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OpenTrials
Completed

NCT Number: NCT03883074

Effect of a Combination of Hyaluronic Acid, Chondroitin Sulphate and Magnesium Trisilicate on Subjects With GastroEsophageal Reflux Disease

The aim of this study is to investigate whether a 3-week treatment with an oral melt in mouth medical device, made up with hyaluronic acid, chondroitin sulphate and magnesium trisilicate, can lead to a reduction of Gastroesophageal Reflux Disease symptoms and to an improvement of the integrity of esophageal mucosa in patients who are to experiencing esophagus symptoms. The study is a randomized, double-blind cross-over placebo controlled study. Every patient will get both the active study device during one study period and placebo during another another period.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

UZLeuven

Leuven, box 701, 3000, Belgium

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Males and females, age 18 to 75 years
  • GERD as defined by an acid exposure time >4% on pH/impedance monitoring and/or esophagitis LA grade A or B on endoscopy
  • Heartburn at least twice per week over the last 1 month
  • ReQuest Symptoms sum score >3,37 at screening
  • GERD patients not treated with a PPI in the previous 2 months
  • Subjects capable of understanding and be willing to provide signed and dated written voluntary informed consent

Exclusion criteria

  • Patients suffering from gastrointestinal diseases other than GERD
  • Esophagitis LA grade C or D or Barrett's esophagus on endoscopy
  • Impaired kidney or liver function
  • Significant cardiac, pulmonary or psychiatric comorbidity as judged by the investigator
  • Medication use (including NSAIDS) that may interfere with GERD symptom assessment within 2 weeks before the start of the study or during the study
  • Pregnancy or breast-feeding
  • Females of childbearing potential in the absence of effective contraceptive methods
  • History of/or current psychiatric illness that would interfere with ability to comply with protocol requirements or give informed consent
  • History of alcohol or drug abuse that would interfere with ability to comply with protocol requirements
  • Treatment with any investigational drug within the previous 30 days
  • Active malignancy of any type, or history of cancer, including solid tumors and hematological malignancies (except patients with malignancies that have been surgically removed and/or with no evidence of recurrence for at least five years before study enrolment)
  • Inability to conform to protocol procedures

Treatment and study plan

hyaluronic acid with chondroitin + sulphate + magnesium trisilicate

Device

Melt in mouth tablets (1100 mg)

Other names: GERDOff Plus

PLACEBO

Device

tablets with the same aspect of the active device

Other names: Placebo (for hyaluronic acid with chondroitin + sulphate + magnesium trisilicate)

Primary outcomes

  1. Esophageal Impedance

    Time frame: 3 weeks

    Change between groups in baseline impedance value. Impedance baseline values will be assessed in two steady periods of 30 seconds at the beginning and at the end of consecutive time windows of 30 minutes, 60 minutes.

Secondary outcomes

  1. Esophageal acid exposure

    Time frame: 3 weeks

    Esophageal acid exposure assessed by 24-hour pH-impedance measurement

  2. Esophageal permeability

    Time frame: 3 weeks

    Esophageal permeability assessed by transepithelial electrical resistance

  3. Microscopic esophagitis

    Time frame: 3 weeks

    Microscopic esophagitis evidence at endoscopy assessed by Esohisto score. The score assesses the severity of esophagitis through a score for each parameter ranging from 0 to 2 (0=normal, 2=severe). Parameters are: Basal cell layer hyperplasia; Papillary elongation; Dilated intercellular spaces; Intraepithelial eosinophils; Intraepithelial neutrophils; Intraepithelial mononuclear cells

  4. Intercellular spaces

    Time frame: 3 weeks

    The presence (on endoscopy) and severity of dilated intercellular spaces assessed by transmission electron microscopy.

  5. The expression of tight junctions

    Time frame: 3 weeks

    The expression of tight junction proteins at RNA, protein and immunohistochemistry level

  6. ReQuest Questionnaire score

    Time frame: 3 weeks

    Change in ReQuest score for GERD symptoms severity evaluated through ReQuest Questionnaire. ReQuest is a self-assessed, dimension-orientated scale designed to evaluate the treatment response in patients suffering from erosive GERD. It assesses seven dimensions of GERD (acid complaints, upper abdominal/stomach complaints, lower abdominal/ digestive complaints, nausea, sleep disturbances, other complaints and general well-being). The intensity is measured on a 100-mm visual analogue scale and the frequency (except general well-being) on a 7-point Likert scale, ranging from 0 to more than 10 times per day. It asks for the occurrence of symptom descriptions known to be typical of the corresponding dimension

  7. Esophageal reflux episodes

    Time frame: 3 weeks

    Total number of reflux episodes and their proximal extent, number of acid reflux events and their duration.

Sponsors and collaborators

Lead sponsor

SOFAR S.p.A.

Industry

Registry information

Official study title

Effect of a Combination Oral Formulation of Hyaluronic Acid With Chondroitin Sulphate and With Magnesium Trisilicate on Mucosal Integrity and Reflux Exposure in Subjects With Gastro-Esophageal Reflux Disease Not Currently Treated With a Proton Pump Inhibitor: a Double-Blind, Placebo-Controlled, Randomized, Crossover Study

Important dates

Study start
2018
Primary completion
2021
Study completion
2021
First posted
Mar 20, 2019
Registry last updated
May 6, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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