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临床试验/EUCTR2007-001487-67-SK
EUCTR2007-001487-67-SK进行中(未招募)1 期

A PARALLEL-GROUP, RANDOMIZED, DOUBLE-BLIND, MULTI-CENTER DOSE RESPONSE STUDY TO EVALUATE THE EFFICACY AND SAFETY OF PF- 00885706, A 5-HT4 RECEPTOR PARTIAL AGONIST, AS ADD-ON THERAPY TO ESOMEPRAZOLE FOR THE RELIEF OF SYMPTOMS IN SUBJECTS WITH GASTRO-ESOPHAGEAL REFLUX DISEASE (GERD) WHO HAVE A POOR RESPONSE TO PROTON PUMP INHIBITOR (PPI) TREATMENT

Pfizer Limited, Ramsgate Road, Sandwich, Kent, UK0 个研究点目标入组 450 人开始时间: 2008年4月16日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
450

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Evidence of a personally signed and dated informed consent document indicating that the subject (or a legally acceptable representative) has been informed of all pertinent aspects of the study.
  • 2. Subjects with a diagnosis of GERD who fulfill the following criteria
  • who have symptoms for at least six months prior to enrolment
  • who are currently on daily treatment with a PPI and have been on such treatment for at least 3 months
  • whose symptoms are persistent1, troublesome and that include heartburn and/or
  • regurgitation as their predominant symptoms despite treatment with a PPI
  • who are seeking relief of persistent symptoms 1 persistent symptoms: Minimum of 4 days (in a week) with at least mild symptoms (i.e. symptom does not last long and is easily tolerated) or minimum of 2 days with moderate (i.e. symptom causes discomfort and interrupts usual activities including sleep) to severe symptoms (i.e. symptom causes great interference with usual activities [including sleep] and
  • may be incapacitating.
  • 3. Male or female subject aged 18 to 65 years inclusive.
  • 4. All female subjects must fulfill adequate contraception criteria
  • A negative serum or urine pregnancy test within 72 hours prior to start of study
  • medication for Women of Child Bearing Potential (WOCBP*). WOCBP include any
  • female who has experienced menarche and who has not undergone successful surgical sterilization or is not post-menopausal**. Even women who are using oral, implanted or injectable contraceptive hormones or mechanical products (intrauterine devices; barrier methods) to prevent pregnancy, who are practicing abstinence, or who have a partner that is sterile (e.g., vasectomy), should be considered to be of child bearing potential.
  • * Female subjects of non-childbearing potential must meet at least one of the following criteria:
  • **Postmenopausal females, defined as:
  • Females over the age of 60 years.
  • Females who are 45 to 60 years of age must be amenorrheic for at least 2 years PLUS have a serum FSH level within the laboratory’s reference range for postmenopausal women.
  • Females who had a hysterectomy and/or bilateral oophorectomy.
  • All other female subjects (including females with tubal ligations) will be considered to be of childbearing potential.
  • Willingness to utilize an acceptable form of contraception***(e.g. hormonal contraception, intrauterine device, barrier method plus spermicide) for WOCBP from screening to at least a month after the study.
  • *** Acceptable contraceptive method for female subjects of childbearing potential include one of the following: Female subjects who wish to use nonhormonal contraception must have done so for at least 14 days prior to the first dose of study medication.
  • Hormonal methods of contraception (including oral and transdermal contraceptives, injectable progesterone, progestin subdermal implants, progesterone-releasing IUDs) at least 14 days prior to the first dose of study medication;
  • Placement of a copper-containing intrauterine device (IUD);
  • Condom with spermicidal foam/gel/film/cream/suppository;
  • Male partner who has had a vasectomy for at least 4 months
  • 5. Body Mass Index (BMI) of 18 to 40 kg/m2
  • 6. Subjects who are willing and able to comply with scheduled visits, treatment plan,
  • laboratory tests, and other study procedures.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Numb

排除标准

  • 1. Subjects not able or unwilling to provide informed consent and or to follow study
  • procedures or considered to be non compliant according to the investigator
  • 2. Subjects with any of the following diseases/conditions
  • a. Zollinger-Ellison syndrome
  • b. Primary esophageal motility disorder, i.e. achalasia, scleroderma, primary
  • esophageal spasm or nutcracker esophagus.
  • c. Esophageal disorders such as strictures, upper GI endoscopic scoring of Los
  • Angeles grade D; dysphagia, Barrett’s esophagus,
  • d. Surgical or endoscopic treatment for GERD
  • e. History of esophageal, gastric or duodenal surgery, except for simple closure of
  • an ulcer OR gastric or duodenal ulcers.
  • f. Malabsorption or Inflammatory Bowel Disease
  • g. Irritable Bowel Syndrome
  • h. Large hiatus hernia
  • 3. Subjects diagnosed with erosive esophagitis or alarm symptoms such as dysphagia; odynophagia; gastrointestinal bleeding or anemia; weight loss; and chest pain.
  • 4. If female; pregnant, lactating or positive serum or urine pregnancy tests.
  • 5. Subjects presenting with any of the following will not be included in the study:
  • Cardiovascular
  • a. Subjects with a history of cardiovascular disease, e.g. ischemic heart disease,
  • arrhythmias, QT prolongation (> 450msec), myocardial infarction or stroke
  • b. Subjects with uncontrolled hypertension (BP > 140/90 mm of Hg) or having
  • symptomatic hypotension
  • c. Subjects with a significant history of symptomatic postural hypotension or
  • greater than a 20mmHg drop in systolic or 10 mmHg drop in diastolic blood
  • pressure on standing at screening
  • d. Subjects with a screening 12-lead ECG demonstrating any clinically
  • significant abnormality
  • Renal impairment
  • Alanine aminotransferase =2 times the ?upper limit of normal at screening (Visit 1) as defined by the central laboratory;
  • Subjects with a history of malignancy who have not been in remission for at least 5
  • years at the time of the baseline visit.
  • Note for clarification: Subjects with basal and squamous cell carcinomas are eligible
  • for entry within the 5 year period provided they have been disease-free for 12 months at the time of entry, and they are followed up regularly by a dermatologist
  • Uncontrolled diabetes mellitus (HbA1c > 7). Stable diabetes controlled by diet, oral
  • agents or insulin is acceptable
  • History of ethanol abuse, substance abuse, or social situations that may affect
  • adherence to the study protocol
  • Subjects with a positive Hepatitis B, Hepatitis C or HIV test.
  • 6. Subjects who have received any investigational drug or device within 30 days of
  • screening, or who is scheduled to receive another investigational drug or device in the course of the study.
  • 7. Subjects who are unable or unwilling to withdraw from prescribed proton pump
  • inhibitors and replace with standard study PPI treatment.
  • 8. Subjects who are unable or unwilling to stop gastro-prokinetic or other drugs for the treatment of GERD for the duration of the study
  • 9. Subjects who are unable to tolerate or are allergic to
  • a. Gaviscon™ or its excipients.
  • b. Esomeprazole treatment or their excipients.
  • 10. Subjects who are taking, or have taken within 14 days of Visit 2, any
  • drugs that are known to be potent CYP3A4 inhibitors; potent CYP3A4 inducers and potent CYP2C19 inducers or inhibitors [see Appendix 10]
  • 11. Subjects with factors that may interfere with efficacy assessment.
  • 12. Subjects that have made a blood donation of approximately 500mL within 30
  • 另有 2 项未显示

研究者

发起方
Pfizer Limited, Ramsgate Road, Sandwich, Kent, UK

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