Effect of proton pump inhibitors on the structural integrity of endoscopic sleeve gastroplasty: a single-centre open-label, randomized, controlled pilot clinical trial

2024-517679-18-00 Protocol E S G I S Therapeutic use (Phase IV) Ongoing, recruiting

Start 9 Feb 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol E S G I S

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 40
Countries 1
Sites 1

obesity

To evaluate the effect of PPI’s on the structural integrity of the ESG

Key facts

Sponsor
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18], Diseases [C] - Digestive System Diseases [C06]
Trial duration
9 Feb 2024 → ongoing
Decision date (initial)
2024-12-02
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-517679-18-00
EudraCT number
2021-000266-15

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To evaluate the effect of PPI’s on the structural integrity of the ESG

Secondary objectives 1

  1. effects of ESG on weight loss, quality of life, metabolic risk factors and anthropometry and on satiety.

Conditions and MedDRA coding

obesity

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Age 20 to 65 years
  2. BMI between 30 to 45 kg/m2
  3. Willingness to participate in the study and ability to comply and understand the study protocol

Exclusion criteria 19

  1. Active gastric gastro-duodenal during the last 6 months
  2. Helicobacter pylori infection
  3. Organic or motility disorder of the stomach and / or esophagus
  4. Anticoagulant treatment
  5. Previous bariatric surgery or any other type of surgery of the esophagus, stomach and duodenum
  6. Ongoing or active malignancy during the last 5 years
  7. Myocardial infarction during the past 6 months or/and heart failure class III or IV according to the New York Heart association’s classification
  8. Drug or alcohol abuse
  9. Bulimic or binge eating pattern
  10. Continuous glucocorticoid or anti-inflammatory treatment
  11. Uncontrolled thyroid disease
  12. Pregnancy, breastfeeding
  13. Psychiatric or cooperative problems or low compliance that is a contraindication from participating in the study
  14. Hiatal hernia ≥ 5 cm
  15. Known allergy or hypersensitivity to the active substance or any of the other excipients
  16. Liver cirrhosis of any Child-Phugh stage or MELD> 15
  17. Chronic Severe Renal Insufficiency (eGFR < 30 ml/min/1.73 m2 based on CKD-EPI equation)
  18. Currently participating in other study, or previously participated in an experimental drugs trial within 30 days before or 5 half-life of the drug administered
  19. Any health issue that might put the patient at risk if the treatment is performed, judged by the investigator.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. the assess the effect of PPIs on the proportion of patients with “Intact ESG”, “open ESG” and “partially intact ESG” at 6 months of follow-up

Secondary endpoints 1

  1. to assess the effect of PPI on the proportion of patients with “intact ESG”, “partially intact ESG” and “open ESG”, separately, at 12 months of follow-up.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Esomeprazole

SUB01960MIG · Substance

Active substance
Esomeprazole
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
8 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Esomeprazole

SUB01960MIG · Substance

Active substance
Esomeprazole
Pharmaceutical form
GASTRO-RESISTANT TABLET
Route of administration
ORAL
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
8 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Sponsor organisation
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Address
Largo Francesco Vito 1
City
Rome
Postcode
00168
Country
Italy

Scientific contact point

Organisation
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Contact name
Ivo Boskoski

Public contact point

Organisation
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Contact name
Ivo Boskoski

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruiting 40 1
Rest of world 0

Investigational sites

Italy

1 site · Ongoing, recruiting
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Endoscopia Digestiva Chirurgica, Largo Francesco Vito 1, 00168, Rome

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2024-02-09 2024-02-09

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol EU CT Number 2024-517679-18-00 3
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF_adults 3
Subject information and informed consent form (for publication) L2_Other subject information material_Consenso trattamento dati 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Esomeprazole 1
Synopsis of the protocol (for publication) D1_Protocol synopsis IT_EU CT Number 2024-517679-18-00 3

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-09 Italy Acceptable
2024-10-29
2024-12-02