25 Participants Needed

Vonoprazan Formulations in Healthy Participants

PM
Overseen ByPhathom Medical Information
Age: 18 - 65
Sex: Any
Trial Phase: Phase 1
Sponsor: Phathom Pharmaceuticals, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Do I have to stop taking my current medications for the trial?

Yes, you will need to stop taking any prescription and over-the-counter medications (except hormonal birth control and acetaminophen up to 2 g per day) at least 14 days before the first dose of the study drug and throughout the study.

What data supports the effectiveness of the drug vonoprazan?

Research shows that vonoprazan is effective in treating acid-related conditions, such as non-erosive reflux disease and preventing ulcers caused by NSAID use. It has been found to be as effective as lansoprazole, another acid-reducing drug, in healing erosive esophagitis and treating gastric or duodenal ulcers.12345

Is vonoprazan generally safe for humans?

Vonoprazan has been studied for safety in healthy individuals and patients with acid-related conditions. Research shows it is generally well-tolerated, with studies evaluating its safety over both short and long-term use.13467

How is the drug vonoprazan different from other treatments for acid-related conditions?

Vonoprazan is unique because it is a potassium-competitive acid blocker, which works differently from traditional proton pump inhibitors (PPIs) by blocking acid production in the stomach more effectively and quickly. This novel mechanism may offer better healing for conditions like erosive esophagitis and ulcers compared to existing treatments.13458

What is the purpose of this trial?

The primary objective of this study is to assess the bioavailability (BA) of a single oral dose of two vonoprazan orally disintegrating tablet formulations (ODT-1 or ODT-2) administered without water or mixed with water and administered via a syringe relative to the vonoprazan tablet in healthy participants.

Research Team

MD

Medical Director

Principal Investigator

Phathom Pharmaceuticals

Eligibility Criteria

This trial is for healthy individuals who can take a single dose of the study drug. Specific eligibility criteria are not provided, but typically participants must be adults without any significant medical conditions.

Inclusion Criteria

Participant is considered by the investigator to be in good general health as determined by medical history, clinical laboratory test results, vital sign measurements, 12-lead electrocardiogram (ECG) results, and physical examination findings at Screening
Participant agrees to comply with all protocol requirements
I am not pregnant, as confirmed by tests.
See 3 more

Exclusion Criteria

I have not donated blood in the last 30 days.
Participant has a positive test result for hepatitis B surface antigen, hepatitis C virus antibody, or human immunodeficiency virus types 1 or 2 antibodies at Screening
I have a serious health condition that could affect my trial participation.
See 13 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive a single oral dose of vonoprazan in different formulations across 5 periods with a minimum 5-day washout interval between doses

5 periods with 5-day washouts

Follow-up

Participants are monitored for safety and effectiveness after treatment

2-4 weeks

Treatment Details

Interventions

  • Vonoprazan
Trial Overview The study is testing two different formulations of Vonoprazan orally disintegrating tablets (ODT-1 and ODT-2), taken with or without water, compared to the standard Vonoprazan tablet. The goal is to see how well each method works in healthy people.
Participant Groups
5Treatment groups
Experimental Treatment
Group I: Sequence E, A, D, B, C: Vonoprazan 10 mgExperimental Treatment3 Interventions
Participants will be randomly assigned to 1 of 5 treatment sequences in a 1:1:1:1:1 ratio. On the first day of each dosing period, participants will receive 1 of the following study treatments according to the treatment sequence they are randomly assigned to: * Treatment A: Vonoprazan 10 mg ODT-1 without water * Treatment B: Vonoprazan 10 mg ODT-1 mixed with water and administered via a syringe * Treatment C: Vonoprazan 10 mg ODT-2 without water * Treatment D: Vonoprazan 10 mg ODT-2 mixed with water and administered via a syringe * Treatment E (reference): Vonoprazan 10 mg tablet. There will be a washout interval of a minimum of 5 days between study drug dosing in each period.
Group II: Sequence D, C, A, E, B: Vonoprazan 10 mgExperimental Treatment3 Interventions
Participants will be randomly assigned to 1 of 5 treatment sequences in a 1:1:1:1:1 ratio. On the first day of each dosing period, participants will receive 1 of the following study treatments according to the treatment sequence they are randomly assigned to: * Treatment A: Vonoprazan 10 mg ODT-1 without water * Treatment B: Vonoprazan 10 mg ODT-1 mixed with water and administered via a syringe * Treatment C: Vonoprazan 10 mg ODT-2 without water * Treatment D: Vonoprazan 10 mg ODT-2 mixed with water and administered via a syringe * Treatment E (reference): Vonoprazan 10 mg tablet. There will be a washout interval of a minimum of 5 days between study drug dosing in each period.
Group III: Sequence C, E, B, A, D: Vonoprazan 10 mgExperimental Treatment3 Interventions
Participants will be randomly assigned to 1 of 5 treatment sequences in a 1:1:1:1:1 ratio. On the first day of each dosing period, participants will receive 1 of the following study treatments according to the treatment sequence they are randomly assigned to: * Treatment A: Vonoprazan 10 mg ODT-1 without water * Treatment B: Vonoprazan 10 mg ODT-1 mixed with water and administered via a syringe * Treatment C: Vonoprazan 10 mg ODT-2 without water * Treatment D: Vonoprazan 10 mg ODT-2 mixed with water and administered via a syringe * Treatment E (reference): Vonoprazan 10 mg tablet. There will be a washout interval of a minimum of 5 days between study drug dosing in each period.
Group IV: Sequence B, D, E, C, A: Vonoprazan 10 mgExperimental Treatment3 Interventions
Participants will be randomly assigned to 1 of 5 treatment sequences in a 1:1:1:1:1 ratio. On the first day of each dosing period, participants will receive 1 of the following study treatments according to the treatment sequence they are randomly assigned to: * Treatment A: Vonoprazan 10 mg ODT-1 without water * Treatment B: Vonoprazan 10 mg ODT-1 mixed with water and administered via a syringe * Treatment C: Vonoprazan 10 mg ODT-2 without water * Treatment D: Vonoprazan 10 mg ODT-2 mixed with water and administered via a syringe * Treatment E (reference): Vonoprazan 10 mg tablet. There will be a washout interval of a minimum of 5 days between study drug dosing in each period.
Group V: Sequence A, B, C, D, E: Vonoprazan 10 mgExperimental Treatment3 Interventions
Participants will be randomly assigned to 1 of 5 treatment sequences in a 1:1:1:1:1 ratio. On the first day of each dosing period, participants will receive 1 of the following study treatments according to the treatment sequence they are randomly assigned to: * Treatment A: Vonoprazan 10 mg ODT-1 without water * Treatment B: Vonoprazan 10 mg ODT-1 mixed with water and administered via a syringe * Treatment C: Vonoprazan 10 mg ODT-2 without water * Treatment D: Vonoprazan 10 mg ODT-2 mixed with water and administered via a syringe * Treatment E (reference): Vonoprazan 10 mg tablet. There will be a washout interval of a minimum of 5 days between study drug dosing in each period.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Phathom Pharmaceuticals, Inc.

