要结果指标

1. Endoscopically effective improvement [4 weeks]

A percentage of subjects showed effective improvement of erosive esophagitis (esophageal mucosal injury) by the endoscopy. The definition of "effective improvement" is the subjects showed score changed from 3 to 0, from 2 to 0, or from 3 to 1. [score 0(LA grade N): normal mucosa, score 1(LA grade M): minimal changes to the mucosa such as erythema, blurring and/or whitish turbidity, score 2(LA grade A): non-confluent mucosal breaks <5 mm in length, score 3(LA grade B): non-confluent mucosal breaks ≥5 mm in length]

2. Endoscopically complete improvement [4 weeks]

A percentage of subjects showed complete improvement of erosive esophagitis (esophageal mucosal injury) by the endoscopy. The definition of "complete improvement" is the subjects showed score changed from 3 to 0 or from 2 to 0.

次要成果指标

1. Symptom improvement [4 weeks]

A percentage of subjects showed sufficient improvement of reflux symptom score from Gastroesophageal Reflux Disease Questionnaire (GerdQ). The definition of "sufficient improvement" is the subjects showed ≥50% reduction from the initial sum of scores for GerdQ.

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