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A Multi-center, Investigator Initiated Trial to Evaluate the Efficacy of FEXUCLUE®40mg(Fexuprazan hydrochloride) in Patients with Iatrogenic Gastric Ulcer After Endoscopic Submucosal Dissection

Status Approved

  • First Submitted Date

    2023/09/06

  • Registered Date

    2023/10/27

  • Last Updated Date

    2023/10/10

CRIS Required

WHO ICTRP (International Clinical Trial Registry Platform) Required

  • 1. Background

    Background - CRIS Registration Number, Unique Protocol ID, Public/Brief Title, Scientific Title, Acronym, MFDS Regulated Study, IND/IDE Protocol, Registered at Other Registry, Name of Registry/Registration Number
    CRIS
    Registration Number
    KCT0008892
    Unique Protocol ID 2023-08-027
    Public/Brief Title Investigator Initiated Trial to Evaluate the Efficacy of FEXUCLUE®40mg(Fexuprazan hydrochloride) in Patients with Iatrogenic Gastric Ulcer After Endoscopic Submucosal Dissection
    Scientific Title A Multi-center, Investigator Initiated Trial to Evaluate the Efficacy of FEXUCLUE®40mg(Fexuprazan hydrochloride) in Patients with Iatrogenic Gastric Ulcer After Endoscopic Submucosal Dissection
    Acronym JB_ESD_IIT01
    MFDS Regulated Study Yes
    IND/IDE Protocol Yes
    Registered at Other Registry No
    Healthcare Benefit Approval Status Submitted pending
  • 2. Institutional Review Board / Ethics Committee

    Institutional Review Board Information
    Board Approval Status Submitted approval
    Board Approval Number 2023-08-027
    Approval Date 2023-09-19
    Institutional Review Board Name jesushospital instituional Review Board
    Institutional Review Board Address 365, Seowon-ro, Wansan-gu, Jeonju-si, Jeollabuk-do
    Institutional Review Board Telephone 063-230-8845
    Data Monitoring Committee No
  • 3. Contact Details

    Contact Details Information - Contact Person for Principal Investigator / Scientific Queries, Contact Person for Public Queries, Contact Person for Updating Information의 Name, Title, Email, Telephone, Cellular Phone, Affiliation, Address
    Contact Person for Principal Investigator / Scientific Queries
    Name Jin Woong cho
    Title director of gastrointestinal center
    Telephone +82-63-230-8114
    Affiliation Presbyterian Medical Center
    Address 365, Seowon-ro, Wansan-gu, Jeonju-si, Jeollabuk-do
    Contact Person for Public Queries
    Name Jin Woong cho
    Title Professor
    Telephone +82-63-230-8114
    Affiliation Presbyterian Medical Center
    Address 365, Seowon-ro, Wansan-gu, Jeonju-si, Jeollabuk-do
    Contact Person for Updating Information
    Name Jin Woong cho
    Title Professor
    Telephone +82-63-230-8114
    Affiliation Presbyterian Medical Center
    Address 365, Seowon-ro, Wansan-gu, Jeonju-si, Jeollabuk-do
  • 4. Status

    Status Information - Study Site, Overall Recruitment Status, Date of First Enrollment, Status of First Enrollment, Target Number of Participant, Primary Completion Date, Recruitment Status by Participating Study Site, Name of Study Site, Recruitment Status, Date of First Enrollment, Status of First Enrollemnt
    Study Site Multi-center Number of center : 2
    Overall Recruitment Status Not yet recruiting
    Date of First Enrollment 2023-11-30 Anticipated
    Target Number of Participant 105
    Primary Completion Date
    Study Completion Date
    Recruitment Status by Participating Study Site 1
    Name of Study Wonkwang University Hospital
    Recruitment Status Not yet recruiting
    Date of First Enrollment 2023-11-30 ,
    Recruitment Status by Participating Study Site 2
    Name of Study Jeonbuk National University Hospital
    Recruitment Status Not yet recruiting
    Date of First Enrollment 2023-11-30 ,
  • 5. Source of Monetary / Material Support

    Source of Monetary / Material Support Information - Organization Name, Organization Type, Project ID
    1. Source of Monetary/Material Support
    Organization Name Daewoong
    Organization Type Pharmaceutical Company
    Project ID JB_ESD_IIT01
  • 6. Sponsor Organization

    Sponsor Organization Information - Organization Name, Organization Type
    1. Sponsor Organization
    Organization Name Presbyterian Medical Center
    Organization Type Medical Institute
  • 7. Study Summary

