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The purpose of this study is to investigate a new treatment for non-cardiac chest pain (NCCP) related to gastrointestinal reflux disease (GERD), called Dexilant. The investigators would like to test its effectiveness in treating NCCP.
The patient will undergo esophageal balloon distention testing (EBDT) before and after taking the new treatment for one month (Dexilant). EBDT evaluates the sensation and mechanical properties of the esophagus. A catheter with a deflated balloon is placed through the mouth and into the esophagus and the balloon is inflated with water. ECG and labs will be done throughout the study as a measurement of safety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dexilant | Active Comparator | 60mg of Dexilant QD for 12 weeks |
|
| Placebo | Placebo Comparator | 60mg of Dexilant placebo QD for 12 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexilant | Drug | 60mg of Dexilant QD for 12 weeks |
| |
| Dexilant Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of chest pain episodes in treatment vs placebo groups | the number of chest pain episodes during the study | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Intensity of chest pain episodes | how strong the chest pain episodes are | 12 weeks |
| Sensory thresholds for first sensation | the balloon distension level when a sensation is first felt |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ron Schey, MD | University of Iowa | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Iowa Hospitals and Clinics | Iowa City | Iowa | 52242 | United States |
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| ID | Term |
|---|---|
| D002637 | Chest Pain |
| D005764 | Gastroesophageal Reflux |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D064748 | Dexlansoprazole |
| ID | Term |
|---|---|
| D064747 | Lansoprazole |
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
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| Drug |
60mg of Dexilant placebo QD for 12 weeks |
|
|
| 12 weeks |
| Sensory thresholds for discomfort | the balloon distension level when discomfort is felt | 12 weeks |
| Sensory thresholds for pain | the balloon distension level when pain is felt | 12 weeks |
| duration of chest pain episodes | how long the chest pain episodes last | 12 weeks |
| D015154 | Esophageal Motility Disorders |
| D003680 | Deglutition Disorders |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D009930 |
| Organic Chemicals |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |