UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005880
Receipt number R000006945
Scientific Title Prospective, randomized controlled trial for effect of rikkunshito on symptoms in PPI-refractory gastroesophageal reflux disease (GERD) patients
Date of disclosure of the study information 2011/07/28
Last modified on 2013/06/29 13:28:37

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Basic information

Public title

Prospective, randomized controlled trial for effect of rikkunshito on symptoms in PPI-refractory gastroesophageal reflux disease (GERD) patients

Acronym

Prospective, randomized controlled trial for effect of rikkunshito

Scientific Title

Prospective, randomized controlled trial for effect of rikkunshito on symptoms in PPI-refractory gastroesophageal reflux disease (GERD) patients

Scientific Title:Acronym

Prospective, randomized controlled trial for effect of rikkunshito

Region

Japan


Condition

Condition

Gastroesophageal reflux disease (GERD)

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify a usability of rikkunshito in the treatment strategy for PPI-refractory GERD, we conduct the double-blind, randomized controlled trail.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

1. Comparison with the improvement of FSSG score
2. Comparison with the improvement of QOL(SF-8, GSRS) score

Key secondary outcomes

1. Comparison with the disappearance rate of symptoms
2. The efficacy (FSSG, SF-8, GSRS) in each group
3. Subgroup analysis
4. Comparison with patient impression after each treatment


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Oral administration of rikkunshito (7.5g) combined with standard-dose rabeprazole (10mg)

Interventions/Control_2

Oral administration of placebo (7.5g) combined with standard-dose rabeprazole (10mg)

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients who were diagnosed with GERD on the Montreal Definition criteria, and had no esophageal mucosal erosion in endoscopy carried out within six months before the registration
2. Patients who had received the treatment with standard-doze PPI for 4 weeks or more
3. Patients who had 8 or more of FSSG score before the registration
4. Patients who are plan to receive the treatment with rabeprazole (10mg) for 8 weeks or more
5. Patients aged 20 or over
6. Patients who signed consent to participate with the enough understanding in this study after the explanation about the objective and details of this study

Key exclusion criteria

1. Patients with esophageal mucosal erosion in endoscopy carried out within six months before the registration
2. Patients who had less than 8 of FSSG score before the registration
3. Patients with serious complications (liver, kidney, heart, blood, or metabolic disorders etc.)
4. Patients who underwent surgery to remove the upper digestive tract
5. Patients in whom the presence of a peptic ulcer (excluding ulcer scar) or malignant tumor of the upper digestive tract was confirmed
6. Patients with inflammatory bowel disease, irritable bowel syndrome, esophagostenosis or esophageal achalasia
7. Patients who were given a diagnosis of gastrointestinal motility disorder by the study investigator
8. Patients in whom organic hepatic/biliary/pancreatic disorders such as gallstone, hepatitis, and pancreatitis, were suspected
9. Patients with hemorrhage of the digestive tract, mechanical ileus, or perforation of the digestive tract
10. Patients who received drugs prohibited for concomitant use during the observation period
11. Patients with psychoneurosis
12. Patients with planning or during treatment of investigational drug
13. Patients with pregnant, considering pregnancy or lactation
14. Patients who are intolerant to oral administration
15. Patients with a history of drug allergy for Kampo medicine
16. Other who were not considered to be eligible as subjects of this study by the chief or study investigator

Target sample size

240


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tetsuo Arakawa

Organization

Osaka City University Graduate School of Medicine

Division name

Department of Gastroenterology

Zip code


Address

1-4-3, Asahimachi, Abeno-ku, Osaka

TEL

06-6645-3810

Email



Public contact

Name of contact person

1st name
Middle name
Last name Kazunari Tominaga

Organization

G-PRIDE Study Support Center (Osaka City University Graduate Medical School)

Division name

Department of Gastroenterology

Zip code


Address

1-4-3, Asahimachi, Abeno-ku, Osaka

TEL

06-6645-3811

Homepage URL


Email

tomy@med.osaka-cu.ac.jp


Sponsor or person

Institute

G-PRIDE Study Group

Institute

Department

Personal name



Funding Source

Organization

The Waksman Foundation of Japan INC.

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

北海道大学病院(北海道)、群馬大学医学部附属病院(群馬県)、杏林大学医学部附属病院(東京都)、順天堂大学医学部附属順天堂医院(東京都)、日本医科大学附属病院(東京都)、千葉大学医学部附属病院(千葉県)、浜松医科大学医学部附属病院(静岡県)、大阪市立大学医学部附属病院(大阪府)、大阪医科大学附属病院(大阪府)、兵庫医科大学病院(兵庫県)、川崎医科大学附属病院(岡山県)、島根大学医学部附属病院(島根県)、佐賀大学医学部附属病院(佐賀県)、熊本大学医学部附属病院(熊本県)、大分大学医学部附属病院(大分県)


Other administrative information

Date of disclosure of the study information

2011 Year 07 Month 28 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Rikkunshito may be useful for improving mental QOL in non-obese patients with PPI-refractory NERD and acid-related dyspeptic symptoms, especially women and the elderly

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2011 Year 07 Month 28 Day

Date of IRB


Anticipated trial start date

2011 Year 08 Month 01 Day

Last follow-up date

2012 Year 09 Month 30 Day

Date of closure to data entry

2012 Year 11 Month 16 Day

Date trial data considered complete

2013 Year 02 Month 28 Day

Date analysis concluded

2013 Year 02 Month 28 Day


Other

Other related information



Management information

Registered date

2011 Year 06 Month 29 Day

Last modified on

2013 Year 06 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006945


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name