UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055462
Receipt number R000062608
Scientific Title Risk factors for recurrence after initial treatment with vonoprazan 20 mg/day in patients with mild reflux esophagitis: A prospective multicenter study
Date of disclosure of the study information 2024/09/11
Last modified on 2025/07/07 15:30:15

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Basic information

Public title

Risk factors for recurrence after initial treatment with vonoprazan 20 mg/day in patients with mild reflux esophagitis: A prospective multicenter study

Acronym

Risk factors for recurrence after initial treatment with vonoprazan 20 mg/day in patients with mild reflux esophagitis: A prospective multicenter study

Scientific Title

Risk factors for recurrence after initial treatment with vonoprazan 20 mg/day in patients with mild reflux esophagitis: A prospective multicenter study

Scientific Title:Acronym

Risk factors for recurrence after initial treatment with vonoprazan 20 mg/day in patients with mild reflux esophagitis: A prospective multicenter study

Region

Japan


Condition

Condition

Gastroesophageal reflux disease (mild)

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify factors associated with the recurrence of mild reflux esophagitis after 4 or 8 weeks of initial treatment with vonoprazan 20 mg/day.

Basic objectives2

Others

Basic objectives -Others

Gastroesophageal reflux disease symptom activity will be assessed using the GerdQ questionnaire before initial treatment, immediately after the completion of initial treatment, two weeks after treatment is discontinued, and four weeks after treatment is discontinued. Serum gastrin levels will also be measured on the day initial treatment is discontinued. In addition, the patient's gender, age, height, weight, smoking status, alcohol consumption, H. pylori infection status, medical history, and endoscopic examination findings at the first consultation will be evaluated to identify factors associated with the recurrence of gastroesophageal reflux disease.

Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Factors associated with symptom recurrence 2 weeks after discontinuing vonoprazan

Key secondary outcomes

Factors associated with symptom recurrence 4 weeks after discontinuation of vonoprazan
Factors associated with symptom recurrence 2 or 4 weeks after discontinuation of vonoprazan


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

The subjects are adult patients who have been diagnosed with mild reflux esophagitis (Los Angeles Classification Grade A or B) by endoscopy before starting vonoprazan, and who have shown symptomatic cure by initial administration of 20 mg/day vonoprazan for 4 weeks, or for an additional 8 weeks if symptoms persist, following health insurance medical care in Japan. The therapeutic effect will be assessed using the GerdQ questionnaire, and symptoms will be cured if the score for questions 1, 2, 5, and 6 is 1 or less.

Key exclusion criteria

Patients with any of the following conditions will be excluded.
1) Severe reflux esophagitis
2) Non-erosive reflux esophagitis
3) Gastroduodenal ulcer
4) Post-surgery of the upper gastrointestinal tract
5) Use of acid secretion inhibitors (H2 blockers, PPIs, P-CABs) within the past 3 months
6) Use of medications that affect reflux esophagitis or heartburn (analgesics such as Rikkunshito, mosapride citrate, acotiamide, antipsychotics, and NSAIDs)
7) Severe systemic disease
8) Psychiatric disease

Target sample size

150


Research contact person

Name of lead principal investigator

1st name Kenta
Middle name
Last name Watanabe

Organization

Akita University Graduate School of Medicine

Division name

Department of Gastroenterology

Zip code

010-8543

Address

1-1-1 Hondo, Akita, Japan

TEL

018-884-6104

Email

nabeken@med.akita-u.ac.jp


Public contact

Name of contact person

1st name Kenta
Middle name
Last name Watanabe

Organization

Akita University Graduate School of Medicine

Division name

Department of Gastroenterology

Zip code

010-8543

Address

1-1-1 Hondo, Akita, Japan

TEL

018-884-6104

Homepage URL


Email

nabeken@med.akita-u.ac.jp


Sponsor or person

Institute

Akita University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Akita University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Akita University Graduate School of Medicine

Address

1-1-1 Hondo, Akita, Japan

Tel

018-884-6104

Email

info@hos.akita-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 09 Month 11 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2024 Year 06 Month 26 Day

Date of IRB

2024 Year 06 Month 21 Day

Anticipated trial start date

2024 Year 09 Month 11 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study will be conducted at 18 collaborating medical institutions in Japan.


Management information

Registered date

2024 Year 09 Month 09 Day

Last modified on

2025 Year 07 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062608