110 Participants Needed

Pantoprazole Dose Comparison for Esophagitis

Recruiting at 49 trial locations
PC
Overseen ByPfizer CT.gov Call Center
Age: < 18
Sex: Any
Trial Phase: Phase 2
Sponsor: Pfizer
Must be taking: Proton pump inhibitors
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial
Approved in 6 JurisdictionsThis treatment is already approved in other countries

Trial Summary

What is the purpose of this trial?

The purpose of this study is to explore the outcomes, tolerability and safety of 2 different doses of oral pantoprazole (full healing dose, half healing dose), assigned based upon weight, for the maintenance of healing of erosive esophagitis in pediatric participants aged 1 to 17 years with endoscopically-confirmed, healed erosive esophagitis.

Will I have to stop taking my current medications?

The trial requires that participants do not use certain medications like warfarin, heparin, methotrexate, and some others. If you are on these medications, you may need to stop them to participate in the trial.

What data supports the effectiveness of the drug pantoprazole for treating esophagitis?

Research shows that pantoprazole is effective in treating gastroesophageal reflux disease (GERD), including severe forms like reflux esophagitis. In studies, pantoprazole helped most patients achieve symptom relief and healing, with similar effectiveness to other treatments like omeprazole and esomeprazole.12345

How does pantoprazole differ from other drugs for esophagitis?

Pantoprazole is unique because it can be adjusted in dosage based on the severity of esophagitis, with some patients requiring a higher dose for effective treatment. It is also available in both oral and intravenous forms, offering flexibility in administration compared to some other similar drugs.16789

Research Team

PC

Pfizer CT.gov Call Center

Principal Investigator

Pfizer

Eligibility Criteria

Children aged 1-17 with healed erosive esophagitis are eligible for this trial. They must weigh at least 7 kg and be in the CDC's weight percentile for their age. Participants need to consent, use an eDiary, and follow study procedures. Exclusions include hypersensitivity to Proton Pump Inhibitors, certain gastrointestinal disorders, psychiatric conditions, chronic medication use that interferes with the study drug, or significant lab abnormalities.

Inclusion Criteria

I am between 1 and 17 years old.
I am able to understand and sign the consent form.
I have a documented erosive lesion graded A to D before starting acid reflux treatment.
See 4 more

Exclusion Criteria

Previous administration of an investigational drug or vaccine within 30 days (or as determined by the local requirement) or 5 half-lives preceding the first dose of study intervention used in this study (whichever is longer)
I have HIV/AIDS.
Children that may be at high risk from procedural sedation should be carefully evaluated. Participants with a history of complications during prior procedural sedation
See 11 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either a full healing dose or half healing dose of pantoprazole for maintenance of healing of erosive esophagitis

24 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 weeks

Treatment Details

Interventions

  • Pantoprazole
Trial OverviewThe trial is testing two doses of oral pantoprazole (full healing dose and half healing dose) based on weight to maintain healing of erosive esophagitis in children. The effectiveness and safety of these doses will be compared over time.
Participant Groups
2Treatment groups
Active Control
Group I: Arm 1 Full Dose Pantoprazole and matching placeboActive Control1 Intervention
Full Healing Dose of pantoprazole
Group II: Arm 2 Half Dose Pantoprazole and matching placeboActive Control1 Intervention
Half Healing Dose of pantoprazole

Find a Clinic Near You

Who Is Running the Clinical Trial?

Pfizer

Lead Sponsor

Trials
4,712
Recruited
50,980,000+
Known For
Vaccine Innovations
Top Products
Viagra, Zoloft, Lipitor, Prevnar 13

Albert Bourla

Pfizer

Chief Executive Officer since 2019

PhD in Biotechnology of Reproduction, Aristotle University of Thessaloniki

Patrizia Cavazzoni profile image

Patrizia Cavazzoni

Pfizer

Chief Medical Officer

MD from McGill University

Findings from Research

In a 28-day study involving 30 patients with GERD, including severe cases, pantoprazole (40 mg) was effective for 83.3% of patients, while 16.7% required an increased dose of 80 mg to achieve remission.
The study demonstrated both the efficacy and safety of pantoprazole in treating GERD, including its more severe forms, suggesting it can be a reliable treatment option.
[Panum (pantoprazole) effectiveness in the treatment of patients with GERD].Masharova, AA., Ianova, OB., Valitova, ÉR., et al.[2018]
In a clinical trial involving 120 patients, pantoprazole (40 mg/day) demonstrated comparable healing rates to omeprazole (20 mg/day) for treating grade I and II GERD, with no significant differences in efficacy at both 4 and 8 weeks.
Both medications were well tolerated, with pantoprazole showing a favorable safety profile and being an effective short-term treatment option for reflux esophagitis.
Pantoprazole versus omeprazole in the treatment of reflux esophagitis.Vcev, A., Stimac, D., Vceva, A., et al.[2018]
In a study of 315 patients with reflux esophagitis, pantoprazole was found to be significantly more effective than ranitidine, achieving healing rates of 94% compared to 74% after eight weeks of treatment.
Both pantoprazole and ranitidine were well tolerated, with adverse event rates of less than 2% in each group, indicating that pantoprazole is a safe and effective option for treating reflux esophagitis.
[Clinical superiority of pantoprazole over ranitidine in the treatment of reflux esophagitis grade II and III. A prospective, double-blind, double-placebo study. Mexican clinical experience. Mexican Pantoprazole Study Group].Gallo, S., Dibildox, M., Moguel, A., et al.[2022]

References

1.Russia (Federation)pubmed.ncbi.nlm.nih.gov
[Panum (pantoprazole) effectiveness in the treatment of patients with GERD]. [2018]
Pantoprazole versus omeprazole in the treatment of reflux esophagitis. [2018]
[Clinical superiority of pantoprazole over ranitidine in the treatment of reflux esophagitis grade II and III. A prospective, double-blind, double-placebo study. Mexican clinical experience. Mexican Pantoprazole Study Group]. [2022]
Randomised controlled trial of pantoprazole versus ranitidine for the treatment of uninvestigated heartburn in primary care. [2020]
Once-daily pantoprazole 40 mg and esomeprazole 40 mg have equivalent overall efficacy in relieving GERD-related symptoms. [2019]
Efficacy and safety of oral pantoprazole 20 mg given once daily for reflux esophagitis in children. [2019]
[Financial restrictions in health care systems could affect treatment quality of GERD-patients]. [2018]
Esomeprazole 40 mg provides more effective intragastric acid control than lansoprazole 30 mg, omeprazole 20 mg, pantoprazole 40 mg and rabeprazole 20 mg in patients with gastro-oesophageal reflux symptoms. [2022]
[Cost-minimization study on the prescription of intravenous proton pump inhibitors: pantoprazole versus omeprazole]. [2018]