Effect of Fexuprazan tablets in Comparison to Esomeprazole Tablets for treatment of patients with Erosive Esophagitis

Recruitment & Eligibility

Status: ot Yet Recruiting

Sex: Not specified

Target Recruitment: 0

Inclusion Criteria

1. Patients of either gender with age between 18 to 65 years (both inclusive) and willing to provide written informed consent

2. Patients with erosive GERD on the upper GI endoscopy at Screening

3. Women of childbearing potential must have a negative urine pregnancy test prior to Screening and Randomization and agree to use highly effective methods of contraception to prevent pregnancy from study entry till EOS (such contraception may include hormonal birth control e.g. combined estrogen and progestogen containing [oral, intravaginal, or transdermal] or progesterone only [oral, injectable, or implantable] hormonal contraception associated with inhibition of ovulation, intrauterine devices, intrauterine hormone releasing system OR bilateral tubal occlusion, vasectomized partner, or total sexual abstinence OR non-hormonal contraception [e.g. condoms with spermicide]).

4. Male patients must have had a successful vasectomy (confirmed azoospermia) or they and their female partners must meet the criteria above (i.e. not of childbearing potential or practicing highly effective contraception throughout the study period) [No sperm donation is allowed during the study period]

Exclusion Criteria

1. Patients having hypersensitivity or any other contraindication to any of the Investigational product or its component

2. Patients taking any treatment for GERD modifying gastric acid secretion (such as oral antacids, PPIs etc) within 7 days prior to Randomization

3. Patients with current or past history of

a) GERD complications like Barrett’s esophagus (Greater than 3 cm) and or definite dysplastic changes in the esophagus

b) Acute peptic ulcer and or ulcer complications (like ulcer related stenosis)

c) Active gastric or duodenal ulcers within 4 weeks prior to Screening

d) Increased GI motility eg in patients with GI hemorrhage, mechanical obstruction or perforation

e) Active GI bleeding or GI bleeding within 4 weeks prior to Screening

f) Inflammatory bowel disease or irritable bowel syndrome

g) Atrophic gastritis or gastric malignancy or any other GI malignancy

h) Zollinger-Ellision syndrome or any other hypersecretory condition

i) Pyloric stenosis, eosinophilic esophagitis, esophageal stricture, Schatzkis ring, esophageal varices, hiatus hernia, achalasia (esophageal motility disorder)

j) Gastric acid suppression surgery

4) Patient with alarm features in symptomatology, including odynophagia, severe dysphagia, bleeding, weight loss, anemia, and blood in stool, pointing to a possible malignant disease of the GI tract

5) Patients with history of any bleeding disorder

6) Patients with conditions requiring surgical treatment or planned surgery during the study duration

7) Patient chronically using (Greater than 5 doses on demand or for 3 consecutive days) systemic steroids or nonsteroidal anti-inflammatory drugs which included COX-2 inhibitors other than aspirin (Less than or equal to 165 mg per day is allowed) within last 28 days prior to Screening

8) Patients taking high dose methotrexate, bisphosphonate, strong CYP3A4 or CYP2C19 inhibitors, CYP3A4, CYP2B6, CYP2D6 or CYP2C19 inducers, agents affecting digestive organs (e.g. M3 receptor antagonists, prokinetics, anticholinergic agents, prostaglandins, mucosal protective agents), anticoagulant therapy or clopidogrel within 14 days (or 5 half lives of particular drug, whichever is longer) prior to Screening or required to take during the study

9) Patients with history of any surgical condition that, in the judgement of the Investigator or Sponsor, could interfere with absorption, distribution, metabolism, or excretion of the study drugs

10) Patients with history of any clinically significant medical and/or psychological condition that, in the opinion of the Investigator would jeopardize the safety of the patient or affect the validity of the study results [for example but not limited to: cardiovascular disorders (like long QT syndrome, myocardial infarction, angina, etc.), respiratory impairment, hepatic impairment, epilepsy or seizure disorder or any neurological disorder, haematological disorder, metabolic disorder (like thyroid disorder), uncontrolled diabetes (HbA1c Greater than or equal to 9%)]

11) Patients with history of osteoporosis or hypomagnesemia

12) Pregnant and or lactating female

13) Patient with history of HIV and or HBV and or HCV

14) Patient with history of malignancy in the last 5 years prior to Screening or undergoing cancer chemo or radiotherapy [Note: Patients who have been in remission for more than 5 yea