    Study Summary Information
    Lay Summary
    This clinical trial aims to evaluate the effectiveness and safety of patients with artificial ulcers caused by ESD by comparing the oral administration of Pexuclujeong®40mg once a day for 8 weeks with the oral administration of Esomeprazole 40mg once a day. As mentioned above, pexuprazan hydrochloride has the same treatment ability compared to esomeprazole, which is a PPI, and does not differ significantly in side effects, and has strengths in ease of use, gastric acid suppression, and retention time. In addition, faster and longer-term gastric acid suppression effects are likely to further promote the healing of artificial ulcers, reducing delayed bleeding after ESD.
  • 8. Study Design

    Study Design Information - Study Type, Study Purpose, Phase, Intervention Model, Blinding/Masking, Blinded Subject, Allocation, Intervention Type, Intervention Description, Number of Arms, Arm Label, Target Number of Participant, Arm Type, Arm Description
    Study Type Interventional Study
    Study Purpose
    Treatment
    Phase Not applicable
    Intervention Model Parallel  
    Blinding/Masking Open
    Allocation RCT
    Intervention Type Drug  
    Intervention Description
    The control group Nexium®40 mg was set to 40 mg once a day for general artificial ulcer treatment.Fexuclujeong®40mg, a clinical trial drug, was 40mg once a day in ERD, and the dose of this clinical trial was set to 40mg once a day by referring to this treatment dose. In addition, rebamipide 100 mg 1T Bid was added to both the test group and the control group to treat ulcers. In the case of the administration period, it is generally known that it takes 8 weeks to heal artificial ulcers after ESD, so it was decided to be 8 weeks by referring to other clinical trials.
    Number of Arms 2
    Arm 1

    Arm Label

    experimental group

    Target Number of Participant

    53

    Arm Type

    Experimental

    Arm Description

    Fexuclue 40mg, 1T, 8 weeks
    Arm 2

    Arm Label

    Control group

    Target Number of Participant

    52

    Arm Type

    Active comparator

    Arm Description

    Nexium40mg, 1T, 8 weeks
  • 9. Subject Eligibility

    Subject Eligibility Information
    Condition(s)/Problem(s) * (C00-D48)Neoplasms 
       (C16.2)Malignant neoplasm of body of stomach 

    Patients with artificial gastric ulcers caused by ESD due to gastric cancer or hypothyroidism confined to mucous membranes
    Rare Disease No
    Inclusion Criteria

    Gender

    Both

    Age

    19Year~79Year

    Description

    ① Those who receive ESD due to gastric cancer or hypothyroidism confined to the mucous membrane
    Exclusion Criteria
    ① A person who is sensitive to the components of a clinical trial drug
    ② In the case of drugs that may affect the effectiveness of gastric acid secretion inhibitors as follows, those who took them within two weeks before endoscopic mucosal surgery
    - - PPI, H2 receptor antagonists, mucosal protective anti-ulcer drugs  
    ③ Patients who are required to take combination of clinical trial drug licenses during the clinical trial period as follows
    - Combination inhibitors (atazanavir, nelpinavir, or lilphibirin-containing preparations, etc.)
    - Drugs that increase the risk of bleeding (such as aspirin, anti-coagulants, etc.)
    - -  Steroid, NSAID
    ④ I've had surgery that can affect gastric acid secretion Let's.
    ⑤ Those who are unable to undergo upper gastrointestinal endoscopy (e.g., esophageal disease, gastrointestinal bleeding, etc
    ⑥ Endoscopic submucosal resection is prohibited (platelet reduction, coagulation disorder, etc.)
    ⑦ People with clinically significant liver and kidney disease
    ⑧ A person with a history of malignant tumors within three years
    (However, in the case of malignant tumors except for malignant tumors of the digestive system, those who have been cured and have passed more than 3 years without recurrence from the date of judgment can register.)
    ⑨ Person with bipolar disorder, anxiety disorder, panic disorder, physical form disorder, personality disorder, or other clinically significant psychiatric disorder
    ⑩ a person who is pregnant or lactating
    Healthy Volunteers No
  • 10. Outcome Measure(s)

    Outcome Measure(s) Information - Type of Primary Outcome, Primary Outcome, Outcome, Timepoint, Secondary Outcome, Outcome, Timepoint
    Type of Primary Outcome Efficacy
    Primary Outcome(s) 1
    Outcome
    Percentage of patients with endoscopic artificial ulcers turned into scars
    Timepoint
    Visit 3
    Secondary Outcome(s) 1
    Outcome
    Rate of delayed bleeding
    Timepoint
    After ESD
  • 11. Study Results and Publication

    Study Results and Publication Information - Result Registered, Final Enrollment Number, Number of Publication, Publications, Results Upload, Date of Posting Results, Protocol URL or File Upload, Brief Summary
    Result Registered No
  • 12. Sharing of Study Data(Deidentified Individual-Patient Data, IPD)

    Sharing of Study Data Information - Sharing Statement, Time of Sharing, Way of Sharing
    Sharing Statement No
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