NCT02505945已完成4 期
The CALIBER Study Randomized Controlled Trial of LINX Versus Double-Dose Proton Pump Inhibitor Therapy for Reflux Disease
Torax Medical Incorporated21 个研究点 分布在 1 个国家目标入组 152 人开始时间: 2015年6月最近更新:
适应症
干预措施
相关药物
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 发起方
- 入组人数
- 152
- 试验地点
- 21
- 主要终点
- Elimination of Moderate-severe Regurgitation at 6 Months
研究概览
简要总结
This study compares mechanical sphincter augmentation (LINX Reflux Management System) to double-dose proton pump inhibitors (PPIs) for the management of reflux symptoms related to gastroesophageal reflux disease (GERD).
详细描述
Prospective, multicenter, 2:1 randomized, cross-over, two arms
- Control arm: Double-dose PPI [Omeprazole 20 mg BID (twice a day)]
- Treatment arm: LINX Reflux Management System Up to 20 study centers throughout the U.S. will participate. Approximately150 patients will be enrolled into the study. Subjects will be randomized 2:1 into the double-dose PPIs arm (100 subjects) and the LINX arm (50 subjects).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient seeks consultation for lack of satisfactory symptom response to once daily PPIs.
- •Age≥ 21 years old.
- •Abnormal distal esophageal pH determined by total % time pH <4 or DeMeester Score. Testing to be completed off GERD medications for at least 7 days, with the exception of antacids, which may be taken up until the morning of assessment.
- •Suitable surgical candidate (i.e. is able to undergo general anesthesia and laparoscopic surgery).
- •Patient has provided written informed consent for participation in the randomized study.
排除标准
- •Currently taking double-dose PPIs (twice daily dosing).
- •Hiatal hernia >3cm as determined by endoscopy.
- •Distal esophageal motility (average of sensors 3 and 4) is less than 35 mmHg peristaltic amplitude on wet swallows or <70% (propulsive) peristaltic sequences.
- •Esophagitis Grade C or D (Los Angeles classification).
- •Body mass index >
- •Diagnosed with an esophageal motility disorder LES.
- •Esophageal stricture or gross esophageal anatomic abnormalities
- •History of/or known Barrett's esophagus.
- •Suspected or known allergies to titanium, stainless steel, nickel or ferrous materials.
研究组 & 干预措施
Control Arm
Active Comparator
Double-dose PPI [Omeprazole 20 mg BID (twice a day)]
干预措施: Omeprazole (Drug)
Treatment Arm
Active Comparator
LINX Reflux Management System
干预措施: LINX Reflux Management System (Device)
结局指标
主要结局
Elimination of Moderate-severe Regurgitation at 6 Months
时间窗: 6 months
The primary endpoint was the percent of patients in both treatment arms who achieved elimination of moderate-severe regurgitation at 6 months, as reported on the foregut symptom questionnaire.
次要结局
- Percentage of Subjects With ≥50% Reduction in Total Gastroesophageal Reflux Disease-Health Related Quality of Life (GERD-HRQL) Scores(6 months)
研究者
研究点 (21)
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