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A Study to Evaluate the Efficacy and Safety of Vonoprazan Compared to Placebo in Participants With Symptomatic Non-Erosive Gastroesophageal Reflux Disease

Phase 2
Completed
Conditions
Non-Erosive Gastro-Esophageal Reflux Disease
Heartburn
Interventions
Drug: Placebo
Registration Number
NCT04799158
Lead Sponsor
Phathom Pharmaceuticals, Inc.
Brief Summary

The primary objectives of this study are to assess the efficacy of vonoprazan (10 mg, 20 mg, and 40 mg On-Demand) compared to placebo (On-Demand) in relief of episodic heartburn over 6 weeks in participants with symptomatic non-erosive gastroesophageal reflux disease (NERD), and to assess the safety of vonoprazan (10 mg, 20 mg, and 40 mg On-Demand) compared to placebo (On-Demand) in participants with symptomatic NERD.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
458
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo: On-Demand Treatment PeriodPlaceboParticipants who have stable disease (no heartburn on the last 7 days of the Run-In Period) will take a placebo when heartburn occurs during the 6 week On-Demand Treatment Period. Participants can take no more than one dose in a 24 hour period.
Run-In PeriodVonoprazanParticipants will receive vonoprazan 20 mg once daily for up to 4 weeks.
Vonoprazan 20 mg: On-Demand Treatment PeriodVonoprazanParticipants who have stable disease (no heartburn on the last 7 days of the Run-In Period) will take vonoprazan 20 mg when heartburn occurs during the 6 week On-Demand Treatment Period. Participants can take no more than one dose in a 24 hour period.
Vonoprazan 40 mg: On-Demand Treatment PeriodVonoprazanParticipants who have stable disease (no heartburn on the last 7 days of the Run-In Period) will take vonoprazan 40 mg when heartburn occurs during the 6 week On-Demand Treatment Period. Participants can take no more than one dose in a 24 hour period.
Vonoprazan 10 mg: On-Demand Treatment PeriodVonoprazanParticipants who have stable disease (no heartburn on the last 7 days of the Run-In Period) will take vonoprazan 10 mg when heartburn occurs during the 6 week On-Demand Treatment Period. Participants can take no more than one dose in a 24 hour period.
Primary Outcome Measures
NameTimeMethod
Percentage of Evaluable Heartburn Episodes Completely Relieved Within 3 Hours and With No Further Heartburn Reported for 24 Hours After Taking Study DrugOn-Demand Treatment Period: Day 1 to Day 42

An evaluable heartburn episode was an episode for which study drug was taken and for which the participant completed at least one entry in the heartburn episode diary.

For a heartburn episode to be considered completely relieved, a participant must not have taken rescue antacid within 3 hours of taking study drug. For sustained relief, complete relief must have been accompanied by 24 hours without another heartburn episode after taking study drug.

Secondary Outcome Measures
NameTimeMethod
Percentage of Evaluable Heartburn Episodes Completely Relieved Within 3 Hours After Taking Study DrugOn-Demand Treatment Period: Day 1 to Day 42

An evaluable heartburn episode was an episode for which study drug was taken and for which the participant completed at least one entry in the heartburn episode diary.

For a heartburn episode to be considered completely relieved, a participant must not have taken rescue antacid within 3 hours of taking study drug.

Percentage of Evaluable Heartburn Episodes for Each Participant That Are Completely Relieved Within 3 Hours and With No Further Heartburn Reported for 24 Hours After Taking Study DrugOn-Demand Treatment Period: Day 1 to Day 42

An evaluable heartburn episode was an episode for which study drug was taken and for which the participant completed at least one entry in the heartburn episode diary.

For a heartburn episode to be considered completely relieved, a participant must not have taken rescue antacid within 3 hours of taking study drug. For sustained relief, complete relief must have been accompanied by 24 hours without another heartburn episode after taking study drug.

Mean Number of Tablets of Rescue Antacid Taken Per Day Over the On-Demand Treatment PeriodOn-Demand Treatment Period: Day 1 to Day 42
Percentage of Participants With Complete Relief of Heartburn Within 3 Hours After the First Episode and With No Further Heartburn Reported for 24 Hours After Taking Study DrugOn-Demand Treatment Period: Day 1 to Day 42

An evaluable heartburn episode was an episode for which study drug was taken and for which the participant completed at least one entry in the heartburn episode diary.

For a heartburn episode to be considered completely relieved, a participant must not have taken rescue antacid within 3 hours of taking study drug. For sustained relief, complete relief must have been accompanied by 24 hours without another heartburn episode after taking study drug.

Percentage of Days Study Drug Was Taken Over the On-Demand Treatment PeriodOn-Demand Treatment Period: Day 1 to Day 42
Percentage of 24-Hour Heartburn-Free Days Over the On-Demand Treatment PeriodOn-Demand Treatment Period: Day 1 to Day 42

A 24-hour heartburn-free day was defined as a day having no heartburn among all diary entries for that day. The percentage of 24-hour heartburn-free days was calculated using all days with at least 1 evening or morning diary entry during the treatment period of this phase.

