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临床试验/2025-524044-35-00
2025-524044-35-00尚未招募4 期

A Randomized, Non-inferiority Trial Comparing 7-Day Versus 4-Week Esomeprazole Treatment in Patients with Unexplained Dyspepsia

Landspitali1 个研究点 分布在 1 个国家目标入组 128 人开始时间: 2026年2月6日最近更新:
适应症

试验速览

阶段
4 期
状态
尚未招募
发起方
入组人数
128
试验地点
1
主要终点
Change in mean daily modified Glasgow Dyspepsia Severity Score (GDSS) from Week 1 (Days 1-7) to Weeks 2-4 (Days 8-28); treatment effect is the between-arm difference in this change (non-inferiority margin 2 points).

研究概览

简要总结

To assess the difference in symptoms of dyspepsia in Glasgow Dyspepsia Severity Score (GDSS) in patients treated with PPIs for one week vs. 4 weeks.

研究设计

分配方式
Randomized
主要目的
A Randomized, Non-inferiority Trial Comparing 7-day Versus 4-week Esomeprazole Treatment In Patients
盲法
Double (Investigator)

入排标准

年龄范围
18 years 至 64 years(18-64 Years)
接受健康志愿者

入选标准

  • Age 18-60 years at the time of enrolment
  • Unexplained dyspepsia
  • H. pylori negative
  • No PPI therapy for the last three months
  • Previous upper endoscopy normal
  • Ability to understand Icelandic or English

排除标准

  • History of upper gastrointestinal malignancy
  • Use of oral anticoagulants
  • Heart, kidney, liver and pulmonary failure
  • Active malignancy, autoimmune, neurological diseases
  • Predominant heartburn and/or acid regurgitation
  • More than minor heartburn and acid reflux on GSRS
  • Predominant symptoms of IBS
  • Known allergy to esomeprzole, Rennie and its components
  • Chronic alcohol or substance abuse (cannabis, amphetamine, cocaine), overconsumption of alcohol
  • Lactose intolerance
  • PPI use within the last 3 months
  • NSAID use 2 weeks prior to study
  • Previous upper endoscopy abnormal
  • Inability to sign informed consent
  • Inability to understand Icelandic or English
  • Eradication of H. pylori within 12 months
  • Use of biological therapy

结局指标

主要结局

Change in mean daily modified Glasgow Dyspepsia Severity Score (GDSS) from Week 1 (Days 1-7) to Weeks 2-4 (Days 8-28); treatment effect is the between-arm difference in this change (non-inferiority margin 2 points).

Change in mean daily modified Glasgow Dyspepsia Severity Score (GDSS) from Week 1 (Days 1-7) to Weeks 2-4 (Days 8-28); treatment effect is the between-arm difference in this change (non-inferiority margin 2 points).

次要结局

  • The arm by time period interaction effect in a linear mixed effects model of the daily modified Glasgow Dyspepsia Score. Time period is a binary variable, the first week vs weeks 5-7.Incidence rate of referrals to upper gastrointestinal endoscopy during study weeks 1 through 7.

研究者

发起方
Landspitali
申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Investigator

Scientific

Landspitali

研究点 (1)

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