Lead Sponsor

Trials
14
Recruited
4,400+

Findings from Research

On-demand therapy using 20-mg vonoprazan for 8 weeks in 30 patients with non-erosive reflux disease showed similar effectiveness to continuous proton pump inhibitor (PPI) maintenance therapy, as patient satisfaction and symptom scores remained unchanged.
The study found that patients took a median of 11 tablets during the 8-week period, with 30% using vonoprazan regularly, indicating that on-demand therapy can be a practical alternative for managing reflux symptoms.
Efficacy of on-demand therapy using 20-mg vonoprazan for non-erosive reflux disease.Hoshikawa, Y., Kawami, N., Hoshino, S., et al.[2020]
Vonoprazan (10 mg and 20 mg) was found to be non-inferior to lansoprazole (15 mg) in preventing recurrent peptic ulcers in patients taking long-term NSAIDs, with recurrence rates of 3.3% and 3.4% for vonoprazan compared to 5.5% for lansoprazole over 24 weeks.
The study, which included 642 outpatients and lasted over 1 year, showed that vonoprazan was effective and well tolerated, with a safety profile similar to that of lansoprazole, indicating it is a safe option for long-term use.
Vonoprazan prevents ulcer recurrence during long-term NSAID therapy: randomised, lansoprazole-controlled non-inferiority and single-blind extension study.Mizokami, Y., Oda, K., Funao, N., et al.[2018]
TAK-438 (vonoprazan) demonstrated rapid absorption and effective gastric acid suppression in healthy male subjects, achieving over 90% intragastric pH ≥4 for 24 hours at a 40 mg dose, indicating its strong efficacy as an acid blocker.
The drug was well tolerated across all doses, with no serious adverse events reported, suggesting it could be a safe alternative to traditional proton pump inhibitors for treating acid-related disorders.
Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single Rising TAK-438 (Vonoprazan) Doses in Healthy Male Japanese/non-Japanese Subjects.Sakurai, Y., Nishimura, A., Kennedy, G., et al.[2022]

References

Efficacy of on-demand therapy using 20-mg vonoprazan for non-erosive reflux disease. [2020]
Vonoprazan prevents ulcer recurrence during long-term NSAID therapy: randomised, lansoprazole-controlled non-inferiority and single-blind extension study. [2018]
Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single Rising TAK-438 (Vonoprazan) Doses in Healthy Male Japanese/non-Japanese Subjects. [2022]
Randomised clinical trial: vonoprazan, a novel potassium-competitive acid blocker, vs. lansoprazole for the healing of erosive oesophagitis. [2022]
Randomised clinical trial: efficacy and safety of vonoprazan vs. lansoprazole in patients with gastric or duodenal ulcers - results from two phase 3, non-inferiority randomised controlled trials. [2020]
Long-term safety and effectiveness of vonoprazan for prevention of gastric and duodenal ulcer recurrence in patients on nonsteroidal anti-inflammatory drugs in Japan: a 12-month post-marketing surveillance study. [2023]
Efficacy and Safety of Vonoprazan in Patients With Nonerosive Gastroesophageal Reflux Disease: A Randomized, Placebo-Controlled, Phase 3 Study. [2023]
Physiologically relevant dissolution conditions towards improved in vitro - in vivo relationship - A case study with enteric coated pantoprazole tablets. [2021]
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