Trial Locations

Locations (60)

North Alabama Research Center LLC

🇺🇸

Athens, Alabama, United States

OM Research LLC

🇺🇸

Lancaster, California, United States

Medication Management LLC

🇺🇸

Greensboro, North Carolina, United States

Care Access

🇺🇸

Chicago, Illinois, United States

Sierra Clinical Research - ClinEdge

🇺🇸

Las Vegas, Nevada, United States

Site 1

🇺🇸

Las Vegas, Nevada, United States

Synergy Group US, LLC

🇺🇸

Houston, Texas, United States

Biopharma Informatic, LLC

🇺🇸

Houston, Texas, United States

Quality Research Inc

🇺🇸

San Antonio, Texas, United States

Paragon Rx Clinical, Inc.

🇺🇸

Santa Ana, California, United States

Del Sol Research Management - Clinedge

🇺🇸

Tucson, Arizona, United States

ENCORE Borland-Groover Clinical Research

🇺🇸

Jacksonville, Florida, United States

Medical Associates Research Group, Inc.

🇺🇸

San Diego, California, United States

Clinical Research Center of Florida

🇺🇸

Pompano Beach, Florida, United States

In Quest Medical Research

🇺🇸

Suwanee, Georgia, United States

Guardian Angel Research Center

🇺🇸

Tampa, Florida, United States

GI Associates and Endoscopy Center

🇺🇸

Flowood, Mississippi, United States

Florida Medical Clinic, LLC Clinical Research Division

🇺🇸

Zephyrhills, Florida, United States

Advanced Research Institute

🇺🇸

Sandy, Utah, United States

Carolina Research

🇺🇸

Greenville, North Carolina, United States

Coastal Carolina Research Center

🇺🇸

North Charleston, South Carolina, United States

GW Research, Inc

🇺🇸

Chula Vista, California, United States

Imagine Research of Palm Beach County

🇺🇸

Boynton Beach, Florida, United States

Nature Coast Clinical Research

🇺🇸

Inverness, Florida, United States

ClinCloud

🇺🇸

Maitland, Florida, United States

Clinical Trials Management LLC

🇺🇸

Metairie, Louisiana, United States

Investigative Clinical Research

🇺🇸

Annapolis, Maryland, United States

Peters Medical Research, LLC

🇺🇸

High Point, North Carolina, United States

Site 2

🇺🇸

Las Vegas, Nevada, United States

Gastroenterology Research of San Antonio (GERSA)

🇺🇸

San Antonio, Texas, United States

Frontier Clinical Research, LLC

🇺🇸

Uniontown, Pennsylvania, United States

Remington Davis Inc

🇺🇸

Columbus, Ohio, United States

Virginia Gastroenterology Institute

🇺🇸

Suffolk, Virginia, United States

Javara Inc

🇺🇸

Charlotte, North Carolina, United States

Drug Trials America

🇺🇸

Hartsdale, New York, United States

Sherman Clinical Research

🇺🇸

Sherman, Texas, United States

Elite Clinical Studies, LLC

🇺🇸

Phoenix, Arizona, United States

Quality Clinical Research

🇺🇸

Omaha, Nebraska, United States

Clinical Research Associates Inc

🇺🇸

Nashville, Tennessee, United States

Advanced Gastroenterology Associates, LLC

🇺🇸

Palm Harbor, Florida, United States

Preferred Research Partners - ClinEdge

🇺🇸

Little Rock, Arkansas, United States

Pinnacle Research Group

🇺🇸

Anniston, Alabama, United States

Arkansas Gastroenterology

🇺🇸

North Little Rock, Arkansas, United States

Medical Affiliated Research Center Inc

🇺🇸

Huntsville, Alabama, United States

eStudySite

🇺🇸

Chula Vista, California, United States

Riverside Clinical Research

🇺🇸

Edgewater, Florida, United States

Paragon Rx Clinical

🇺🇸

Garden Grove, California, United States

Western States Clinical Research Inc

🇺🇸

Wheat Ridge, Colorado, United States

G. Medical Center

🇺🇸

Orlando, Florida, United States

Iowa Digestive Disease Center

🇺🇸

Clive, Iowa, United States

Gastroenterology Associates of Western Michigan, PLC

🇺🇸

Wyoming, Michigan, United States

Treasure Valley Medical Research

🇺🇸

Boise, Idaho, United States

IACT Health

🇺🇸

Columbus, Georgia, United States

Trial Management Associates LLC

🇺🇸

Wilmington, North Carolina, United States

Inquest Clinical Research

🇺🇸

Baytown, Texas, United States

Rapid City Medical Center LLP

🇺🇸

Rapid City, South Dakota, United States

Rio Grande Gastroenterology

🇺🇸

McAllen, Texas, United States

Precision Clinical Research, LLC

🇺🇸

Sunrise, Florida, United States

Legacy Clinical Solutions: Tandem Clinical Research, LLC

🇺🇸

Marrero, Louisiana, United States

Family Medicine Associates of Texas

🇺🇸

Carrollton, Texas, United States

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