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Guanylyl Cyclase C Agonist

Esophagogastroduodenoscopy for Acid Reflux

Phase 1
Recruiting
Led By David S Weinberg
Research Sponsored by National Cancer Institute (NCI)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients on chronic suppressive antiviral therapy for herpes simplex virus (HSV) are eligible
Eastern Cooperative Oncology Group (ECOG) performance status =< 2
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 2 years
Awards & highlights

Study Summary

This trial looks at the effects of taking either plecanatide or linaclotide on a chemical in the small intestine, and how they compare to not taking either drug.

Who is the study for?
This trial is for adults over 18 who are not pregnant or breastfeeding, agree to use contraception, and have an ECOG performance status of <=1. They must be scheduled for an esophagogastroduodenoscopy (EGD), willing to provide biospecimens, and haven't used GCC agonists or investigational agents recently.Check my eligibility
What is being tested?
The study examines the effects of two FDA-approved constipation drugs, plecanatide or linaclotide, on a chemical in duodenal tissue from the small intestine compared to no drug treatment. Participants will undergo biospecimen collection including biopsy during EGD.See study design
What are the potential side effects?
While specific side effects aren't listed here, plecanatide and linaclotide can generally cause diarrhea, abdominal pain, swelling or bloating. Allergic reactions may occur if sensitive to similar compounds.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am on long-term antiviral treatment for herpes.
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I can take care of myself and perform daily activities.
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I am 18 years old or older.
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I had hepatitis C but am cured, or I'm being treated with no detectable virus.
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My hepatitis B virus load is undetectable with treatment.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 2 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 2 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Cyclic guanosine monophosphate (cGMP) levels
Secondary outcome measures
Vasodilator-stimulated phosphoprotein (VASP) phosphorylation in normal appearing duodenal mucosa
cGMP levels in luminal fluid
Other outcome measures
Cellular response
Comparison pf cGMP and VASP phosphorylation between the plecanatide and linaclotide arms

Trial Design

3Treatment groups
Experimental Treatment
Active Control
Group I: Arm II (linaclotide, EGD)Experimental Treatment4 Interventions
Patients receive a single dose of linaclotide (145 mcg) PO 60-120 minutes prior to standard of care EGD with biopsy and luminal fluid collection.
Group II: Arm I (plecanatide, EGD)Experimental Treatment4 Interventions
Patients receive a single dose of plecanatide (3 mg) PO 60-120 minutes prior to standard of care EGD with biopsy and luminal fluid collection.
Group III: Arm III (EGD)Active Control3 Interventions
Patients undergo standard of care EGD with biopsy and luminal fluid collection.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Biopsy
2014
Completed Phase 4
~1090
Biospecimen Collection
2004
Completed Phase 2
~1730
Esophagogastroduodenoscopy
2017
Completed Phase 3
~980
Linaclotide
2008
Completed Phase 4
~9200
Plecanatide
2016
Completed Phase 3
~10190

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)Lead Sponsor
13,662 Previous Clinical Trials
40,925,838 Total Patients Enrolled
David S WeinbergPrincipal InvestigatorFox Chase Cancer Center
2 Previous Clinical Trials
4,633 Total Patients Enrolled

Media Library

Linaclotide (Guanylyl Cyclase C Agonist) Clinical Trial Eligibility Overview. Trial Name: NCT05107219 — Phase 1
Acid Reflux Research Study Groups: Arm II (linaclotide, EGD), Arm I (plecanatide, EGD), Arm III (EGD)
Acid Reflux Clinical Trial 2023: Linaclotide Highlights & Side Effects. Trial Name: NCT05107219 — Phase 1
Linaclotide (Guanylyl Cyclase C Agonist) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05107219 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any empty slots remaining for participants in this research trial?

"Affirmative, the information accessible on clinicaltrials.gov confirms that this medical trial is engaging in active recruitment. Initially advertised on October 25th 2022 and last updated two days later, 43 prospective participants are sought from 2 study sites."

Answered by AI

Have any other investigations explored the effects of Esophagogastroduodenoscopy?

"At the moment, 5 Esophagogastroduodenoscopy trials are in progress. 2 of those experiments have entered Phase 3 clinical trial stages. Philadelphia is home to most of these studies, but 147 other research sites can be found around the country."

Answered by AI

What is the overall enrollment for this medical study?

"Affirmative. Clinicaltrials.gov data reveals that the trial is presently recruiting, having been posted on October 25th 2022 and last modified on October 27th 2022. 43 participants are being sought at 2 sites of study."

Answered by AI
~15 spots leftby Feb 2025