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This is a post-market, multi-center, double-blind, placebo-controlled, randomized, cross-over study with GERDOff Plus added on top of the current PPI treatment in patients with GERD. The aim of the study is to evaluate the performance of GERDOff Plus, a class III medical device, consisting in a hyaluronic acid, chondroitin sulphate and magnesium trisilicate, in addition to the PPIs, in patients with GERD not fully satisfied with their current treatment with PPIs.
Patients will receive either GERDOff Plus or placebo q.i.d. for 21 days followed by a wash-out period of 3 weeks. After the wash-out period, the patients will receive either placebo or GERDOff Plus respectively
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GERDOff Plus | Experimental | Hyaluronic acid + chondroitin sulphate + magnesium trisilicate melt in mouth tablets (1100 mg). 1 tablet q.i.d. (three after meals, one before resting) for 3 consecutive weeks. After three weeks of wash-out period,patients will take either placebo or GERDOff Plus q.i.d. (three after meals, one before resting) for another three weeks. |
|
| Placebo | Placebo Comparator | Placebo melt in mouth tablets (1100 mg). 1 tablet q.i.d. (three after meals, one before resting) for three consecutive weeks. After three weeks of wash-out period, patients will take either placebo or GERDOff Plus q.i.d. (three after meals, one before resting) for another three weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hyaluronic acid with chondroitin sulphate and magnesium trisilicate, 1100 mg melt in mouth tablet | Device | 1 tablet q.i.d. (three after meals, one before resting) for 3 consecutive weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Overall patient satisfaction | The percentage of patients with an improvement of at least 2 points in the patient satisfaction measured with a 1 to 5 Likert scale (1 worst satisfaction, 5 best satisfaction) | From baseline to the end of the respective 3-week treatment period |
| Measure | Description | Time Frame |
|---|---|---|
| Change of weekly frequency of each symptom using the Gastro Esophageal Reflux Disease Questionnaire (GERDQ) questionnaire | The reduction of weekly frequency score (points) for each symptom (score from 0 to 3, where higher scores mean a worse outcome) assessed by GERDQ questionnaire. Frequency score (points) for symptom: 0=0 day, 1=1 day, 2=2-3 days, 3=4-7 days;
|
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Diakonie Klinikum GmbH - Jung- Stilling Krankenhaus | Siegen | North Rhine-Westphalia | 57074 | Germany | ||
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double-blind, placebo controlled
|
| Placebo 1100 mg, identically-looking melt in mouth tablet | Device | 1 tablet q.i.d. (three after meals, one before resting) for 3 consecutive weeks |
|
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| From baseline to the end of the respective 3-week treatment period |
| Change of weekly global score of symptoms using the Gastro Esophageal Reflux Disease Questionnaire (GERDQ) questionnaire | The reduction of global score of GERQ questionnaire (score from 0 to 18, where higher scores mean a worse outcome). Global score is obtained as sum score of the 6 items detailed in Outcome 2. | From baseline to the end of the respective 3-week treatment period |
| Change of the intensity of each symptom using the Reflux Symptom Index (RSI) questionnaire | The reduction of score of each symptom (from 0 to 5, where 0 = No problem and 5 = Severe Problem) assessed by RSI questionnaire
| From baseline to the end of the respective 3-week treatment period |
| Change of the global score using the Reflux Symptom Index (RSI) questionnaire | The reduction of global score of RSI questionnaire (from 0 to 45, where higher scores mean a worse outcome). Global score is obtained as sum score of the 9 items detailed in Outcome 4. | From baseline to the end of the respective 3-week treatment period |
| Assessment of palatability | The score of taste through a 4-point qualitative scale (where 1 - taste as bad as possible, and 4 - taste as good as possible) | At the end of 3-week treatment period |
| Evaluation of the intake of rescue medications | The amount of rescue medications taken | From V1 (randomization) to V4 (Day 63 +/- 2 days) |
| Klinikum Region Hannover (KRH) Klinikum Siloah |
| Hanover |
| 30459 |
| Germany |
| ID | Term |
|---|---|
| D005764 | Gastroesophageal Reflux |
| ID | Term |
|---|---|
| D015154 | Esophageal Motility Disorders |
| D003680 | Deglutition Disorders |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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